The Development of Nursing Management Model for Patients with Sepsis at Chaophraya Yommarat Hospital, Suphanburi

Abstract

Background: Sepsis, particularly septic shock, constitutes a prevalent medical emergency arising from an aberrant physiological response to infection. This condition can precipitate circulatory failure and organ dysfunction, potentially resulting in mortality. The objective of this research and development initiative is to formulate a nursing management model for sepsis patients and to evaluate the effects of its implementation at Chaopraya Yommarat Hospital.

Methods: This research and development project involved a sample comprising 345 professional nurses and 884 patient records pertaining to bloodstream infections. The study was executed in three distinct phases: Phase 1 encompassed situational analysis and model development; Phase 2 entailed trial use and model refinement; and Phase 3 focused on the evaluation of model implementation. The instruments employed included the developed nursing management model, an observation form for practice behaviors, and a satisfaction assessment form. Data analysis was conducted using descriptive statistics and paired t-test analysis.

Results: Prior to development, the nursing service system was characterized by a lack of clarity, discontinuity in practice, and inadequate communication systems, which collectively resulted in delayed care. A novel nursing management model, developed through the integration of the nursing process and clinical supervision, was identified as both suitable and practically applicable. Following the implementation of this model, there was a statistically significant increase in the average score for nurses' compliance with standards (p < .05). Furthermore, the incidence of septic shocked creased from 27.48% to 21.02%, and professional nurses reported high overall satisfaction with the model (M = 4.18, SD = 0.76).

Conclusion: The nursing management model delineated herein can serve as a framework for the development of nursing service systems within organizations, thereby promoting adherence to established standards and ensuring patient safety. It is advisable to extend its application and evaluate the model's sustainability in diverse contexts.