The Development of Care model for Multiple Trauma Patients in Chaiyaphum Hospital

Abstract

Background: Multiple trauma is defined as at least two sites of organ injury from casualty. The caused of dead was due to improper patient assessment and lack of re-evaluation.
Objective: The study aimed to develop a model of care and study the results of using a multiple trauma care model.
Methods: The research and development was conducted during June, 2023 to January, 2024. The four stages of care model were Developed: 1) the situation analysis stage 2) the model development stage 3) implementation of care model and 4) the evaluation stage. The sample group was 36 medical personnel and 180 patients in Chaiyaphum Hospital. Research instrument include 1) 7 aspects of multiple trauma care model2) questionnaire 3) knowledge scale and 4) practice check. Qualitative data was used content analysis. Quantitative Data were analyzed percentage, mean, standard deviation, pair t-test and independent t-test statistics.
Results: 1. The patient care model included Nursing management and Nursing in accordance to 7 aspects of multiple trauma care standards. 3) Development competencies of professional nurses 2. The results from using by nurses were found that; 1) practitioners agreed with the patient care model and followed the procedure counted by the percentage of 99.4, comparing the knowledge scores of professional nurses after giving knowledge higher than before giving knowledge, significantly (t=-8.2, p < 0.001). 2) The results AfterDevelopment of nursing service quality were included satisfaction of service recipients was higher, significantly (t=-7.3, p < 0.001), pain management higher, significantly (MC=5.2, p<0.05)
Conclusions: The developed of care model for multiple trauma patient enhanced the quality and efficacy in nursing outcome.