Pornpilai Niyomtin The Development of Nursing Service System in Head Injury Patients from Traffic Accidents in Emergency Room of Dansai Crown Prince Hospital Loei Province

Abstract

To improve nursing service system in Head Injury Patients from Traffic Accidents  and Comparison results before - after develop system. Based on system theory framework. Samplings were two groups : such as patients who were injured  accident 44 patients were  professional nurses. The data were obtained from medical records of head injuries . From the observe practice of professional nurses to care head injury patients in emergency room during October 1, 2021 to September 30, 2022, there are 5 steps:  1) Preparation  2) Design 3) Planning 4) Implement  and 5) evaluate. The research tool had two parts: used to conduct the research and used to collect data were created. The content validity was determined by 3 experts updated for modify as suggested. The reliability with professional nurses, emergency room in Nakhonthai Crown Prince hospital. Confidence has 0.88. Data were analyzed by descriptive statistics Independent t-test and Pair t-test. Use technique preparation, proceed and empower.
The results were new sustainable nursing services system by participatory. After improve system : As a result, Nurses in emergency room have knowledge to assessment accuracy increased from 90.90% to 100%, Quickly decided to save life increased from 48.10% to 100%, Decision support, At the highest level increased average scores significantly (p<0.05).Convenient system management makes times to send patients from emergency room Dansai Crown Prince Hospital to Loei Hospital had faster from 88 minutes to 58 minutes. The nurses were involved, confidence and satisfaction with the new developed nursing system per side and overall.