Development of a Nursing Practice Guidelines to High Alert Drugs Administration in Patients with septic shock for Prevention Extravasation of Registered Nurses at Sukhothai Hospital

Abstract

This research aimed to developed the nursing practice guidelines and assess the results of using the high alert drugs administrative nursing practice guidelines in patients with septic shock to prevent extravasation of registered nurses at Sukhothai Hospital. The samples were purposive selected and consisted of 80 registered nurses and 90 septic shock patients. The research instruments included the high alert drugs administrative nursing practice guidelines, high alert drugs nursing practice guidelines feasibility assessment form, high alert drugs administrative monitoring-surveillance form, and knowledge test on high alert drugs administration. Content validity of the instruments were examined by 5 experts, yielding CVI of 1.0.

The results revealed that the implementation of the high alert drugs administrative nursing practice guidelines with multidisciplinary improved quality and effectiveness of the nursing practices. On service providers, the knowledge score of the nurses after training was significant higher than before training (p < .01). More than 80 percent of the nurses followed the guidelines and the overall satisfaction with the nursing guidelines was at a high level (Mean 4.06, SD .24). On the patients, the incidence of extravasation from high alert drug administration in sepsis patients decreased from 10.86 to 3.21 times per 1,000 days of receiving high alert drug. It was concluded that the developed high alert drugs administrative nursing practice guidelines can reduce the incidence of extravasation and promote patent safety from high alert drugs usage in the hospitals.