Developing Care management Model for Patients with Dangerous Contagious Diseases Emerging Diseases and Re- Emerging Diseases in Bamrasnaradura Infectious Diseases Institute

Abstract

          The purpose of this research and development was to develop care management model for patients with Dangerous contagious diseases, Emerging diseases, and Re- Emerging diseases. The purposive sampling was used, and the samples were nurses and nurse aids.  The 4 phases were to 1) survey the problems and needs by using questionnaire with 140 nurses and interviewing 15 nursing administrators 2) design a care management model from the first phase data, assess the suitability of the model using the AGREE measurement and test the prototype in Bamrasnaradura Institute by 15 nurses and 6 nurse aids 3) complete the prototype and test at 2 hospitals with 15 nurses and 4 nurse aids and 4) assess the effectiveness of the model in Bamrasnaradura Institute with 30 nurses and 10 nurse aids. Descriptive statistics was used to analyze the quantitative data and summarizing issues were used to analyze data interviewed and data from open-ended questions.

          The results revealed that 1) problems were manpower, environment and not enough tools and equipment. 2) The generated model was called “EID Model” and the evaluation result of the model was appropriate with more than 70% in all areas. The model focused on activities that need to be performed, environment arrangement, wearing personal protective equipment according to patient isolation standards, and the development of the related parts. The results of using EID Model showed a high level of satisfaction. There were suggestions to add care, focusing on psychological care. Then took the results to adjust the model. 3)The new model was called “2EID Care Model” with 5 components including (1) Care; management of care system, (2) Exercise; activities and plans that need to be prepared; (3)Environment and workplace environment, (4)Isolation Precautions; infectious prevention and control practices, and (5) Development; development of the related parts. The satisfaction result was at a high level. There were suggestions on the manpower and the competency of caring for critically ill patients. The last was 4) using the 2EID Care Model in Bamrasnaradura Institute. The satisfaction result was at a high level, there was concern regarding the few practices of palliative care.