Effectiveness of Implementing Evidence-Based Nursing Practice for Critically Ill Trauma Patients at Emergency Department, Chiang Rai Prachanukroh Hospita
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Abstract
BACKGROUND: Critical ill trauma patients normally experience life threatening. Nurses performing tasks in an accident and emergency sector have a significant role during these golden hours after the accident. The principal reason behind this is if the patients receive proper treatment according to the advanced life-saving principles in a timely manner, there are highly possibilities to prevent disability or even reduction in mortality.
OBJECTIVES: To develop and study the effectiveness of implementing evidence-based nursing practice (EBNP) in the department of emergency medicine, Chiangrai Prachanukroh Hospital.
RESEARH METHOODOLOGY: Action research was conducted from July until September 2020. There are 2 sample groups consisting of 10 healthcare providers and 100 purposive sampling critical trauma patients. The study was divided into 2 stages; the first stage was SWOT analysis and data collection before the implementation of the EBNP. The second stage was the assessment and the development of the EBNP.
RESULTS: The implementation of the EBNP includes 5 stages as follow; (1) triage, primary survey and nursing management, (2) secondary survey and nursing management, (3) critical trauma patient preparation for an operation, (4) coordinating and delivering the patient to the Intensive Care Unit, and (5) information given to patient’s relatives. The result shows that time spent during the department of emergency, blood reception waiting period and admission to an emergency surgery of the sampled patients before and after the implementation of this procedure are significantly and statistically different at 0.5. In terms of the mortality rate and the length of stay, on the other hand, do not show any significant difference at 0.5.
CONCLUSION AND DISCUSSION: The implementation of this EBNP has remarkable effects in time reduction spent in the emergency room, blood reception waiting period and admission to the emergency operation. Nevertheless, the EBNP does not reduce the mortality rate and the length of stay. This EBNP should be encouraged to implement continuously in order to maintain and enhance the quality of treatment for critical trauma patients.
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References
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