Development of New Normal in Nursing Service Model for End-stage Renal Disease Patients with Hemodialysis, Naradhiwasrajanagarindra Hospital
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Abstract
Abstract
This research aimed to study the effectiveness of the new normal nursing service model for end-stage renal disease with hemodialysis using 4S care model. The sample composed of 60 end-stage renal disease with hemodialysis and 30 professional nurses. This study consisted of 3 phases (1) situation analysis, (2) develop and test the model, and (3) model evaluation. The research instrument included the new normal nursing service model. Data collecting tools consisted of (1) knowledge, attitude and behavior assessment form of the patients, (2) the patient satisfaction questionnaire, (3) knowledge on caring for COVID-19 patients and spreading of disease prevention of the nurses, (4) the nurse satisfaction questionnaire, (5) nursing service readiness assessment form, (6) focus group discussion form, and (7) outcome data record from of using the model. Data were analyzed using frequency, percentage, mean, standard deviation, and paired t-test.
The results found that the new normal nursing model for end-stage renal disease consisted with hemodialysis consisted of 3 phases, covering the 4 aspects of the 4S care model. Phase 1: prevention and impact reduction as well as preparation for the structure, systems and services, personnel, and patient care standards. Phase 2 involved patient care and phase 3 included rehabilitation or termination of the patient care. The results of the model evaluation revealed that the average score of the patients’ knowledge, attitude and behavior was significantly improved after the model implementation (p < .001). The patients’ satisfaction score was at a high level (Mean 4.42, SD 0.64). The nurses’ knowledge on caring for COVID-19 patients and spreading of disease prevention were significantly improved after model implementation (p < .001). The nurse satisfaction score was at high level (Mean 4.26, SD 0.53). COVID-19 infection of the patients and the nurses after the model implementation was significantly decreased (p < 0.01).
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