Outcomes of Nursing Management System using Samutprakan Early Warning Scores (SEWS) in Patients with Traumatic Brain Injury at Samutprakan Hospital
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Abstract
This research and development aimed to examine and develop the nursing system management combined with patient outcomes, personal outcomes, and hospital outcomes derived from the developed Samutprakan Early Warning Scores (SEWS). The samples had 2 groups: 40 health professionals who worked in the emergency department and surgical trauma unit, and 164 patients with traumatic brain injury who were admitted to Samutprakan hospital. They were equally divided into 2 groups with 82 patients before and 82 patients after using the system. Data were collected between October 6, 2022, to May 6, 2023. The instruments of personal outcomes were the knowledge test and personnel satisfaction assessment, and the instruments of patient outcomes were composed of electronic nursing record, Samutprakan Early Warning Scores, the assessment of the GCS score, and the GOS score. SPSS software was used for statistical analysis which included the paired t-test, Mann–Whitney U test, Chi-square, and Fisher’s exact test.
The results of the research after using the SEWS system in terms of patient outcomes, revealed that the Glasgow coma score, eye score, motor score, verbal score of patients, Glasgow outcome scale and patient discharge status were significantly different at the p < 0.01 level. For personnel outcomes, it was found that the average scores of knowledge and satisfaction had significant difference at the p < 0.01 level. In terms of hospital outcomes, it was found that the length of stay and costs for treating patients were significantly reduced at the p < 0.01 level. The results of this research supported that the use of Samutprakan Early Warning Scores (SEWS) in traumatic brain injury patients was effective and efficient in patient outcomes, nursing process, and hospital outcomes.
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