The Development of Nursing Model for Critically Ill Pediatric Patients Who Need Ventilatory support Using Applied Nursing Standard in Lerdsin Hospital

Abstract

This research and development aims to develop nursing for critically ill pediatrics with endotracheal intubation in Pediatrics Intensive care unit of Lerdsin hospital with sample of 12 Registered nurses and is critical ill patients. Research instruments were the questionnaire study on the knowledge of endotracheal intubation nursing care content validity index CVI= 0.95 Reliability of the test by Kuder-Richardson 20 (KR-20) = 0.93, Nursing standard process and job satisfaction of Registered nurses content validity index (CVI) = 0.96, which calculated in Cronbach’s Alpha co efficient = 0.91 and 0.94 respectively Data were analyzed by descriptive statistics and pair t-test The interpretation yielded the nursing model of critically ill pediatrics with ventilator support in Lerdsin Hospital consisted with 4 strategies, 1) organization structure 2) sufficient equipments 3) Improved untically ill pediatrics nursing care knowledge 4) Develop nursing model for critically ill pediatrics to prevent ventilator associated pneumonia and decrease incidence of endotracheal tube displacement Results of the study showed that the studied nursing model is appropriate, accurate and practical in accordance with the nursing assessment standards. Moreover, the results also showed that by using the 4 strategies, the incidence of Ventilator Associated Pneumonia (VAP) decreased which were statistically significant (p<0.01).On the other hand, the incidence of endotracheal tube dislocations also decreased, yet not statistically significant. In conclusion, this study has a positive effect on nursing of critically ill pediatric patients with respiratory problems who were put on ventilator in Lerdsin Hospital.