The development of a nursing care model for patients with sepsis through the participation of a multidisciplinary team and network partners in Thawat Buri District, Roi Et Province

Abstract

Purposes : To examine a situation, develop, and evaluate the outcomes of a nursing care model for patients with sepsis through the collaboration of a multidisciplinary team and network partners in Thawat Buri District, Roi Et Province.

Study design : This study employed a mutual collaborative action research design.

Materials and Methods : The research was conducted in three phases. Phase 1 involved studying the situation of sepsis patient care. Phase 2 focused on developing a sepsis care model through collaboration between a multidisciplinary team and network partners. Phase 3 evaluated the outcomes of this developed sepsis care model. The research was carried out from October 2021 to October 2023. The key informants included (1) service users: 30 patients with sepsis during the situational study and 30 patients involved in the model development phase, and 100 individuals from at-risk groups in the community; (2) 30 healthcare providers from Thawat Buri Hospital and its healthcare network; and (3) 10 key personnel responsible for developing the sepsis care system with the multidisciplinary team. The participants in this study were multidisciplinary healthcare providers from Thawat Buri Hospital and its network. Data analysis was conducted using descriptive statistics, frequency, percentage, mean, standard deviation, Chi-square test, and content analysis.

Main findings : The study found that sepsis care in Thawat Buri District faced issues with delayed access to treatment and poor communication among the multidisciplinary team. Patients lacked knowledge and awareness, making timely access to care crucial for quick diagnosis, treatment, and nursing interventions, which ultimately reduced complications and mortality rates. The developed sepsis nursing care model included four key components: 1) enhancing health literacy in at-risk populations for timely access to care, 2) implementing a surveillance mechanism to identify patients early within the community through network collaboration, 3) establishing a fast-track system for rapid access to sepsis treatment and circulatory system recovery, and 4) promoting clear policies and seamless multidisciplinary teamwork. The outcomes revealed improvements in public knowledge, attitudes, and practices related to sepsis management in households and the community. Nurses adhered to the Sepsis Protocol at a high level (Mean=4.12, SD=0.34). The number of sepsis patients diagnosed and treated before entering septic shock increased from 51% to 86%. Complications due to sepsis-related shock decreased from 34% to 12%, and mortality rates dropped from 6.6% to 1.8%.

Conclusion and Recommendations : The sepsis nursing care model developed through multidisciplinary team and network collaboration in Thawat Buri District, Roi Et Province, can be used as a guideline for sepsis patient care. It ensures that patients receive timely and proper care according to standards, leading to positive nursing and clinical outcomes.