The Development of nursing practice guidelines for prevention of pressure ulcers at Medical intensive care unit in SAMUTPRAKARN HOSPITAL

Abstract

          The purposes of this research and development study were to developed clinical nursing practice guidelines aim to for Prevention Pressure ulcer among Medical Critical Patients in Samutprakarn Hospital and to examine the effects of the developed clinical nursing practice guidelines The sample consisted of 45 patients who were admitted to the Medical Critical Patients in Samutprakarn Hospital ward using purposive sampling. The sampling.  1) The patients who were not occurred pressure sore. 2) The patients who had Barden score <18 score 3) The patients who were admitted to the Medical Critical in 4 hours

 4) The patients who had body temperature first admitted at ≥ 36.0  and ≤ 38.0 ℃ 5) The informed  consent  form patient or parents . Data were collected using: 1) The patient illness Checklist. 2) The  

Scale Checklist 3) The practice guideline for pressure ulcer prevention (Bundle of Prevention Pressure Ulcer: ASSI-ET). 4) The Nutrition Alert Form Checklist (NAF). 5) The Prevention Pressure ulcer demographic information and progress note Checklist. 6) The satisfaction and opinion after using the practice guideline. Data were analyzed using descriptive , t-test statistics, standard deviation and reliability analysis.The results revealed that 1) The developed clinical nursing practice guidelines had a good content validity which were 0.715 respectively and it was appropriate and possible for implementing in order to achieve desired outcomes. 2) The incidence of Pressure ulcer after adjust differences .The mean score  was significantly different at the p=.013 level between pre-post development of the clinical nursing practice guidelines. 3) The overall satisfaction score of nursing team to clinical practice guidelines was at the medium levels. Its reliability was tested by using Cronbach’s alpha coefficient equal to 0.636