Home | Thailand | Malaysia | Philippines | Indonesia | Contact
 
  About SEA-ORCHID | Activity Summaries | Photo Gallery | Contact Us | Newsletter Archive | Members Area
 


SEA-ORCHID THAILAND
Thailand Home
Activity Updates
Staff
Training & Events
Getting Involved
Country Project Sites

 

Activity Update - Thailand

 January to December 2007

[click here for the 2006 Activity Update]

 


 

Workshops
Education and training sessions relevant to evidence-based practice (generating, appraising or using evidence) conducted under the guidance and preparation of the SEA-ORCHID team. Examples include: EBP/EBM workshops, preparing Cochrane systematic reviews, CPG appraisal and development, appraisal of RCTs and qualitative research, literature searching, using the Cochrane Library and RHL.

Date

Topic

Duration (hrs)

Who

No.

Participants

 

Khon Kaen University (Srinagarind) Hospital

7 Feb

Using corticosteroid in preterm labor to accelerate fetal lung maturity: the appropriate time and dose?

1

Caroline Crowther

50

Physicians, nurses, medical students, and residents

8 Feb

Clinical practice guideline development and adaptation

1.5
Tari Turner
20
Physicians, nurses, medical students, and residents
13 Feb

Psychology of learning and behavior change

3

Jacki Short

20
Physicians, nurses, medical students, and residents
19 Feb EBP introduction and exclusive breastfeeding
3

Ruth Martis
Jadsada Thinkhamrop

26
Medical students, interns, maternity nurses, obstetricians
21 Feb EBP introduction and selective use of episiotomy and how to prevent perineal tearing
3
Ruth Martis
Jadsada Thinkhamrop
12
Medical students, interns, obstetricians
23 Feb EBP and continuous support in labour, mobility in labour and birth positions
3
Ruth Martis
Jadsada Thinkhamrop
24
Medical students
4 May EBP and exclusive breastfeeding
2
Ruth Martis
Jadsada Thinkhamrop
20
Dept O&G physicians, nurses
4 May EBP and selective use of episiotomy and prevention of perineal tears
2
Ruth Martis
Jadsada Thinkhamrop
20
Dept O&G physicians, nurses
1 Jun Electronic evidence searching and how to use the Cochrane Library
3

Songsri Deesrikaew
Butsakorn Ussahgij

13

Physical therapists, physicians
[Srinagarind Hospital ]

1-31 Aug Library service and searching for EBM
84
Songsri Deesrikaew
Butsakorn Ussahgij
3
Medical librarians [Khon Kaen Hospital, Kalasin Hospital, Subpasithiprasong Hospital]
8 Aug Clinical practice guideline development
6

Jadsada Thinkhamrop
Butsakorn Ussahgij

50

Physicians, nurses, medical students

6 Sep Information searching for EBM
3
Songsri Deesrikaew
Butsakorn Ussahgij
9
Health Personnel from WHO, India
19-20 Nov Introduction to analysis
6
Pisake Lumbiganon
Jadsada Thinkhamrop
Malinee Laopaiboon
20
Physicians
Totals
Hours:
120.5
Participants:
287
 

 

Khon Kaen Hospital

2 Feb

EBP and searching for literature

3
KKU medical librarian
20
Physicians, nurses, joined in with the participants at KKU
20 Feb

Introduction to CPG using example of MgSO4

2

Ruth Martis
Ussanee Swadpanich

35
Medical students, obstetricians, maternity nurses
20 Feb How to use the WHO RHL
1
Ruth Martis
Ussanee Swadpanich
35
Medical students, obstetricians, maternity nurses

22 Feb

EBP introduction and the use of corticosteroids

1

Ruth Martis
Ussanee Swadpanich
35

Medical students, obstetricians, maternity nurses, paediatricians

22 Feb

EBP introduction, painrelief for neonates and the use of sucrose

2

Ruth Martis
Ussanee Swadpanich

35

Medical students, obstetricians, maternity nurses, paediatricians

30 Apr

EBP introduction and mobility in labour, continuous support and birth positions

3

Ruth Martis
Ussanee Swadpanich

22

Medical students, obstetricians, physicians, interns, nurses, Head of Nursing School

