Development of a nursing practice guideline for preventing of post intensive care syndrome (PICS) in intensive care units, Lampang hospital
Keywords:
Development, Nursing practice guidelines, Intensive care unit, Post-intensive care syndromeAbstract
The purpose of this research and development was to develop a nursing practice guideline for patients to prevent post-intensive care syndrome (PICS). The operation was carried out in 3 phases, Phase 1: a study of the nursing situation of patients with post-intensive care syndrome from medical records; and focus group discussions with 32 nurses in the intensive care unit, 12 caregivers, and 6 patients. Phase 2: Development of the YUPA model: A-H bundle guideline was developed by applying the evidence-based practice model of Soukup. Phase 3: Evaluation of the use of the guideline by 82 nurses with a questionnaire on feasibility, knowledge, ability, practice and satisfaction, 40 caregivers with a satisfaction questionnaire. Data were analyzed using descriptive statistics and paired t-test statistics, during July 12 - November 30 2022.
The results were as follows: 1. the guideline, named YUPA model: A-H bundle, consisted of 8 categories: 1) Assessment of risk factors and management; 2) Breathing by promotion of ventilator weaning; 3) Coordination with multidisciplinary; 4) Assessment and management of Delirium; 5) Early mobility and environment management; 6) Family involvement 7) Promoting Good nutrition and sleep; 8) Handout for patients and family. 2. the results of using the guidelines showed that the feasibility, knowledge, ability and satisfaction of participants after using the guideline were at a very good level. The caregiver's satisfaction was at the highest level. 3. the clinical outcomes were showed that the incidences of PICS were decreased. Moreover, duration of intubation, length of hospital stay, and dosing times for sedative or pain relief medicines were significantly decreased at the <.05 level. No pressure ulcer and Ventilator - Associated Pneumonia were reported
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