Peripheral Intravenous Infusion Nursing Care System Development in Nopparatrajathanee Hospital
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Abstract
This research and development study aimed to develop and explore the outcomes of the nursing care system for patients receiving peripheral intravenous infusion. The research involved 3 phases (1) situation analysis (2) development of the nursing care system (3) evaluatation. The sample consisted of (1) 94 professional nurses from the pilot ward and 267 professional nurses from the extended wards (2) patients receiving peripheral intravenous infusion before using the developed system 30 cases and after using the developed system 30 cases. The instruments composed of (1) the focus group questionnaire (2) clinical nursing practice guideline for patients receiving peripheral intravenous infusion (3) knowledge and practice questionnaire of the nurses (4) peripheral intravenous infusion form. The knowledge and practice questionnaire of the nurses were tested for dificulty index yielding a number of 0.78 and 0.81, the discrimination index were 0.33 and 0.31, and Cronbach's alpha coeeficient was 0.75. Data were analyse dusing frequency, percentage, mean, standard diviation, pair t-test, Wilcoxon Signed Ranks test, and independent t-test.
The result shows that the developed nursing care system for patients receiving peripheral intravenous infusion consisted of (1) policy (2) staff (3) clinical nursing practice guideline of peripheral intravenous infusion (4) competency development system for registered nurses at all levels (5) system for recording and reporting of risks and complications (6) continuous supervision, monitoring and evaluation system. After implementing the developed system, the mean scores of knowledge and practice of the nurses in the pilot ward and the extended wards were statistically significantly higher than before using the developed system (p = 0.00). In addition, the early detection rates (grade 1-2) of phlebitis, infiltration, and extravasation after using the developed system were significantly higher than before using the developed system (p = 0.00).
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