Development of Clinical Nursing Practice Guidelines for Caring for Patients with Substance Induced Psychosis in Crisis in the Inpatient Ward at Phanom Phrai

Abstract

  This action research, utilizing the nursing practice development framework based on the concept of Orraphan Tosingh, aimed to: 1) study the problems and needs in caring for patients with substance abuse-related psychiatric disorders in critical condition in the inpatient wards of Phanom Phrai Hospital; 2) develop appropriate nursing practice guidelines; and 3) evaluate the effectiveness of the developed guidelines. The target group consisted of 17 professional nurses who would use the guidelines and 30 patients with amphetamine-induced psychiatric disorders admitted to Phanom Phrai Hospital. The research instruments included questionnaires, evidence-based nursing practice guidelines, a clinical outcome assessment scale, and a process outcome assessment tool, with a content validity index of 0.80. Data were analyzed using descriptive statistics, including percentages, and content analysis. The results showed that the developed nursing practice guidelines, while not yet officially adopted by Phanom Phrai District, were collaboratively developed by the nursing team and managed care according to the severity of the critical condition. After implementation, the inpatient admission rate decreased from 6.3% to 2.6%, and 100% of nurses were able to fully follow the guidelines.

  Therefore, the developed nursing practice guidelines are of high quality and meet standards, helping to reduce the hospital admission rate. However, experimental research and long-term follow-up are needed to confirm the effectiveness and sustainability of the outcomes.