30 Apr Exclusive Breastfeeding – does it really make a difference?
3
Ruth Martis
Ussanee Swadpanich
24
Physicians, nurses
1 May Normal Birth
3
Ruth Martis
Ussanee Swadpanich
25
Physicians, nurses
7 Aug Update topics for the protocol: Preterm labour, PPH, Severe PIH
3
Ussanee Swadpanich
8
O&G staff
Totals
Hours:
21
Participants:
239
 

 

Kalasin Hospital

14 Feb Principle of adult learning & psychology of learning and behavior change
3

Jacki Short
Bunpode Suwannachat
Jadsada Thinkhamrop

30
Physicians and nurses
15 Feb EBP introduction and selective use of episiotomy and how to prevent perineal tearing
3

Ruth Martis
Jadsada Thinkhamrop

35
Maternity nurses and medical students
16 Feb EBP introduction and exclusive breastfeeding
3
Ruth Martis
Jadsada Thinkhamrop
35
Rural maternity nurses and midwives
2 May EBP and exclusive breastfeeding
3
Ruth Martis
Bunpode Suwannachat
50
Physicians, nurses, midwives
3 May EBP and mobility, continuous labour support, birth positions, routine use of enemas and shaving
2.5
Ruth Martis
Jadsada Thinkhamrop
42

At district hospital K’amalasai, one of 13 district hospitals that feed into Kalasin Hospital.
Participants were mainly nurses from all district hospitals.

3 May

EBP and selective use of episiotomy and how to prevent perineal tears
EBP prem labour and corticosteroids
How to use the RHL

3.5

Ruth Martis
Jadsada Thinkamrop
Bunpode Suwannachat

22
At district hospital K’amalasai, one of 13 district hospitals that feed into Kalasin Hospital.
Participants were mainly nurses from all district hospitals.
3 May

Corticosteroids

3

Ruth Martis
Bunpode Suwannachat

40

Physicians, nurses, midwives

25 May

How to search the electronic literature and use the Cochrane Library

3.5

Butsakorn Ussahgij
Bunpode Suwannachat

61

Physicians, nurses

 

17 Jul

Development of competency assessment tools for registered nurses in labour room:

admission, assessments, comfort promotion and pain management, normal delivery, active management of the third stage of labour, care of the perineum suture, immediate care of the newborn, immediate care of the puerperium, care of pregnancy at risk, competency rating scale of using evidence-based medicine to practice.

8

Dr Apinya
Bussarin Khianman

 

85

Nurses, midwives

 

 

27 Jul - 3 Aug

Neonatal Cardio Pulmonary Resuscitation [NCPR]

5

Dr. Skulrat
Dr. Npaporn
Dr. Paiboon
Bussarin Khianman

85

Nurses, midwives, clinicians

 

11-12 Sep

Breastfeeding for personnel and community network in Kalasin Province

16

Bunpode Suwannachat
Naputsorn Supipat

80

Physicians, nurses, breastfeeding mothers

Totals
Hours:
53.5
Participants:
565
 

 

National & Regional Workshops

16 Mar

Effective referral system in MCH care in upper Northeast Thailand

6

Pisake Lumbiganon
Thitiporn Siriwachirachai
Ussanee Swadpanich
National Health Security Staff

75

Physicians, nurses, KKH staff
National Heath Security Office Staff

18 Mar

Developing CPG: background, objectives, question formulation (PICO) and locating and selecting studies (web searching)

[Yogyakarta: Indonesia]

7

Jadsada Thinkhamrop
Detty Nurdiati

 

25
Physicians and nurses
14-15 Sep Protocol development & RevMan
12

Pisake Lumbiganon
Jadsada Thinkhamrop
Malinee Laopaiboon
Ussanee Swadpanich
Bunpode Suwannachat

30

Physicians, nurses [various hospitals in Thailand and Department Medical Services, Ministry of Public Health] organised in Bangkok

Totals
Hours:
25
Participants:
130
 

Back to top

 

Meetings

Meetings of SEA-ORCHID team members with local, regional or national leaders. The purpose of these meetings is varied and may include increasing awareness of the Project, promoting networking and increasing the potential to bring about practice change.

Date

Topic

Who

 

Khon Kaen University (Srinagarind) Hospital

23 Mar

Feedback on the project baseline data

O&G Head and Staff

10 Apr

Exclusive Breastfeeding in SE Asia

Dr. Jacky Knowles, UNICEF Consultant for Nutrition

 

Khon Kaen Hospital

23 May Departmental meeting; identify the barriers for EBM changes in OB-Gyn and CPG implementation

Obstetricians, nurses

 

Kalasin Hospital

2, 3, 9, 10 Jul The development in maternal and child health care meeting, CUP 1, Kalasin Province

Maternal and child health care committee, nurses

Back to top

 

Additional activities

For example, regular departmental activities (e.g. journal club, case conferences, ward rounds, etc) that have been introduced or modified to include evidence-based practice, critical appraisal, etc. Please indicate the change that has taken place and who the change has affected.

