Development of Critical ill Patients Nursing Care in Medical Nursing Organization at Phra Nakhon Si Ayutthaya Hospital

Abstract

The purpose of this action research was to study the situation and to develop the abilities of  nurses in nursing care for critical patients at Phra Nakhon Si Ayutthaya Hospital, and to evaluate the development. This study was divided into 3 phases: 1) Situational study phase; 2) Development the abilities of nurses in nursing care for critical patients phase and 3) Evaluation phase. The participants for the research consisted of 23 people which were comprised of nurses from critical ward and from medical department. The research was conducted from October, 2017 to September, 2019. The data was collected through the general information questionnaires, the open-ended questions, the incidence report forms, the evaluating  competency and questionnaires, the evaluating nursing process forms, and the evaluating nursing record forms. The quantitative data was analyzed by using frequency distribution, percentage, mean, Dependent t-test and qualitative data was analyzed by content analysis. The results of the study regarding the 1^st phase found that there is increasing number of bed for critical ill patients. The Program of quantity patient were show real time data that can impact policy to management of administrator. The results of this study were applied to development of nurse’s abilities, such as the respirator skills and the abilities in monitor critical patients of staff nurses behaved differently at 0.05 level of significant. (p<.05). The organization had the criteria of critical patients. As for the process of development, there were no incidences of unplan CPR unplan dead, inefficient use of critical patient bed.