การพัฒนารูปแบบการจัดการทางการพยาบาลเพื่อป้องกันการคลอดก่อนกำหนด ในหญิงตั้งครรภ์ที่ได้รับการยับยั้งการคลอด โรงพยาบาลอุดรธานี

Phadawadee Saka; Ariya Srisongmuang; Supattra Changtapin; Wanlapa Sriboonpimsuay; Jittanun Srisuwan

Authors

Phadawadee Saka Udon Thani Hospital
Ariya Srisongmuang Udon Thani Hospital
Supattra Changtapin Udon Thani Hospital
Wanlapa Sriboonpimsuay Boromarajonani College of Nursing, Udon Thani, Faculty of Nursing, Praboromrajchanok institute
Jittanun Srisuwan Boromarajonani College of Nursing, Udon Thani, Faculty of Nursing, Praboromrajchanok institute

Keywords:

pregnant women undergoing inhibit preterm birth, nursing practice guidelines, nursing competency, nursing supervision

Abstract

Introduction: Preterm birth is a leading cause of public health problems, which has a significant impact on maternal and infant health and is a cause of mortality and morbidity in newborns.

Research objectives: To develop a model and study the effectiveness of nursing management model.

Research methodology: This study was research and development. Four steps in the development of
a model were: 1) situational analysis; 2) model development; 3) implementation with 10 professional nurses and 60 pregnant women 4) model evaluation. Participants were selected by purposive sampling; and. The research instruments consisted of the nursing practice guidelines, the nursing skill competency, clinical supervision guidelines, the nursing supervision, the questions for a focused group discussion, and preterm labor risk assessment form, which had content validity Index of 1, the knowledge test with reliability (KR-20)of .70, and the nurse satisfaction assessment with reliability (Cronbach's alpha) of .88. Descriptive statistics, Chi-square, Fisher Exact, and t-test were used to analyze data.

Results: The results revealed that the development of a nursing management model consisted of three components: 1) clinical nursing practice guidelines 2) competencies of nursing care; and 3) clinical supervision.
The outcomes of the pregnant women showed that the experimental group was statistically significant lower rate of preterm birth and the toxicity from drugs of inhibited preterm birth less than the control group (p <.05). But the readmission rate was not different between the two groups. The outcomes of the nurses indicated that knowledge after implementing the model was significantly higher than before implementing the model (p <.05). Their skill competency at 96.88% can be practiced and the model can be followed correctly, passing the criteria of 80%
and nurses were most satisfied with the management model (M = 4.87, SD = .13).

Conclusion: A nursing management model could reduce the rate of preterm birth and the toxicity from drugs of inhibited preterm birth.

Implications: The administrators should enact a policy to continuously implement a nursing management model and implement it in the general hospitals

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References

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