Effect of Clinical Nursing Practice Guideline for Prevention of Unplanned Extubation in Critically Ill Infant by CURN Model on Nurse Behavior and unplanned extubation
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Abstract
As action research, the purpose of this study was to develop and evaluate the implementation impacts of clinical nursing practice guidelines for prevention of unplanned extubation in critically ill infants based on the CURN Model. The period of study was from December 2017 to April 2018. The study was conducted from December 2017 to April 2018. The samples of this study were 30 nurses who all practiced in pediatric intensive care units and 30 infant patients who were on endotracheal tubes and using ventilators. The infants were selected by purposive sampling. The data was analyzed statistically by frequencies, percentages, means, and standard deviation. Then the mean scores of knowledge, attitude, and nursing practice between before and after the implementation were compared by Paired t-test procedure. The results of this study showed that 1. The clinical nursing practice guidelines for prevention of unplanned extubation in critically ill children by the CURN model are composed of 1) endotracheal intubation, 2) monitoring risk factors of unplanned extubation, and 3) weaning the ventilator together with the innovative “Safety Bed,” 2) the average score of knowledge, attitude, and nursing practice for prevention of unplanned extubation in critically ill children were higher than before participation in the development programs with statistical significance (p-value < 0.05), and 3) the rate incidence of unplanned extubation was 0 accidental extubation/1000 patient intubation days. The findings indicate that the CURN Model promotes higher efficiency of nursing practice and prevention of unplanned extubation in critically ill infants.
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