The Development of Clinical Nursing Practice Guideline and for the Patients under Investigation or Infected with Coronavirus 2019 (COVID-19)
Keywords:
Research and development, Clinical nursing practice guideline, Patients under investigation/Patients infected with COVID-19Abstract
This research and development study aimed to develop and determine the effects of clinical nursing practice guideline for the patients under investigation or infected with Coronavirus 2019 (COVID-19). The development of the guidelines followed the framework for clinical practice guideline development of the National Health and Medical Research Council in Australia. The clinical practice guideline was implemented among the sample group of 100 professional nurses who worked in 4 wards at a hospital in Bangkok Metropolitan Administration-affiliated University. Research tools were 1) the clinical nursing practice guideline for the patients under investigation and/or infected with coronavirus 2019 2) group discussion 3) in-depth interview and 4) a feasibility assessment form for clinical nursing practice guideline implementation. The content validity index (CVI) ranged from .81 to 1.00. Data were analyzed using content analysis and descriptive statistics.
The findings revealed that the nursing practice guideline for caring for patients under investigation (PUI) and patients infected with COVID-19 consisted of three phases: 1) symptom/infection assessment, 2) symptom monitoring, and 3) outcome evaluation. The implementation results demonstrated that: 1) the feasibility of applying the guideline was at a high level, and 2) no incidence of COVID-19 infection was found among registered nurses who implemented the guideline. These findings indicate that the developed guideline was effective and appropriate for implementation in the nursing practice setting.
References
Jin YH, Cai L, Cheng ZS, Cheng H, Deng T, Fan YP, et al. A rapid advice guideline for the diagnosis and treatment of 2019 novel coronavirus (2019-nCoV) infected pneumonia (standard version). Military Medical Research 2020;7(1):4. doi: 10.1186/s40779-020-0233-6.
Department of Disease Control, Ministry of Public Health. Corona virus disease (COVID-19). Nonthaburi: Ministry of Public Health; 2020. (in Thai)
Department of Disease Control. Four categories of internationally communicable diseases. Nonthaburi: Division of General Communicable Diseases; 2021. (in Thai)
Thailand Development Research Institute (TDRI). COVID-19 and Thailand’s policy response [Internet]. 2021 [cited 2025 Nov 14]. Available from: https://tdri.or.th/2021/05/covid-119/ (in Thai)
Department of Disease Control. Emergency operations center for COVID-19 situation reports [Internet]. 2021 [cited 2025 Nov 14]. Available from: https://ddc.moph.go.th/viralpneumonia/situation.php (in Thai)
World Health Organization. Thailand weekly situation updates on COVID-19, reports no. 214 [Internet]. 2022 [cited 2025 Jan 14]. Available from: https://cdn.who.int/media/docs/default-source/searo/thailand/2021_12_17_tha-sitrep-214-covid-19_th_r02.pdf?sfvrsn=b3f158d1_10
World Health Organization. Thailand weekly situation updates on COVID-19, reports no. 265 [Internet]. 2022 [cited 2025 Jan 14]. Available from: Available from: https://cdn.who.int/media/docs/default-source/searo/thailand/2023_06_13_tha-sitrep-265-covid-19_th.pdf?sfvrsn=e213bba3_1
Mehta S, Machado F, Kwizera A, Papazian L, Moss M, Azoulay É, et al. COVID-19: a heavy toll on health-care workers. Lancet Respiratory Medicine 2021;9(3):226-8. doi: 10.1016/S2213-2600(21)00068-0.
National Health and Medical Research Council. A guide to the development implementation and evaluation of clinical practice guidelines. Canberra: NHMRC; 1999.
Nantachaipan P. Assessing the quality of the implementation of clinical guidelines. In the document accompanying the training lecture on the practice of empirical evidence. Oral session presented at: Nursing Service Center. 2006 Jun 3-4; Faculty of Nursing, Chiang Mai University. (in Thai)
World Health Organization. Infection prevention and control during health care when novel coronavirus (nCoV) infection is suspected [Internet] 2020 [cited 2020 Apr 11] Available from: https://www.who.int/publications/i/item/10665-331495
Chuensirimongkol J, Iemphong L. Development of the clinical nursing practice guideline for the patients under investigation and/or infected with COVID-19 (Acute Respiratory Infection Room: ARI). Vajira Nursing Journal 2022;24(2):27-38. (in Thai)
Khongsaman P, Jinda J. The development of clinical nursing practice guideline for the patients under investigation and/or infected with coronavirus 2019 (COVID -19) in emergency department. Journal of The Royal Thai Army Nurses 2022;23(1):159-68. (in Thai)
Garritty CM, Norris SL, Moher D. Developing WHO rapid advice guidelines in the setting of a public health emergency. Journal of Clinical Epidemiology 2017;82(1):47-60. doi: 10.1016/j.jclinepi.2016.08.010.
Wongrostrai Y, Sangrujee J. The development of clinical nursing practice guideline for providing oxygen therapy to the patients infected with the coronavirus 2019 (COVID-19) in the critical cohort department. Journal of The Royal Thai Army Nurses 2023;24(1):269-78. (in Thai)
Warin P, Apibunyopas P, Wongjarupun S. Quality of work life affecting organizational commitment and service quality of nurses at accident and emergency department in Bhumibol Adulyadej hospital and Royal Thai Air Force hospitals. Journal of the Royal Thai Army Nurses 2018;19 Suppl 2:89-97. (in Thai)
Homnan N, Wisesrith W. The development of preventive emergency obstetric clinical supervision model for nurses. Journal of The Royal Thai Army Nurses 2017;18 Suppl 2:140-8. (in Thai)
Department of Medicine, Ministry of Public Health. Guidelines for diagnosis, treatment and prevention of infection in hospitals the case of coronavirus disease 2019 (COVID-19) for physicians and public health personnel, current edition, dated 21 July 2021. Nonthaburi: Ministry of Public Health; 2020. (in Thai)
Stanton E, Maxwell M, Casados S, Sweeney M, Vannice S, Smith J, et al. Developing nursing care guidelines for patients with COVID-19. Journal for Nurses in Professional Development 2022;38(1):49-61. doi: 10.1097/NND.0000000000000766.
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