The Development of Nursing Administration Model for Patients with Coronavirus Disease 2019 (COVID-19) in Field Hospital of Phrachomklao Hospital, Phetchaburi Province

Abstract

This developmental research aims to develop a nursing management model, along with evaluating its outcomes, for patients with Coronavirus disease 2019 (COVID-19) in field hospitals belonging to Phrachomklao Hospital in Phetchaburi Province. From May 2021 to December 2022, the research was conducted in four stages: 1) a case study with a team of 10 nursing administrators, 2) the development of the nursing administration, 3) a quasi-experimental research model among 50 professional nurses, and 4) an evaluation of the results of the developed model by a group of 64 patients and a nursing management team of 10 people. The research tools include a semi-structured interview form, a questionnaire on the self-efficacy perception of the nurses, a satisfaction assessment form, a nursing satisfaction questionnaire, and an assessment form for nursing administration readiness. These tools use Cronbach’s alpha coefficient, with scores of .98, .97, .97, and .95, respectively. The collected data have been analyzed by content analysis, descriptive statistics, and paired t-tests. The results illustrate that

1. The nursing management model is divided into 1) the pre-incident phase, including coordination, assessment, planning, and rehearsal, 2) during the incident, consisting of role-based operations, nursing service, workforce management, management of materials, equipment, and locations, collaboration, risk surveillance, effective communication, motivation, and the implementation of flexible attitudes and ideas, and 3) the post-incident phase, encompassing transfer, rehabilitation, outcome evaluation, taking lessons, and preparation.

2. The results of the model application reveal that nurses’ self-efficacy perception after using the model is statistically significant at the .05 level (t = 10.15). Furthermore, nurses are satisfied with the model at a high level (M = 3.87, SD = .65), patients were satisfied with the nursing care at a high level (M =4.12, SD =.70), and nursing administrators are prepared for administration at a high level (M =4.42, SD = .42).

The PCK Nursing Model should be adapted to the context of each hospital for supporting the outbreak of COVID-19 new ripples/new emerging diseases, as well as improve the quality of the media used in communication for both the health team and service recipients to date constantly faster and easier access.