The Development of a Nursing Model for Medical Critical Care Patients by Applying the Concept of FAST HUG and BANDAIDS to Prevent Ventilator Associated Pneumonia, Buriram Hospital
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Abstract
Background: Ventilator-induced pneumonia is a challenging problem that must be prevented. It must be seriously addressed, as it severely affects the health conditions of critical patients and their families.
Methods: This research is a study and development conducted between October and December 2024 at the Intensive Care Unit (ICU) of Buriram Hospital. The population consists of critically ill patients who were intubated between 2023 and 2024, totaling 677 people.The sample group in this study is divided into two main categories: Critically ill patients, further divided into: Control Group: Critically ill patients who receive standard care following the hospital’s usual protocols. Experimental Group: Critically ill patients who receive care based on a specialized nursing model for internal medicine patients, incorporating the FAST HUG and BANDAIDS concepts to enhance patient care efficiency. Each group consists of 71 patients, making a total of 142 patients in this category. Registered nurses who participated in the study to assess their satisfaction with the implementation of the new nursing model. This group consists of 36 nurses. The tools used in the research included the FASTHUG BANDAIDS Checklist, with a confidence value of 0.80, the FASTHUG and BANDAIDS concept application data collection form, with a confidence value of 0.79, and the Satisfaction Questionnaire for Registered Nurses regarding the use of the model, with a confidence value of 0.93.The statistics used in the data analysis included mean, standard deviation, frequency, percentage, chi-square statistics, independent t-test statistics, and Fisher's exact test statistics.
Results: The results of the study showed that the development of a model for the prevention of pneumonia caused by ventilator use in patients experiencing an internal medicine crisis, through the application of the FAST HUG and BANDAIDS concepts, was divided into four activities:Providing knowledge and developing professional nursing skills using the FAST HUG and BANDAIDS guidelines.Evaluating and recording data according to FAST HUG and BANDAIDS standards. Supervising and monitoring nursing practices. Organizing journal clubs and facilitating discussions among registered nurses. When the model was applied, it was found that: The average number of intubation days in the experimental group was 8 days, which was 3 days shorter than the average of 11 days in the control group (p < 0.001). The incidence of pneumonia caused by ventilator use in the experimental group was 1.4%, which was 11.3% lower than that of the control group (p < 0.05). There was no statistically significant difference between the comparison group (11.3%) and the control group (14.1%) (p > 0.05). The level of satisfaction among nurses in the intensive care unit regarding the use of the model was the highest, with an average score of 4.36 (S.D. = 0.47).
Conclusion: This study suggests that FAST HUG and BANDAIDS care should be used in the intensive care unit to prevent VAP.
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References
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