Development of Nursing Model for Sepsis Patients
Keywords:
development of nursing model, evidence-based, sepsis patients, septic shockAbstract
Objective: Is to develop nursing model and study the outcomes of nursing model for sepsis patients implementation.
Design: Research and Development
Methodology: The samples were 1) 35 professional nurses, 2) 70 patients with sepsis, 3) 16 persons of multidisciplinary teams. Research methods were divided into 3 phases: Phases I was situational study, Phase 2 was developed nursing model for sepsis patients, Phase 3 was an assessment by using the nursing model. This research was implemented during January-November 2020. Research instruments were 1. research method instruments: a nursing model for sepsis patients, medical record audit form, in-depth interview form. 2. collecting data instruments: nursing knowledge and nurses competency assessment form, questionnaire of nurses’ satisfaction, clinical outcome record form. Data analysis were used by content analysis, descriptive statistics and Paired T-Test.
Results:1.The nursing model for sepsis patients that was developed, consisted of 1) knowledge, practice of patients competency 2) clinical nursing practice guideline of sepsis patients by evidence-based 3) instrument of screening, diagnostic, clinical practice guideline 4) multidisciplinary teams work 2.The results after using the nursing model showed that: 1) knowledge of professional nurses mean scoreswere significantly increased (p=0.001) 2) competency of professional nurses were increased from good level to excellent 3) satisfaction of professional nurses for using nursing model were at the highest level. The main clinical outcomes were a higher rate of sepsis diagnosis, and rapidly transfer to treatment before shock, septic shock, and mortality rates were reduced.
Recommendation: nursing model for sepsis patients should be expanded in another hospital to improved clinical outcomes.
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