The Development of a Care Management Model for Femoral Fracture under Internal Fixation through Applying Knowledge Management, Krabi Hospital

Abstract

This descriptive research aims 1) to propose a care management model for femoral fracture patients undergone internal fixation surgery and 2) evaluate the appropriateness of such model which is developed. With purposive sampling methods, the samples are divided into 2 groups: the first one for the focus group is 11 members of interdisciplinary staff; Orthopedic surgeon, Physiatrist, Registered nurses, Physical therapist and Nutritionist and 5 caregivers, and the other for evaluation of the appropriateness of the model is 5 experts and 10 Registered nurses. The research instrument consists of questionnaires for the focus groups and evaluation forms of the model. The content validity index ranged from 0.67 to 1.00. The data was analyzed by descriptive statistics and content analysis. The research findings are as follows: firstly, proposing a care management model for femoral fracture patients undergone internal fixation surgery by applying knowledge management according to the SECI model has 4 stages, namely: (1) initial nursing assessment, (2) preoperative preparation, (3) post-operative care for a period of 24 to 72 hours, and (4) rehabilitation and discharge readiness; secondly, the results of the evaluation of the appropriateness of the model made by experts and Registered nurses suggests that the said method was overall 87.42 percent and 94 percent.