Development of a Nursing Model for Injured Emergency Department Patients who Capital Undergo Urgent Surgery at Sisaket Hospital
Keywords:
development of nursing model, emergency patient, emergency surgery, emergency room door to operating roomAbstract
This research and development project aimed to develop and study the outcomes of a nursing model for injured emergency department patients undergoing emergency surgery at Sisaket Hospital. The study was divided into 3 phases, including Phase 1) Input analysis; Phase 2) the development of the nursing model; and Phase 3) the evaluation of the results. The data was obtained from 30 professional nurses working in the Emergency Department of Sisaket Hospital and the review of 60 patient medical records. The developed nursing model, which had validity and reliability equal to 1, was used as the instrument. Data were collected using a questionnaire for the development of nursing models for emergency patients undergoing urgent surgery at Sisaket Hospital with a validity of 1 and a reliability of 0.98, and an outcome record form. Interferential statistics were used to analyze the data. including Paired t–tests to compare knowledge before and after the training of the experimental group, and Independent t – tests to compare the average time for patients from the emergency room door to the operating room (ER door to OR) between the experimental group and the control group.
The results found that the developed nursing model consisted of a knowledge set for care, nursing practice guidelines for emergency patients undergoing urgent surgery, and early warning signs in patients requiring urgent surgery. The feasibility of the model implementation was at a high level (97 percent). Based on the model’s implementation, the knowledge of the professional nurses in the experimental group before and after receiving the training was statistically significantly different (p< .001). The compliance with the developed guidelines was at a high level (100 percent). The average ER door to OR time compared between the experimental and control groups was statistically significantly different (p<.001). The experimental group took an average of 57.90 minutes, allowing emergency patients to undergo urgent surgery within 60 minutes, thus increasing patient safety and reducing complications that could lead to patient death. Therefore, it is possible to implement the model in practice. However, the model should be modified to be better fit for the hospital context. In each step of the activity there should be a clear guarantee of completion time and the results should be delivered within the guaranteed time.
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