ผลของการใช้แนวปฏิบัติทางการพยาบาลในการเคลื่อนย้ายผู้ป่วยระหว่างหน่วยงาน ผ่านระบบเว็บแอปพลิเคชันต่อเหตุการณ์ไม่พึงประสงค์ในผู้ป่วยโรคหัวใจและหลอดเลือด

Kantapol Hanchaichot; Parichat Wonggom; Nattapat Serewiwattana

Authors

Kantapol Hanchaichot Faculty of Nursing, Khon Kaen University
Parichat Wonggom Faculty of Nursing, Khon Kaen University
Nattapat Serewiwattana Queen Sirikit Heart Center of the Northeast

Keywords:

interfacility transfer, system theory, web applications, adverse events

Abstract

This quasi-experimental research with two group posttest only design aimed to evaluate the effects of an interfacility transfer clinical nursing practice guideline via web application on adverse events among cardiovascular patients. The study was conducted on 134 patients receiving care at the Queen Sirikit Heart Center in Northeast Thailand, divided into a control group, receiving standard care; and an experimental group, receiving care according to the interfacility transfer clinical nursing practice guideline via web application. Each group consisted of 67 patients, with 8 nurses conducting the patient transfers.

The research tools included: 1) an interfacility transfer clinical nursing practice guideline via web application, 2) a patient transfer and adverse event recording form, and 3) nurse satisfaction assessment forms. The quality of these tools was verified through Appraisal of Guidelines for Research and Evaluation II (AGREE II) framework practice guidelines review, content validity index, index of item objective congruence by five experts, and inter-rater reliability assessment. Demographic data were analyzed using descriptive statistics including percentages, means, and standard deviations. Differences in demographic data between the experimental and control groups were tested using the chi-square test. Differences in adverse events and nurse satisfaction were compared using Relative risk, Independent Sample t-test, and One sample t-test.

The findings revealed that the control group experienced 0.59 times more adverse events during transfers than the experimental group (RR=0.59, 95%CI:0.33-1.03, p=.034). There was no significant difference in the duration of patient transfers between the groups, with the control group averaging 72.69 minutes (SD=35.47) and the experimental group 75.28 minutes (SD=35.12), p=.859. Nurses reported the highest level of satisfaction with a mean of 85.71 (t=2.83, p .025). The research findings indicate that the clinical nursing practice guideline can help ensure the safety of patient transfers, reduce the occurrence of adverse events, and increase nurses' satisfaction with implementation.

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