Development of Nursing Care Model for Patients with Acute Pulmonary Embolismduring Surgical Anesthesia
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Abstract
Background: Acute pulmonary embolism (PE) is the third common cardiovascular emergency condition. The patient, inherited or acquired acute pulmonary embolism (PE) risk, may present PE during surgery. Nurse anesthetist therefore need to improve their knowledge for PE prevention, diagnosis, management and nursing care providing for this fatal condition in order to reduce morbidity and mortality.
Objective: This study aims to develop and evaluate the outcomes of the nursing care model for patient with acute pulmonary embolism during surgical anesthesia.
Methods: The research and development study was conducted during October 2017 to March 2020 and comprised of 3 phases; 1) Situation analysis phase, by reviewing patient’s medical record, nursing care observation and literature review 2) Nursing care model development phase for patients with acute pulmonary embolism during surgical anesthesia, and 3) Evaluation phase; by outcome evaluation of 45 patients receiving the developed nursing care model provided by 27 registered nurses.
Results: The developed nursing care model for patients with acute pulmonary embolism during surgical anesthesia patients composed of pre-surgical, in-surgical and post-surgical anesthetic care including continuum care. Results of the nursing care model implementation found no mortality in patient with low to moderate risk. Registered nurse opinion after the nursing care model implementation was practical and effective for patient care at high level with mean score of 3.5 (SD=0.5)
Conclusion: The developed nursing care model for patients with acute pulmonary
embolism during surgical anesthesia leads to improvement registered nurse competency and collaboration between nurse and other multidisciplinary care teams. Moreover, resulted in better patient care outcome and hospital performance.
Keywords: Nursing care Aodel, Acute pulmonary Embolism, Anesthesia
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References
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