Development of Guideline Model for Sepsis patients at Srisomdet Hospital

Abstract

Purposes : To Develop, study the situation and problem and evaluate the results of Clinical Practice guideline for Sepsis patients at Srisomdet Hospital, Roi-Et.

Study design : Action Research

Materials and Methods : This research was into 3 phases: 1) Situation and problem study phase. By retrospectively reviewing medical records and conducting in-depth interviews, a multidisciplinary team viewed and treated patients with Sepsis. 2) Model development and implementation phase by developing operational guidelines with group discussion and 3) results evaluation phase by studying from medical records and evaluate the developed guidelines by comparing operations before and after development in nursing practice activities. Results evaluation period by studying from medical records and evaluate the developed guidelines by comparing operations before and after development in nursing practice activities. The period of service provided according to the standards of care for patients with Sepsis patients and important indicators at the hospital level Data analysis using the average standard deviation, percentage, chi-square statistic Mann-Whitney u test and content analysis.

 Main findings :  Phase 1: found problems with slow screening and diagnosis Problems of lack of important equipment and medicines Problem of insufficient of manpower rate and Problem of personnel lacking knowledge. Phase 2: Newly developed guidelines include 1) faster screening and diagnosis, 2) nursing assessment and surveillance using SOS score, 3) use of lactate clearance tester, use of crystalloid fluid, and drug administration. Vasopressor 4) Workshops to promote modern knowledge and disseminate operational guidelines 5) Creation of multidisciplinary and nursing practice guidelines 6) Continuous monitoring, supervision and evaluation. Phase 3: results in comprehensive and increased nursing activities. There is faster screening and diagnosis. And the operations is better follow by indicators in caring for Sepsis patients.

Conclusion and recommendations : This results that: sepsis patients receive more effective care and nursing care. Resulting in safety for patients. Reduce complications that will occur and reduce death rates.