Nursing Care System Development for Patients with Cleft Lip-Palate and Craniofacial Deformities at Srinagarind Hospital

Friday, 26 July 2013: 8:50 AM

Sririporn Mongkonthawornchai, MSN
Division of Nursing,Srinagarind Hospital,Faculty of Medicine Khonkaen University., khonkaen, Thailand

Learning Objective 1: The learner will have more knowledge about this subject.

Learning Objective 2: The learner will be able to disscuss about the care of the patients.

Purpose: To Develope nursing care system for patients with cleft lip-palate.


The nursing care system was developed as per system theory via participating management with action research following the Deming Cycle (PDCA) divided into 3 phases. Participants included 117 nurses from 8 divisions caring for patients with CLP and 128 parent caregivers. The research instruments included: 1) situation analysis, 2) meeting and planning, and 3) self-administered questionnaire. Groups were divided according to the age, physical and mental aspects of the patients.


1. The nursing care system under study comprised psychosocial care, breastfeeding, counseling, providing assistance in various ways in order to respond to problems of patients/families by the multidisciplinary team. There was also follow-up to evaluate the results and in order to give patients/families longitudinal and continuing care.
2. Minor research of 4 nursing sections was initiated.

3. Nursing care standards, manuals, regulations and innovations for the organization of eight nursing sections were created and implemented.


The study on developing a nursing care system for patients with CLP helped the team to (a) understand the overall nursing care system (b) to develop the organization of nurses by conducting research and (c) to create 12 works for developing care. The latter aimed to establish or create standards, nursing manuals, caring manuals, regulations, innovations, CDs, portfolios, and informative cartoons to be applied systematically and shared across and between communities. The model for nursing care for patients with CLP in tertiary hospitals was clearly demonstrated.