Development of Nursing Services Model to Prevent Drug-resistant Organisms Infections Mahasarakham Hospital and network

Abstract

Objective : To study the development of nursing service  models to prevent Drug-resistant Organisms Infections Mahasarakham Hospital and network.                                          

Methods : This is action research with the concept of preventing the spread of antimicrobial resistance as the content concrpt. on the concepts.The studying in 13 wards.The co-researchers are: The development team analyzed the situation and valuated the results, consisting of 30 people and 150 nurse. The tools used in the research consisted of General information, questionnaire, infection surveillance record form, satisfaction questionnaire,  knowledge test about the meaning and methods of spreading infection. Prevention and compliance with SHIP measures ,semi-structured interviews on the issues situation of antimicrobial resistant infections nursing service organization model problems and obstacles in nursing supervision plan,SHIP bundle compliance observation form, training plan.

Results :  From studying the situation of antimicrobial resistant infections in Maha Sarakham Hospital and service network. Most commonly found in the critical care group and internal medicine group, host issues were found, which were more common in people over 70 years of age, 37.60 percent, and 64 percent of those who came with severe symptoms and were intubated from community hospitals. Pathogen (Agent) The most common pathogen is Acinetobacter baumannii CRAB MDR Environment (Environment) found that compliance with measures is not yet comprehensive. and 7.6 percent of patients with drug-resistant infections were sent for treatment to the service network. These things result in the possibility of the spread of drug-resistant germs Development of a nursing service model developed with 8 activities to prevent the spread of antimicrobial resistance at Maha Sarakham Hospital and service network. The results showed a decrease in the rate of antimicrobial resistant infections. The development model is most appropriate to the hospital context. Nursing personnel were satisfied with the development model at the highest level.

Conclusion : This development model Learning occurs Personnel participate in giving opinions and are motivated to create innovations in development. There is an exchange of knowledge between departments. There is teamwork. Standard nursing quality Reduce the rate of antimicrobial resistant infections, benefiting both patients and personnel.