Nursing Model in After Open Heart Surgery Patients with Extracorporeal Membrane Oxygenation (ECMO)
Keywords:
Nursing Model, Open-Heart Surgery, Extracorporeal Membrane OxygenationAbstract
This research and development study aimed to develop Nursing Model and to study the effects of Nursing Model in After Open Heart Surgery Patients with Extracorporeal Membrane Oxygenation (ECMO). The 4 phrases of research including 1) Analysis, 2) Design and Development , 3) Implementation and 4) Evaluation. The sample consisted of 13 registered nurses and 20 patients by purposive sampling.The qualitative data was analyzed by content analysis and the quantitative data analyzed by average, percentage, standard deviation, Fisher’s Exact test, chi-square, wilcoxon signed rank test, t-test. The results of this study were as follows, The nursing model “ECMO Model” consists of 4 components: 1) ECMO manpower management 2) Competency development 3) Modify Nursing Practice 4) Organize nurse teams.The results of the nursing model showed that knowledge scores, nursing practice score was significantly higher than before. (p<.001,p<.000). Nurses’ competency was higher than before. The nurses’ satisfaction on using this model at the high level. Acute limb ischemia was assessed within 1 hour after the use of the model significantly more than before (p<.033). Excessive bleeding rated, Acute limb ischemia rated, and successful removal with Extracorporeal Membrane Oxygenation rated were no difference, yet not statistically significant.The Nursing Model can drive the administration and development of the nursing service system towards nursing excellence.
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