Development Nursing Practice Guidelines for Control the Spread of Drug Resistant in Lamphun Hospital

Abstract

The problem of drug resistance in hospitals is likely to increase. Nurses should play a role in preventing the spread of drug-resistant infections. Therefore, this research aims to develop nursing practices and the effectiveness of using nursing practices to control the spread of drug-resistant infections in Lamphun Hospital. The sample was 198 registered nurses operating in the inpatient ward.   Tools used in the study include nursing practices for controlling the spread of drug-resistant infections. Tools used to collect data include knowledge assessments, assessment of drug-resistant infection prevention practices and satisfaction assessments. Analyze qualitative data use contents analysis and statistical analysis: frequency, percentage, mean, standard deviation and paired samples t-test at a significance level of 0.05. The study found that nursing practices developed in accordance with the PRECEDE – PROCEED model of Green and Kreuter (2005) consisted of four phases: Phase 1 survey of problems and needs,  Phase 2 design and development, Phase 3 trial and Phase 4 evaluation. From the adoption of nursing practices, it has been found that after the use of nursing practices, Registered nurses' knowledge of caring for patients with drug-resistant infections increased statistically significantly at the level of 0.05 (t= -20.072, Sig. = 0.000). Can practice preventing the spread of drug-resistant infections both in terms of patient isolation, stain management, Patient mobility, clean hands, environmental management, wearing protective equipment, communication and advising patients and relatives  more than 80 percent and satisfaction with nursing practices to control the spread of drug-resistant infections at the most levels (=4.24)