Effectiveness of Nursing Guidelines for Home-Isolated Monkeypox Patients Through Interprofessional Telehealth System, Bamrasnaradura Infectious Diseases Institute
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Abstract
This research and development study aimed to develop and evaluate the effectiveness of nursing practice guidelines for monkeypox patients in home isolation through a multidisciplinary telehealth system, following Soukup's (2000) conceptual framework. The sample consisted of 45 monkeypox patients, 23 of whom were in the experimental group and 22 of whom were in the control group, and a 15-member multidisciplinary team, selected purposively.
The study instruments consisted of experimental tools, including nursing practice guidelines, telecare application programs, and personnel training plans. The quality was assessed using the AGREE II tool, with an overall score of 89.70% and the tools used for data collection consisted of a general data recording form, a patient safety assessment form, a health service access assessment form, a patient satisfaction assessment form, and a multidisciplinary team satisfaction assessment form. The content validity values were examined to be .90, .98, .92, and .98, respectively and the reliability was tested with Cronbach's alpha coefficient for the patient group and the multidisciplinary team group, which were .82 and .81, respectively. Data were analyzed using descriptive statistics, chi-square test, and content analysis.
Results showed that: 1) the nursing practice guidelines had a quality assessment result using AGREE II at 89.70 percent; 2) the implementation of the guidelines in the experimental group had a significantly lower rate of severe complications than the control group (p = 0.021); 3) The experimental group had faster access to healthcare services with shorter response times ( =15.30, 45.6 minutes, p < 0.001); 4) The experimental group reported higher satisfaction levels in all aspects than the control group (
= 4.71 vs.
= 3.70, p < 0.001); and 5) The nursing team expressed the highest level of satisfaction with implementing the guidelines (
= 4.60).
The developed nursing practice guidelines proved effective for home-isolated monkeypox patients and can be applied to other emerging infectious diseases requiring home isolation.
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References
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