Development of a Nursing Management Model for Ventilator Associated Pneumonia Prevention in General Ward, Mahasarakham Hospital
Keywords:
Nursing management model, ventilator associated pneumonia (VAP), General wardAbstract
Research and Development aimed to develop and evaluate the effectiveness of a nursing management model for ventilator-associated pneumonia (VAP) prevention in general wards at Mahasarakham Hospital. This research consisted of four phases: 1) situation analysis, 2) model development, 3) effectiveness model evaluation, and 4) model quality validation. The sample included 100 intubated patients and 21 registered nurses. Research instruments comprised ventilator-associated pneumonia (VAP) incident records, focus group discussion and in-depth interview guides, model structure assessment forms, nursing knowledge and practice guideline adherence evaluation forms, nursing competency assessment forms, and opinion questionnaires. Data were collected from October 2023 to September 2024 and analyzed using descriptive statistics, inferential statistics, and content analysis.
Results revealed that: 1) The developed model contained three components: (1) Input factors with four key elements, (2) Process following the MSKH Framework, and (3) Outcome determining nursing service quality indicators. 2) After implementing the model, the VAP rate significantly decreased (p = .005). Nurses demonstrated significantly higher knowledge scores and competency levels (p < .001), with 100% compliance with practice guidelines. Additionally, nurses rated the model quality as good (100%) and expressed high satisfaction with the model (M = 4.43, SD = .48).
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Kajonjaroenkul W, Chaiyasak K, Thongchip P, Thepchana N, & Chaikate K. Development of nursing management model to prevent and control infections in hospital. Journal of The Royal Thai Army Nurses. 2024; 25(1), 441-8 (in Thai)
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