The Development of Clinical Nursing Practice Guidelines in the Prevention of: Accidental Extubation in Neonatal Intensive Care Unit, Songklanagarind Hospital

บทคัดย่อ

The objective was to develop clinical nursing practice guidelines to prevent accidental extubation as well as which to study the evaluation and utilization of these guidelines. Targets were; a purposive sample of 41 NICU nurses along with 31 newborn infant Intubation before this research, and then 31 newborn infant Intubation after the conduction of this research. The instruments were: 1. Evaluation of the development of clinical nursing practice guidelines 2. A Satisfaction evaluation form 3. An Accidental Extubation form .The quantitative data were analyzed by frequency, percentage and average. The results:The overall satisfactions of nurses, were of high levels. The incidences of accidental extubation were: 16.04 per 1,000 days before and 6.37 per 1,000 days after. Most NICU nurses have been using the set guidelines for the majority of steps, with the exception, in some cases, such as: 1. Restraining 2. Comforting 3. Pain management.