Effects of the Participative Management Program on Outcome of Clinical Nursing Practice Guideline Usage for Sepsis Patients among Professional Nurses in a Tertiary Level Hospital
Keywords:
The Participative Management, Clinical Nursing Practice Guideline, Sepsis PatientsAbstract
The quasi-experimental research aimed to study the effects on outcomes of the use of the participatory management program of clinical nursing practice guideline for sepsis patients. The sample consisted of 60 professional nurses who worked in in-patient units, divided in 30 people for experimental group and 30 people for control group, by using a purposive sampling. The research instruments comprised the participatory management programs and a questionnaire for the outcomes from the use of clinical nursing practice guideline for sepsis patients. The content validity index of the questionnaire was 0.97 and the Cronbach's alpha coefficient was 0.92. Data were analyzed by using descriptive statistics and Paired t-test, independent t-test.
The results indicated that after receiving the program, for the nursing practice part, an average score in the experimental group was higher than before the trial with statistically significant (p<.05) and the experimental group also had an average score for using the nursing practice guidelines for sepsis patients was significantly higher than the control group (p<.05). An average score of the experimental group was at the highest level ( = 4.59, S.D. =.26) during an average score of the control group was at the moderate level ( = 3.23, S.D. =.41). For the patient outcome part, when compared before and after receiving the program, the experimental group had the mortality rate significantly different (p<.05). When compared between the experimental group and the control group found that the rate of patient transfer to the intensive care unit and an average of length of stay were not significantly different (p>.05). Yet, when compared before and after receiving the program, it revealed that the mortality rate, the rate of patient transfer to the intensive care unit, and an average of length of stay were all decline. It demonstrated that this program could lead to the positive outcomes in nursing practice for sepsis patients.
References
Announcement of The Thailand Nursing and Midwifery
Council on Nursing Standards. (2019). Royal
Gazette, Book 136 special episode 97ง. pp. 30-36.
[In Thai]
Best, J. W., & Kahn, J. V. (2006). Research in education
(10th ed.). Cape Town: Pearson Education.
Health Data Center (HDC). (2021). Mortality rate in
community acquired sepsis. Retrieved 16 December
from http://healthkpi.moph.go.th/kpi2/kpi-list/
view/?id=1448. [In Thai].
Infection Care Committee in a Tertiary Level Hospital.
(2021). Sepsis patients annual report. Surat
Thani:A Tertiary Level Hospital. [In Thai]
Jampat, L. (2020). Development of a caring model for
patients with sepsis in Surat Thani Hospital.
Nursing, Health, and Education Journal, 3(2),
-66. [In Thai]
Krathinthongkul, T., Singchungchai, P., & Sritoomma,
N. (2021). Effects of the participative management
program on clinical practice guideline for
pressure injury among professional nurses in a
secondary level hospital. Journal of Nursing and
Education, 14(4), 50-63. [In Thai]
Marquis, B. L., & Huston, C. J. (2017). Leadership roles
and management functions in nursing: theory
and application (9th ed.). Philadelphia: Wolters
Kluwer Health/Lippincott Williams & Wilkins.
Ministry of Public Health. (2019). Mortality rate in
community acquired sepsis. health data center:
HDC. Retrieved 16 December 2022, from http://
healthkpi. moph.go.th/kpi2/kpi-list/view/?id=
[In Thai].
National Health and Medical Research Council
(NHMRC). (1999). A guide to the development,
implementation and evaluation of clinical
practice guidelines. Canberra: National Health
and Medical Research Council.
Nuengnasuwan, W., Nomkusol, C., Thongcham, R., &
Phanaphut,T. (2014). Development of nursing
system for infected patients in severe blood stream.
Journal of Nursing and Health Care, 32(2), 25-36.
[In Thai]
Paiboonpalayoi, B., (2015). The effects of participatory
supervision program for head nurses on
professional nurses' performances at a tertiary
level hospital in the department of medical
services under the Ministry of Public Health.
Master Thesis, Christian University, Nakhon
Pathom. [In Thai]
Polit, D. F., & Beck, C. T. (2008). Nursing research:
generating and assessing evidence for nursing
practice (8th ed.). Philadelphia: Wolters Kluwer
Health/Lippincott Williams & Wilkins.
Rodchinda, S., Puttapitakphon, S., & Puangkhem,W.
(2020). Development of caringmodel for sepsis
patients in medicalward, Nan Hospital. Nursing
Journal of the Ministry of Public Health, 30(1),
-134. [In Thai]
Sashkin, M. (1982). A manager's guide to participative
management. New York: AMA Membership.
The Thai Society of Critical Care Medicine. (2015).
Principles of clinical practice guidelines for the
care of patients with SEVERE SEPSIS
ANDSEPTIC SHOCK (Draft), 2015. Bangkok:
The Thai Society of Critical Care Medicine.
[In Thai]
Vibulchai, S., Kenthongdee, W., & Khamprasert, P.
(2020). Development of clinical nursing practice
guidelines for the care of septicemia patients,
surgical group, Loei Hospital. Journal of Nursing
and Health Care,38(2), 119-128. [In Thai]
Virojvanich, N. (2018). The effectiveness of nursing
practice guidelines for the care of patients with
bloodstream infections in the accident and
emergency department Naresuan University
Hospital. Journal of Nursing and Health, 12(1),
-94. [In Thai].
Waiyakorn, R., Singchangchai, P., & Putthiangkura, B.
(2019). The relationship between participatory
management, job empowerment, and tower
effectiveness patients according to perceptions
of nursing executives at the first level of private
hospitals. Nursing journal, 46(2), 142-152.
[In Thai].
World Health Organization (WHO). (2020). WHO calls
for global action on sepsis-cause of 1 in 5 deaths
worldwide. Retrieved 1 July 2020 from https://
www.who.int/news/item/08-09-2020-who-calls
for-global-action-on-sepsis---cause-of-1-in-5-
deaths-worldwide
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 NU Journal of Nursing and Health Sciences
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
