Development of Nursing Continuous Care Model for Older Adult Sepsis in a Tertiary Hospital
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Abstract
Background: Developing a high-quality nursing care model plays a critical role in reducing complications and mortality among older adults with sepsis. This life-threatening condition requires comprehensive and continuous care.
Objectives: To develop and evaluate the effectiveness of a continuous nursing care model for older adults with sepsis.
Methods: This research and development (R&D) study was conducted in two phases: (1) development of the model through problem analysis from focus group discussions and data review, and (2) implementation and evaluation of the model. The participants included 30 registered nurses and 66 older adults diagnosed with sepsis. Research instruments consisted of a nursing knowledge test, a nursing practice skill assessment, satisfaction questionnaires for both nurses and patients, and clinical outcome recording forms. Data were analyzed using descriptive statistics and content analysis.
Results: The developed nursing care model consisted of four key components: (1) screening guidelines, (2) care guidelines, (3) transfer guidelines, and (4) a nursing practice manual (7 Aspects of Care). The results demonstrated high satisfaction among nurses (mean =4.57, SD=0.54) and patients (mean=4.06, SD=0.33). Nurses’ post-intervention knowledge scores were significantly higher than pre-intervention scores (p=0.001), and all clinical outcome indicators showed improvement after implementing the model.
Conclusions: The developed nursing care model provides a comprehensive and practical approach for managing sepsis in older adults. It has the potential to reduce mortality and complications while enhancing the satisfaction of both healthcare personnel and patients receiving care.
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บทความที่ได้รับการตีพิมพ์เป็นลิขสิทธิ์ของวิทยาลัยพยาบาลบรมราชชนนี จังหวัดนนทบุรี
ข้อความที่ปรากฏในบทความแต่ละเรื่องในวารสารวิชาการเล่มนี้เป็นความคิดเห็นส่วนตัวของผู้เขียนแต่ละท่านไม่เกี่ยวข้องกับวิทยาลัยพยาบาลบรมราชชนนี จังหวัดนนทบุรี และคณาจารย์ท่านอื่น ในวิทยาลัยฯ แต่อย่างใด ความรับผิดชอบองค์ประกอบทั้งหมดของบทความแต่ละเรื่องเป็นของผู้เขียนแต่ละท่าน หากมีความผิดพลาดใด ๆ ผู้เขียนแต่ละท่านจะรับผิดชอบบทความของตนเองแต่ผู้เดียว
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