Model development of Nursing for Intermediate Care
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Abstract
Abstract
This research and development study aimed to develop and evaluate the results of using the nursing care model in intermediate patient. The sample were selected using purposive sampling and consisted of 1) 56 head nurses and staff nurses and 2) 58 traumatic brain injury patients and their caregivers. The research instrument was the intermediate nursing care model. Data were collected using 1) a questionnaire on intermediate nursing care situation, 2) the patient data and their nursing outcomes recording form, 3) Daily Activities Assessment Form 4) nursing knowledge and skills measurement form 5) satisfaction questionnaire of nurses and implementation of the model, 6) knowledge and self-care behavior questionnaire and 7) patients and their care givers satisfaction questionnaire. The reliability of the questionnaire no. 1, 3, 5, 6 and 7 were .80, 1, .88, .81 and .84 respectively. The KR-20 of the questionnaire no. 4 was .88. Data were analyzed using percentage, mean, standard deviation, Paired t-test and McNemar test.
The results revealed that the intermediate nursing care model consisted of 5 components: 1) the intermediate patient nursing care teaching program, 2) nursing practice guidelines, 3) self-care manual for the patients and their caregivers, 4) nursing practice and 5) continuing care. After using the model, knowledge and skills of the nurses and their satisfaction and implementation of the model increased statistically significant at .05 level. Knowledge and self-care behavior, and the ability to perform daily routine of the patients and their caregivers also increased statistically significant at .05 level. Satisfaction of the patients and their care givers was at the highest level (Mean 4.64, SD .50). The patients’ pressure ulcer decreased at 71.41% and urinary tract infection also declined at 69.23%.
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