The development of registered nurse’ competency management in patients with severe sepsis or septic shock in Nongkhai hospital.

Abstract

This study is quasi - experimental research with objective to develop and evaluate the development of registered nurse’ competency management in patients with severe sepsis or septic shock.  By using a nursing competency development program. The sample is 1) 15 registered nurses and 2) the sample is a patient medical record before and after implementation and divided into two groups of 30 charts. Research tools include: 1) The competency development program for nurse and 2) The data collection tools were consisted of general data, patient outcomes data collection, knowledge test, nursing practice checklist and satisfaction questionnaires was evaluated by 3 experts. IOC testing was > 0.5 for all items.  Cronbach’s alpha reliability coefficients of knowledge test, observation checklist and satisfaction questionnaires were 0.76, 0.86 and 0.87 respectively. The data were analyzed by using descriptive statistics including number, percentage, mean, standard deviation and statistical differences are analyzed with the dependent or paired samples t- test.

            The research results showed that an average score of overall registered nurse’ competency management in patients with severe sepsis or septic shock after applying competency development program was 50.46 (S.D. = 3.64) higher than before with statistically significant at the level of 0.01 and patient outcomes showed that the mortality or against advice rate of severe sepsis or septic shock patients after applying competency development program was decreased from 40.00 % to 36.70 %.

            In conclusion, the development of registered nurse’ competency management in patients with severe sepsis or septic shock is necessary and very important for service quality improvement and surviving of the patients. It should be provided to improve competency of nurses in other wards.