The effects of using multi-system trauma care nursing practices in Accident and Emergency Department, Lamphun Hospital
Keywords:
multi- systems trauma, nursing practices, accident and emergency departmentsAbstract
Objectives: To compare knowledge and satisfaction of nurses before and after implementing multi-system trauma care nursing practices and outcomes of multi-system trauma patients at the Accident and Emergency department, Lamphun Hospital.
Methodology: It was quasi-experimental research conducted during January to June 2023. The sample group comprised 25 nurses and 43 patients before using the guideline, and 20 patients after using the guideline for multi-system trauma care nursing practices at the Accident and Emergency department of Lamphun Hospital. The research tools included multi-system trauma care nursing practices, knowledge assessment form, nursing practice assessment form, nurse satisfaction assessment form, and patient record forms. Data were analyzed using T-tests and Fisher’s exact test.
Results: A total of 25 nurses participated. Most of them were female (84.0%) and aged between 31 and 40 years (44.0%). All had a bachelor's degree, 48.0% had working experience in accident and emergency work less than 5 years, and 76.0% had never received specialized training for accident and emergency patients. Evaluation before and after using the guidelines for nursing knowledge scores in caring for multi-system trauma patients averaged 13.70 ± 2.28 and 18.20 ± 2.00, respectively (p < 0.001). Correct scores in nursing practice in caring for multi-system trauma patients increased from 72.0% to 92.0% (p < 0.001). Nurses expressed a high level of satisfaction with the use of the guidelines (mean ± SD = 4.04 ± 0.41). Regarding patient care results, it was found that the average time of patients being evaluated and prepared for surgery within 60 minutes before using the guidelines was 68.13 ± 40.85 minutes, which was reduced to an average of 48.10 ± 16.60 minutes after using the guidelines (p < 0.039). The mortality rate for multi-system injury patients before implementing the guidelines was 16.3%, and after implementing the guidelines, it decreased to 5.0% (p < 0.042).
Conclusion: The study has shown that this practice guideline helps to develop knowledge and nursing practice in caring for patients with multi-system injuries, resulting in increased satisfaction among nurses, reduced time to prepare for operations, and ultimately a decrease in mortality. Active implementing the guideline should be warranted the patients outcome.
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