Development of nursing care for critically ill patients in the referral system Nakhon Sawan Province.
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Abstract
Abstract
This research and development study aimed at improving and examining the outcomes of the development of the critically ill patients nursing care in the inter-facility referral system. The sample consisted of 67 registered nurses and 78 critical emergency patients, in the inter-facility referral system, both pre and post development groups. The study comprised of 4 phrases: (1) situation analysis, (2) development of the critically ill patients nursing care in the referral system, (3) implementation of the critically ill patients nursing care in the referral system, (4) evaluate the results. The research instruments consisted of (1) assessment of knowledge and skill on the critically ill patients nursing care in the referral system, (2) a questionnaire on the nurses’ opinion towards the practice guidelines, (3) a questionnaire on the nurses’ opinion towards the development. Qualitative data were analyzed using content analysis. Quantitative data were analyzed using frequency, mean, standard deviation, and t test.
The results revealed that (1) there were 3 aspects of the critically ill patients nursing care in the inter-facility referral system: 1.1 the process denoted the clinical practice guidelines for the nurses on caring the critically ill patients in the inter-facility referral system, 1.2 the personnel denoted a workshop on the critically ill patients nursing care in the inter-facility referral system, 1.3 the patient denoted nursing outcomes assessment and the nursing records. (2) The results of the development found that professional nurses' opinions towards the development were at the highest level (Mean 4.66, SD .26). Knowledge and skill of the nurses after training were significantly higher than before the training (p<.01). The appropriateness of the nursing care during transferring after the development was higher than before the development; while the average rate of vital sign variation during transferring after the development was significantly improved than before the development (p<.01).
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References
References
Sub-Committee on Development and Preparation of Referral Guidelines. Guidelines for developing a referral system for patients. Nonthaburi: Public Health Administration Division, Ministry of Public Health; 2019. Thai.
Urden LD, Stacy KM, Lough ME. Thelan’s Critical Care Nursing: Diagnosis and management. St. Louis: Mosby; 2010.
Wilcox SR, Wax RS, Meyer MT, et al. Interfacility transport of critically ill patients. Critical Care Medicine.2022; 50(10):1461-76.
Parinun Khongsomboon, Worawut Khowtong, Somsri Kheaw-on. Quality of nursing care during the interfacility patient transfer in Nakhonsawan. Journal of Public Health Nakhon Sawan. 2018; 4(3): 36-46. Thai.
Van Lieshout EJ, Binnekade J, Reussien E, et al. Nurses versus physician-led interhospital critical care transport: a randomized non-inferiority trial. Intensive Care Med. 2016; 42(7):1146-54.
Kannapatch Srithong, Siriorn Sindhu, Napaporn Wanitkun, Chukiat Viwatwongkasem. Incidence and risk factors of clinical deterioration during inter-facility transfer of critically ill patients; a cohort study. Archives of Academic Emergency Medicine. 2020; 8(1), e65.Thai.
Taratep C, Boonjaiyai G, Nariukon S, et al. Service delivery system in Thailand: problems and lessons learned. Nonthaburi: Health Systems Research Institute. Ministry of Public Health; 2015.
Donabedian A. The quality of care: How can it be assessed. Journal of American Medical Association. 1988; 260(1):1743-8.
The Faculty of Intensive Care Medicine. Guidance on: the transfer of the critically ill adult. Intensive Care Society. 2021.
Alabdali A, Trivedy C, Alijerian N, Kimani PK, & Lilford R. Incidence and predictors of adverse event and outcomes for adult critically ill patients transferred by paramedics to a tertiary care medical facility. J Health Spec. 2017; 5(4): 206.
Droogh JM, Smit M, Absalom AR, Ligtenberg JJM & Zijlstra JG. Transferring the critically ill patient: are we there yet? Critical Care. 2015; 19(1): 62.
