Effect of Clinical Nursing Practice Guideline to Prevent Self Extubation in Intubated Patients

Abstract

This quasi-experimental research aimed to study the effect of clinical nursing practice guideline

to prevent self extubation in intubated patients and to measure the level of satisfaction on using clinical

nursing practice guideline of nurses. The population of this study consisted of 265 endotracheal intubated patients and 31 nurses in the respiratory care unit, Songkhlanagarind Hospital. The patients were assigned to control and experimental groups. The first 128 subjects were assigned to the control group, who used the routine nursing care, and the later 137 subjects were assigned to the experimental group, who used the clinical nursing practice guideline to prevent self extubation. The long times of experimental were 6 months. The research instruments consisted of the evaluation form of self extubated and level of satisfaction on using clinical nursing practice guideline questionnaire. The data were analyzed using frequency, percentage, mean, standard deviation, and relative risk. The results revealed that:

1) Patients in the experimental group had risk of self extubation less than the control group was 5.35 times. (95% CI= 1.19-23.96)

2) Nurses had high level of satisfaction on using clinical nursing practice guideline.