Development of Nursing Care Program for Premature Infants with Umbilical Catheter in Neonatal Intensive Care Unit (NICU) at Nopparatrajathanee Hospital
Article Sidebar
Main Article Content
Abstract
This research and development study aimed at developing and investigating the effect of supportive program to promote the use of nursing care program to prevent complications of umbilical catheterization in premature infants, Neonatal Intensive Care Unit, Nopparatrajathanee Hospital. Based on the concept of William Edwards Deming, there are 3 phases: 1) problem identification, 2) program development and pilot study, and 3) program implementation which comprised of two periods: before and after implemented the intervention. Samples were classified into two groups: 1) 19 NICU nurses and 2) 133 premature infants who had umbilical catheterization. Research instruments included the nursing care program to prevent complications of umbilical catheterization in premature infants, general information questionnaire, knowledge measurement test, nursing practice observational record form, and complication-surveillance record form. Content validity of the research instruments were assessed by 5 experts and CVI was .95. The reliability of knowledge measurement test by Kuder-Richardson (KR-20) was .75. The inter rater reliability (IRR) of nursing practice observational record form was 1. Data were analyzed using descriptive and comparative statistics.
The results of this study revealed that knowledge and practice of nursing care to prevent complications of umbilical catheterization of the trained nurses increased from 9.77 to 16.74. Complication of premature infants such as the rate of sepsis decreased from 0.54 to 0 per 1,000 days of umbilical catheterization and the rate of catheter slip had dropped from 4.39 to 0 per 1000 1,000 days of umbilical catheterization.
Article Details
References
woman of postpartum. Medical Journal of Srisaket Surin Buriram Hospital. 2019;34(1):87-99. Thai.
2. Kelly MM. Primary care issues for the healthy premature infant. Journal of Pediatric Health Care. 2006; 20(5):293-9.
3. Stoll BJ, Hansen NI, Bell EF, et al. Neonatal outcomes of extremely preterm infants for the NICHD Neonatal Research Network. Pediatrics. 2010;126(3):443-56.
4. Esposito MR, Guillan A., Angelillo IF. Knowledge, attitudes and practice on the prevention of central line-associated blood stream infections among nurses in
oncological care: A cross-sectional study in an area of southern Italy. PLoS ONE. 2017;12(6):1-1.
5. Neonatal Critical Care Committee. NICU. Critical care report. Nopparatrajathanee Hospital. 2018. Thai.
6. Woodward B, Umbrager R. Review of best practices of CLABSI prevention and the impact of recent legislation on CLABSI reporting. SAGE open.
October-December. 2016;1-7.
7. Penchun Saenprasarn. Nursing Process and Document in Nursing. Bangkok: Sukhumvit Printing; 2017. Thai.
8. Deming WE. Out of the Crisis. USA: MIT Press; 1986.
9. Luan Saiyot, Angkhana Saiyot. Technigue Research Education. Bankok: Suwiriyasan Printing; 2010. Thai.
10. Soukup SM. The Center for Advanced Nursing Practice evidence-based practice model: promoting the scholarship of practice. Nurs Clin of North Am.
2000;35(2):301-9.
11. Panida Kawinam, Tongpran Nguegngam, Srisuda Assawapalanggool. Effects of the development for promotional program for the implementation of
ventilator associated pneumonia prevention guidelines. Journal of Nursing Division. 2017;44(3):34-57. Thai.
12. Kotwal A, Taneja DK. Health Care Workers and Universal Precautions: Perceptions and Determinants of Noncompliance. Indian J of Community Med.
2010;35(4): 526-28.
13. Busaba Niakhon, Uraivan Kajachart. The relationship between supervision of head nurse the atmosphere in the Organization with the competence in the
performance of profession nurses Chaophaya Abhai phubejhr Hospital. Journal of Nursing Division. 2010;37(1):28-38.Thai.
14. Alcan AO, Korkmaz FD, Uyar M. Prevention of ventilator-associated pneumonia: Use of the care bundle approach. Am J Infect Control. 2016;44(10):e173-76.
