The development of nursing service systems in Acute Respiratory Infection (ARI) Clinic for control COVID-19 Phichit Hospital

Abstract

This research is a research and development design to develop and study the results of nursing service systems in the Acute Respiratory Infection (ARI) Clinic for the control of COVID-19. The research was conducted from July 2021 to June 2022 divided into 3 phases: situation analysis, system development. Study and evaluate  the outcomes of ARI Clinic nursing services. The samples were selected by purposive method, consisting of a group of 20 service providers and a group of 5 patients. The sample groups in the study and evaluation of the results were 46 registered nurses working in the ARI clinic and 30 patients at the ARI clinic. The research tools are: 1. An in-depth interview approach using the CIPP Model. Interview issues reviewed by 3 experts no amendments. 2.Happiness, Satisfaction, Safety questionnaire of registered nurses working in ARI Clinic. 3.The satisfaction and the self-care ability questionnaire of patients at risk of contracting COVID-19. Instrument 2,3 was used to test Cronbach's alpha coefficient were 0.82,0.82, respectively. Analyze qualitative data by content analysis and analyze quantitative data using descriptive statistics.

The results showed that the study analyzed the situation found Context Evaluation on cramped, crowded, hot places. Input Evaluation on shortage of nursing personnel, insufficient equipment and nursing care system is being adjusted daily. Process Evaluation on management and service procedures takes a long time. Product Evaluation on morale. workload anxiety and self-Management. The development of the nursing service system in ARI Clinic has been developed in terms of locations, service model, screening, sorting, diagnosis, treatment, and referral. A study of happiness, satisfaction, and safety in the practice of nurses working in ARI Clinic found that most of them had a high level. A study of satisfaction and the self-care ability of patients at risk of contracting COVID-19 found that most of them were satisfied with the services provided by ARI Clinic at the highest level and had a very good level of self-care ability to prevent COVID-19 infection. Conclude that: The development of nursing service systems in ARI Clinic for control COVID-19 is appropriate to the context of Phichit Hospital, can be practical, patients can enter the healthcare system as quickly as possible and staff are not infected from performing their duties in ARI Clinic.