 

Activity

Change

Who

 

Khon Kaen University (Srinagarind) Hospital

Produced and disseminated the educational posters at O&G Dept and the labour room

Changing practice: Routine episiotomy and evidence-based practice Nurses, Phisicians, Medical Student, Residents
Video production of active management of third stage for WHO RHL CD   Users of the RHL

Produced educational brochures on common practices:

  • corticosteroid dosage for high risk pregnancy of preterm delivery(pre-term labor, PPROM)
  • antibiotic prophylaxis to prevent infectious morbidity during pregnancy and delivery
  • amnionitis

 

Nurses, physicians, medical students, residents
Organised exhibition about PICO/Library & EBM Searching, appraising and implementing evidence from the literature Nurses, physicians, medical students, residents
Produced posters about evidence searching for improving the efficiency of evidence-based practice Joined with the University activity via poster about EBM and PICO KKU staff
Produced introduction to EBM and PICO brochures Promotion to users about what is EBM and how to search for evidence Nurses, physicians, medical students, residents
Produced obstetric evidence-based textbook in Thai Promote access to evidence SEA-ORCHID sites and affiliated hospitals and

 

Khon Kaen Hospital

Journal club (weekly)

Critical appraisal of RCT studies and systematic reviews:

  • increase personal learning experiences on how to appraise papers
  • develop more skills for reading journals
  • use of CONSORT for RCT appraisal
Obstetricians, residents, medical students
Teaching of medical students (monthly)

Introduced EBP into medical teaching, incl. RHL & Cochrane systematic reviews:

  • learn more about EBM
  • increase competency to implement EBM into practices
Obstetricians, medical students
Perinatal conferences (1-2 monthly)

Introduce EBM with interesting topics

Obstetricians, Paediatricians, residents, medical students, nurses
Ward rounds & feedback system
  • Introduced EBP knowledge on common topics (e.g. preterm labour, PIH, PPH) to ward rounds
  • Gave feedback to community hospitals in Khon Kaen province
Obstetricians, nurses

 

Kalasin Hospital

Weekly departmental meetings to follow up on the progress of CPG development

Regular follow up of CPG development (DM, preterm labour, PIH, caesarean section, breech presentation) Each doctor in charge of writing a CPG
Introduction of EBP into the College of Nursing – curriculum development

Increase in the use of selective use of episiotomy

Bunpode Suwannachat with Head of School and other educators – nursing students
Introduction to EBP policy at Kalasin Hospital   Each time a new group of doctors starts at Kalasin Hospital
Mortality & morbidity conference Care of preterm labour Nurses, midwives
Weekly departmental meeting Identifying barriers and gaps for improving evidence-based practice O&G staff (physicians, nurses)
Weekly case conference Peer review, identifying good evidence, developing guidelines, improving current practices O&G staff (physicians, nurses)
Monthly departmental meeting Monitoring and feedback of level of change in evidence-based care O&G staff (physicians, nurses)

Back to top

 

Conference Presentations
Local, national or international conferences at which SEA-ORHCID team members presented an aspect of the SEA-ORCHID Project either as conference speaker or poster presenter

Date

Conference title and location

Title of presentation/poster

Presenter

29 Apr

WHO RHL@10 Meeting
Khon Kaen, Thailand

SEA-ORCHID project – capacity strengthening in SE Asia [plenary session]

Pisake Lambiganon
Steve McDonald

29 Apr

WHO RHL@10 Meeting
Khon Kaen, Thailand

SEA-ORCHID project experience - implementing best practice Pisake Lumbiganon
Steve McDonald
Jadsada Thinkhamrop
Bundpode Suwannacha
Ussanee Swadpanich
Ruth Martis
Mario Festin
Detty Nurdiati
Jackie Ho
Caroline Crowther
18 Oct Annual Academic Conference, Faculty of Medicine, Khon Kaen University SEA-ORCHID baseline data Jadsada Thinkhamrop

Back to top

 

 
  Copyright © 2006 Australasian Cochrane Centre