Development of Provincial Nursing Network for Acute ST-Segment Elevation Myocardial Infarction (STEMI) Patients
Keywords:
ST-segment elevation myocardial infarction, STEMI , Provincial nursing networkAbstract
Abstract
The development of provincial nursing networks for ST-Elevation Myocardial Infarction (STEMI) patients is crucial as STEMI is a medical emergency that requires prompt and effective treatment. Provincial networks can increase access to necessary healthcare services and facilitate integrated care across different service units seamlessly. While various STEMI care systems have been developed, such as emergency medical services protocols, treatment guidelines, and inter-hospital collaborations, studies on the development of provincial nursing networks for STEMI patients remain limited. Existing research is often confined to regional or national scopes and lacks a comprehensive coverage of essential components. This qualitative study employed a mixed- approach, combining job analysis and documentary analysis, to investigate the roles, responsibilities, and competencies required of nurses in the context of provincial STEMI nursing network development in Loei Province.
The analysis revealed that successful provincial nursing network development requires the integration of critical components, including infrastructure, efficient work processes, knowledge management systems, and continuous performance evaluation. Furthermore, additional research is needed to determine the appropriate organizational structure and patient transfer systems at the provincial level to ensure timely and high-quality care for STEMI patients, ultimately improving survival rates and quality of life. The proposed "Provincial STEMI Nursing Network Development Model" encompasses a comprehensive framework, encompassing vision and theoretical underpinnings, support structures, development processes, outcome measures, and continuous improvement mechanisms. It also defines key objectives, such as establishing high-quality, integrated, and seamlessly connected care networks across primary, secondary, and tertiary service units, with clear processes for gap analysis, planning, implementation, monitoring, and refinement, aligning with relevant principles and theories. Emphasis is placed on critical components like problem review, continuous care coordination, rehabilitation linkages, and communication with primary care units and communities.
Key word : ST-segment elevation myocardial infarction, STEMI , Provincial nursing network
References
เอกสารอ้างอิง:
Thygesen, Kristian, et al. "Fourth universal definition of myocardial infarction (2018)." Circulation 138.20 (2018): e618-e651.
Janjani, P., Motevaseli, S., Salimi, Y., Bavandpouri, S. M., Ziapour, A., Salehi, N., & Karami, S. (2023). Clinical and epidemiological profile of ST‐segment elevation myocardial infarction patients in a megacity of west of Iran. Health Science Reports, 6(5), e1187.
Srimahachota, S., Boonyaratavej, S., Kanjanavanit, R., Sritara, P., Krittayaphong, R., Kunjara-Na-Ayudhya, R., ... & Tatsanavivat, P. (2012). Thai Registry in Acute Coronary Syndrome (TRACS)—An extension of Thai Acute Coronary Syndrome registry (TACS) group: Lower in-hospital but still high mortality at one-year. Journal of the Medical Association of Thailand, 95(4), 508-518.
Ibanez, B., James, S., Agewall, S., Antunes, M. J., Bucciarelli-Ducci, C., Bueno, H., ... & Widimský, P. (2018). 2017 ESC Guidelines for the management of acute myocardial infarction in patients presenting with ST-segment elevation: The Task Force for the management of acute myocardial infarction in patients presenting with ST-segment elevation of the European Society of Cardiology (ESC). European Heart Journal, 39(2), 119-177.
Piepoli, M. F., Hoes, A. W., Agewall, S., Albus, C., Brotons, C., Catapano, A. L., ... & Members, T. F. (2016). Guidelines: Editor's choice: 2016 European Guidelines on cardiovascular disease prevention in clinical practice: The Sixth Joint Task Force of the European Society of Cardiology and Other Societies on Cardiovascular Disease Prevention in Clinical Practice (constituted by representatives of 10 societies and by invited experts) Developed with the special contribution of the European Association for Cardiovascular Prevention & Rehabilitation (EACPR). European heart journal, 37(29), 2315.
Shtub, A. (2010, December). Project management simulation with PTB project team builder. In Proceedings of the 2010 winter simulation conference (pp. 242-253). IEEE.
กรมการแพทย์ กระทรวงสาธารณสุข. (2559). มาตรฐานเครือข่ายบริการสุขภาพ. นนทบุรี: กรมการแพทย์ กระทรวงสาธารณสุข.
สภาการพยาบาล. (2560). แนวทางการจัดระบบบริการพยาบาลเพื่อสนับสนุนแผนพัฒนาระบบสุขภาพ (Service Plan). นนทบุรี: สภาการพยาบาล.
ธีรพร สถิรอังกูร, สมจิตต์ วงศ์สุวรรณสิริ และพัชรีย์ กลัดจอมพงษ์ ,2561, แนวทางการพัฒนาระบบบริการพยาบาล: Service Plan, (หน้า18).
Nallamothu, B.K., et al. (2007). Developing systems of care for STEMI patients. Circulation, 116(1), e27-e33.
Roettig, M. Mission Lifeline Accelerator Program Aims to Track STEMI Success.
Mayfield, M., Mayfield, J., & Lunce, S. (2003). Human resource information systems: A review and model development. Journal of Competitiveness Studies, 11(1), 139.
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 ์Nursing Organization, Khon Kaen Hospital
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
บทความที่ได้รับการตีพิมพ์เป็นลิขสิทธิ์ของ กลุ่มภารกิจด้านพยาบาล โรงพยาบาลขอนแก่น
ข้อความที่ปรากฏในบทความแต่ละเรื่องในวารสารวิชาการเล่มนี้เป็นความคิดเห็นส่วนตัวของผู้เขียนแต่ละท่านไม่เกี่ยวข้องกับโรงเรียนไว้ใช้า และคณาจารย์ท่านอื่นๆในมหาวิทยาลัยฯ แต่อย่างใด ความรับผิดชอบองค์ประกอบทั้งหมดของบทความแต่ละเรื่องเป็นของผู้เขียนแต่ละท่าน หากมีความผิดพลาดใดๆ ผู้เขียนแต่ละท่านจะรับผิดชอบบทความของตนเองแต่ผู้เดียว
