The Development of a Model for Preventing Phlebitis in Newborns at a Hospital in Songkhla Province
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Abstract
Background: Neonatal phlebitis is an inflammation of the vein at the site of intravenous infusion. It is a common complication and may lead to adverse outcomes, affecting neonatal safety and the quality of nursing care.
Objectives: To study the current situation, develop, and evaluate the effectiveness of a preventive model for phlebitis in neonates.
Methods: This research and development study was conducted in three phases: (1) document analysis and qualitative data collection involving 54 registered nurses; (2) development of a phlebitis prevention model with a sample of 10 registered nurses; and (3) evaluation of the model’s effectiveness using a quasi-experimental design with 54 registered nurses and newborns. Research instruments included a compliance assessment form for the prevention model and an intravenous infusion assessment form. Data were analyzed using descriptive statistics and a one-sample t-test.
Results: The situational analysis revealed that major causes of neonatal phlebitis included administration of antibiotics or high-concentration solutions, uncontrolled neonatal movement, and insufficient nursing knowledge regarding medication administration. The developed model comprised clinical practice guidelines for phlebitis prevention, an intravenous infusion assessment tool, and a limb stabilization device for infusion sites. Following implementation of the model, the incidence of phlebitis decreased to 5.60%. and nurses demonstrated a high level of compliance with the model (M=99.35, SD=1.69).
Conclusion: The developed preventive model for neonatal phlebitis effectively reduced the incidence of phlebitis and is appropriate for application in neonatal nursing practice.
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บทความที่ได้รับการตีพิมพ์เป็นลิขสิทธิ์ของวิทยาลัยพยาบาลบรมราชชนนี จังหวัดนนทบุรี
ข้อความที่ปรากฏในบทความแต่ละเรื่องในวารสารวิชาการเล่มนี้เป็นความคิดเห็นส่วนตัวของผู้เขียนแต่ละท่านไม่เกี่ยวข้องกับวิทยาลัยพยาบาลบรมราชชนนี จังหวัดนนทบุรี และคณาจารย์ท่านอื่น ในวิทยาลัยฯ แต่อย่างใด ความรับผิดชอบองค์ประกอบทั้งหมดของบทความแต่ละเรื่องเป็นของผู้เขียนแต่ละท่าน หากมีความผิดพลาดใด ๆ ผู้เขียนแต่ละท่านจะรับผิดชอบบทความของตนเองแต่ผู้เดียว
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