Development of Clinical Nursing Practice Guideline (CNPG) in Prevention of Bronchopulmonary Dysplasia among Premature Infants with Low Birth Weight, Phatthalung Hospital
Keywords:
Bronchopulmonary dysplasia prevention, Premature infants, Low birth weightAbstract
This research aimed to develop Clinical Nursing Practice Guidelines (CNPG) for Bronchopulmonary Dysplasia Prevention (BPD) in premature infants with low birth weight. It was conducted at Phatthalung Hospital, using evidence-based practice (EBP) as a conceptual framework. The study process had four steps. The first step was searching for clinical problems and EBP. The second step consisted of the development of new clinical nursing practice guidelines (CNPG) based on the analysis and synthesis of EBP. The draft of CNPG was examined by 5 experts and yielded a content validity index (CVI) of 0.98. The third step was implementation and evaluation with 10 nurses, yielding a Cronbach’s alpha coefficient of 0.96. And the fourth step was the actual implementation of the CNPG by 32 nurses, taking care of 20 premature infants with low birth weight. The research instruments included: 1) the BPD prevention in premature Infants with low-birth-weight CNPG, 2) the ability of the nurse to comply with BPD prevention CNPG, 3) demographic data and preterm outcomes record form, 4) the nurses’ satisfaction towards CNPG regarding BPD prevention. Data were analyzed using descriptive statistics.
The development of CNPG at Phatthalung Hospital comprised 4 periods: 1) pre-labor period, 2) labor period, 3) NICU period and 4) continuous care in NICU. As a result, nurses’ ability to comply with BPD prevention CNPG during the pre-labor period, and the labor period was a very simple level. NICU period and continuous NICU period were simple levels too. In addition, 93.75 % of nurses were satisfied with applying the CNPG at a high level. The clinical outcomes were: 1) the average number of days of oxygen use was 6 days, 2) the mean length of stay in a hospital was 17.65 days, and 3) the incidence of BPD patients was 5%. These results were lower than in 2019, before using this CPG. (M= 9.65, M=30.06, and 32.5%, respectively).
Per findings, nurses can use the BPD prevention in premature infants with low-birth-weight CNPG to reduce the length of oxygen use, length of stay in a hospital, and BPD incidence.
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