The Effects of Nursing Practice Guidelines for Implementing an Early Warning System for Emergency Critical Arrest Management in Medicine In-Patients at Roi Et Hospital
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Abstract
Abstract
This quasi-experimental research aimed to study the effects of using nursing practice guidelines for the use of a warning signal system (MEWS) to manage emergency cardiac arrest in medical patients, Roi Et Hospital. The sample consisted of (1) 240 type 2 and type 3 patients admitted in the medical unit and divided into 120 control group and 120 experimental group, and (2) 29 professional nurses and nursing assistants working in the inpatient department. The research instrument was the nursing practice guidelines. Data collecting tools consisted of (1) the patients’ general information record form, (2) the professional nurses’ personal information record form, (3) the opinion questionnaire of the professional nurses and nursing assistants towards the possibility of using the guidelines, and (4) satisfaction questionnaire of the professional nurses and nursing assistants towards using the guidelines. The reliability of the questionnaires was 0.87 and 0.89, respectively. Data were analyzed using descriptive statistics and t-test.
The results revealed that after using the nursing practice guidelines, unplanned intubation in the experimental group was significantly less than the control group (p < .05). Unplanned CPR and length of hospital stay (LOS) in the control group were more than the experimental group, but they were not significantly different. The overall opinion of the professional nurses and nursing assistants towards using the nursing practice guidelines was at a high level (Mean 3.80, SD .49). The overall satisfaction of the professional nurses and nursing assistants was at a high level (Mean 3.71, SD .38).
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References
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