Outcomes of Nursing Clinical Practice Guideline Development for Septic Shock in Medical Intensive Care Unit at Chiangrai Prachanukroh Hospital

Authors

  • วิลาวรรณ เมืองอินทร์

Keywords:

การพัฒนาแนวทางการดูแล ผู้ป่วยช็อกจากการติดเชื้อในกระแสเลือด หอผู้ป่วยหนักอายุรกรรม, Nursing clinical practice guideline development, septic shock patients, intensive care unit

Abstract

This Participate action research aimed to develop nursing clinical practice guideline (CNPG) for sepsis shock patients. Kemmis & McTaggart's action research design was used including 2 cycles.The results showed that the previous system had delayed detection and report signs and symptoms of septic shock to the physicians. Thus, patients had a high mortality rate (51.25%). These results led to the developing of nursing care guidelines for septic shock patients in the first six hours, MEWS or qSOFA were added into CNPG. The second cycle development included septic shock fast track. Finding: 1) Increased rate of admitted septic shock patients at medical ICU within 3 hours from 20 % to 82% 2) Sepsis detection increased from none to 97.6 %. 3) Septic shock patients survived without shock stage in six hours increased from 35.52 to 61.03. 4) The mortality rate decreased from 51.25% to 16.5%. 5) Overall satisfaction of care guideline development and utilization among head nurses and registered nurses was high

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Published

2020-04-08

How to Cite

1.
เมืองอินทร์ ว. Outcomes of Nursing Clinical Practice Guideline Development for Septic Shock in Medical Intensive Care Unit at Chiangrai Prachanukroh Hospital. JNSH [Internet]. 2020 Apr. 8 [cited 2022 Jun. 25];43(1):97-108. Available from: https://he01.tci-thaijo.org/index.php/nah/article/view/240805