Care Management Model for Prevention of Respiratory Syncytial Virus Transmission among Young Children

Abstract

     This descriptive research aimed to develop a care management model to prevent the Respiratory Syncytial Virus (RSV) transmission among young children. Samples consisted of 2 groups selected by purposive sampling technique. Group 1 consisted of 5 care givers and 10 health care providers (n=15). Group 2 comprised health care providers from the first group and experts (n=7).The research method was divided into 3 steps; 1) to analyze the situation and needs of care management to prevent the spread of RSV among young children, 2) to develop a care management model to prevent the spread of RSV among young children, and 3) to evaluate   the appropriateness of the developed model for use at Bamrasnaradura Institute. There were 2 sets of the following research tools: (1) semi-structured interview forms for analyzing the situation and needs of care management for RSV prevention and transmission, and (2) a questionnaire for evaluating the appropriateness of the developed model Data was analyzed by content analysis and descriptive statistics.
        The research results revealed that the developed care model composed of 3 following dimensions. Dimension 1: Context of risk and preventive factors are as follows. Caregivers lack of knowledge and skills in caring for young children about RSV; and lack of confidence in taking care of their children when returning home. Furthermore, the need for continued care after discharge from the hospital as well as the Institute to provide a way to receive drugs quickly.  Dimension 2:  Care management process is as follows. Caregivers and health care providers participated in care arrangements to provide caregivers with the knowledge, skills and confidence to provide care upon return home. Moreover, consultation via telephone outside office hours were needed. There is a system of services/ facilities, and coordination of referral discharge planning as well as patients’ symptoms monitoring until they recovered to normal.  Dimension 3: Outcomes from care management, knowledgeable caregivers, practical skills to prevent disease incidence and spread of RSV in hospitals and at home. There were no complications and no recurrence of RSV. The results of the overall evaluation (89.92 %) of the appropriateness of the developed care management model found that it was appropriate for implementing at Bamrasnaradura Institute.