Nursing Care System Development for Sepsis in Intensive Care Department Yasothon Hospital
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Abstract
Abstract
This study is research and development. The objective is to develop a nursing system for patients with sepsis in the surgical department, Yasothon Hospital by using the conceptual framework for assessing the quality of Donabedian. The process aspect, the outcome aspect, together with the use of the concepts case management consisted of four steps as follows: 1) planning stage 2) operation 3) observation and 4) performance reflection. This will make the process of care systematic and related, produce clinical outcomes and good nursing outcomes. The sample group consisted of 48 personnel, 50 patients, selected by specific research tools: Knowledge test of professional nurses, Nursing System Development Model, The satisfaction assessment form for the development of the nursing system and patient nursing data collection form. Content validity index (CVI) was 1.00 and 1.00 respectively. Data were analyzed using content analysis, descriptive statistics and paired t-test.
The results of the research revealed that the development of the nursing system consisted of 2 aspects: 1) the structural aspect, namely setting goals, policies; Knowledge development of professional nurses; Management of tools and equipment 2) Process aspects include screening for identification of patients in at-risk groups and those with sepsis, watch out for and monitor symptoms, multidisciplinary viewing 3) Results: patients and personnel after the development of the nursing system, it was found that nurses had a statistically significant increase in knowledge level (p < .05), which the system development was consistent with the context of the organization. Make nurses more knowledgeable and can be put into practice.
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