The Development of Nursing Care Model for Severe Multiple Injury in Krabi Hospital

Main Article Content

จารุพักตร์ กัญจนิตานนท์
สุชาตา วิภวกานต์
รัตนา พรหมบุตร


This research and development study aimed to develop nursing care model for severe multiple injury in krabi hospital. Sample consisted of 85 registered nurses using the nursing care model, And all 632 patients with severe multiple injury who were admitted to Krabi Hospital between June 1st, 2017 and September 30th, 2018. Tools used in the research implementation were: a medical records review form, a questionnaire about opinions towards using the nursing care model and practices and nurse ‘s satisfaction, a scorecard indicator for monitoring each patient’s quality of care. Data were analyzed using mean, percentage, standard deviation Independent t test and content analysis. The results of this study revealed as follows. 1. The situational analysis were no nursing care model for patient with severe multiple injury, the practice is based on the knowledge and experience of nurses. 2. The nursing care model for patient with severe multiple injury consisted of three phases: pre-hospital phase, in-hospital phase, definite care and continuing of care after discharge. 3. The nursing outcomes of implementing the nursing care model were: a) In emergency department: trauma patient level 1 (life threatening) less than 2 hours increased from 76.51% to 97.06 %, get blood within 30 minute increase from 69.56% to 88.75%, penetrating abdominal trauma with shock patient have surgery within 30 minute increase from 77.26% to 81.47, emergency craniotomy/craniectomy increase from 90.11% to 100%, reducing mortality of PS score > 0.75 from 9.52% to 4.04 and The registered nurse’s satisfaction towards using the nursing care model increased from 78.36 % to 85.68 All findings of this study suggest that the nursing care model for patients with severe multiple injury can be used for the safety of patients and preventing serious complications.


Download data is not yet available.

Article Details

How to Cite
กัญจนิตานนท์จ, วิภวกานต์ส, พรหมบุตรร. The Development of Nursing Care Model for Severe Multiple Injury in Krabi Hospital. J Royal Thai Army Nurses [Internet]. 2019Apr.24 [cited 2020Feb.20];20(1):339-50. Available from:
Research Articles


Chaikitamnuaychok R., Chokechalermwong S. and Prangtong S. Severe Trauma Fast Track in Kamphaeng Phet Hospital. Journal of Health Science 2011; 20:813-21. (in thai).

Plueangprasit A., Khamkosit S., Soonthorntham C. and Suthammopak W. (Editor). Viwat Surgery 20. Bangkok Publisher. Bangkok Medical Journal. 2001.

Thongkhoa K. Initial. assessment and management in multisystem trauma in basic Surgery PSU volum 1: Ruangsin S. Editor. 1st ed. Chanmuang Press. 2011.

Faculty of Investment Advisory, Personnel, Research and Development of Medical Technology in Tertiary Network Services National Injury Control (Accident Center). 2002-2004 Standard Guide for Injured Care Centers of Thailand

Statistics Krabi Hospital. Information on injury surveillance reports, Krabi Hospital. 2015.

Atatanuchit S., Sae-Sia W. & Songwathana P. Development of Clinical Nursing Practice Guideline for Initial Assessment among Multiple Injured Patients Admitted in Trauma Units. Princess of Naradhiwas University Journal. 2010;2(2): 16-28. (in thai).

Unhasuta K. & Trauma Nurses Network of Thailand. Trauma Care Management in ER. Bankok: Khong printing; 2011. (in thai).

Boonyanurak P. Nursing care system for quality assurance in academic conferences development of professional nurses for nursing quality assurance, subcommittee on nursing science associate education institutions of Thailand. 2002; 75-83. (in thai).

Emergency Nurses Association of Thailand. Important Issues in Trauma Care. Unhasuta K Editor. Bankok: Khong printing; 2015. (in thai).

Emergency Medical Institute of Thailand. Manual for Data Collection Provincial Injury Surveillance. Ministry of public Health. 2017.

Handbook indicator for Trauma Center of Thailand. Royal College of Surgeons of Thailand. Bangkok Publisher. Bangkok Medical Journal. 2011.

Thailand Hospital Indicator Program: THIP II – HA Journey. Development of a comparative information system for measuring hospital quality project. 2018. (in thai).

National Health and Medical Research Council [NHMRC]. A guideline to the development, implementation and evaluation of practice guidelines. 1999.

Techakosol V. Effectiveness of Fast Track System Development in Head Injury Patients. Srinagarind Med J 2014 ; 29 (6). (in thai).

Phuengbunhan K., Pamosinlapathum T. & Mechan L. Developing a Model of Caring for the Critical Multiple Trauma Patients in Uttaradit Hospital. Boromarajonani College of Nursing, Uttaradit Journal. 2014; 6(1). (in thai).