Development of Primary Nursing System in Intensive Care Unit, Pediatric Department
Primary Nursing System for Intensive Care Patients
Keywords:
primary nursing system, intensive care unit, Pediatric DepartmentAbstract
Infants and children in intensive care unit (ICU) must receive the highest quality nursing services. Objectives of this participatory action research were to develop and assess effectiveness of the primary nursing system in ICU, Pediatric Department. The study participants were 45 registered nurses in neonatal and pediatric ICU. This research took seven months and consisted of three phases: 1) Problem Assay and Plan 2) Action and Observe 3) Reflection. The results showed that the primary nursing system in ICU, Pediatric Department, or "the PN2CF system" consisted of P (primary nurses), N (nursing process and nursing care plan), C (CNPG), C (chief nurse and buddy), and F (family center care). After implement, it had good results as follows: (1) Patient: death rate, VAP rate, CLABSI rate, ROP stage III rate, IVH rate, septic shock rate, respiratory failure from pneumonia. There were significantly lower (p < 0.05). Family satisfaction, rate of maternal milk, and parents take care of sick children in hospital rate. There were increased significantly (p < 0.05). (2) Service providers: nurse's knowledge, practicing role of primary nurse, the use of nursing process, and nurse satisfaction. There were increased significantly (p < 0.001). (3) Organization: length of stay of the patient was significantly reduced (p < 0.001). The PN2CF should be used in ICU, Pediatric Department.
References
Department of Older Persons, Ministry of Social Development and Human Security. Older statistics [Internet]. 2022 [cited 2022 Oct 11]. Available from: URL: https://www.dop.go.th/th
Strategy and Planning Division, Ministry of Public Health. Population demographics [Internet]. 2022 [cited 2022 Oct 11]. Available from: URL: https://spd.moph.go.th/
Noynark P. Preterm neonates and low birth weight with respiratory distress syndrome. Singburi Hosp J 2020;29(1):8-14.
Neonatal Intensive Care Unit, Pediatric Department. Annual report 2021. Phitsanulok, Thailand: Buddhachinaraj Phitsanulok Hospital; 2021.
Pediatric Intensive Care Unit, Pediatric Department. Annual report 2021. Phitsanulok, Thailand: Buddhachinaraj Phitsanulok Hospital; 2021.
Boonthi L. The development of nursing process in nursing practice of professional nurses. Phutthaisong Hospital, Buriram Province Master's thesis]. Faculty of Nursing, KhonKaenUniversity; 2009 [Internet]. 2022 [cited 2022 Oct 11]. Available from: URL: https://dric.nrct.go.th/Search/SearchDetail/169276
Marram GD, Schlegel MW, Bevis EO. Primary nursing: a model for individualized care. St. Louis, Missouri State, USA: The C.V. Mosby; 1974.
Saeng-Ubon K, Seethalanuchit M. Development of a primary nursing service system in the Intensive Care Unit of Saimai Hospital. Eau Heritage JS Technol 2015;9(3):208-17.
Jongwutthiwet N. The concept of community development. Bangkok, Thailand: Community Development Department, Ministry of Interior; 2007.
Kemmis S. Participatory action research and the public sphere. Educ Action Res 2006;14(4):459-76.
Heale R, Forbes D. Understanding triangulation in research. Evid-Based Nurs 2013;16(4):98-8.
Ketwiraphong S. Developing a primary nursing model in a surgical intensive care unit at Phrae Hospital [Master's thesis]. Faculty of Nursing, Naresuan University;2006 [Internet]. 2022 [cited 2022 Oct 11]. Available from: URL: https://dric.nrct.go.th/Search/SearchDetail/169276
Etikan I, Musa SA, Alkassim RS. Comparison of convenience sampling and purposive sampling. Amer J Theor Appl Stat 2016;5(1);1-4.
Youngjaroen S, Wisesrith W. Effects of a primary nursing model on quality of care as perceived by relatives of critical ill patients and nurses' satisfactions. Thai J Cardio-Thorac Nurs 2015;26(2):53-67.
Apichutboonchock S. Parents' participation on their preterm development support in Neonatal Intensive Care Unit. Vajira Med J 2013;57(1):65-72.
Hill C, Knafl KA, Santacroce SJ. Familycentered care from the perspective of parents of children cared for in a Pediatric Intensive Care Unit: an integrative review. J Pediatr Nurs 2018;16(41):22-33.
Downloads
Published
Issue
Section
License
Copyright (c) 2023 Buddhachinaraj Medical Journal
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
