Development of Clinical Practice Guidelines (CPGs) For Discharge Planning In Antimicrobial Resistance Patient At Pra Arjanfan Arjaro Hospital

Abstract

Introduction: Antimicrobial resistance infection resulting in severe illness, Higher mortality rate and treatment requires new medication more expensive. Discharge planning in antimicrobial resistance patient is important to reduce the spread of infection and re-infection rate.

          Research objective:  1) Development of Clinical Practice Guidelines (CPGs) for discharge planning in antimicrobial resistance patient 2) For evaluation compliance Clinical Practice Guidelines (CPGs) 3) For evaluation knowledge of antimicrobial resistance and prevention community spread in patient and care giver.

          Research Methodology: The framework was applied by the Australian  National Health and Medical Research Council. The development was divided Research and Development. The sample by purposive sampling are 16 nurse and 42 antimicrobial resistance patient. Research Instrument is 1) Clinical Practice Guidelines (CPGs) for discharge planning in antimicrobial resistance patient 2) Data were collected by questionnaire for evaluation Clinical Practice Guidelines (CPGs), For evaluation knowledge, and questionnaire for satisfaction of patient and nurse. Data were analyzed by using descriptive statistics and Independent t-test.

Results: 1) development of Clinical Practice Guidelines (CPGs) for discharge planning in antimicrobial resistance patient used 16 evidence base practice 2) The register nurse can used CPGs is high level 3) The knowledge of antimicrobial resistance and prevention community spread in patient and care giver are high lever 4) the satisfaction of patient and care giver are high lever 5) The satisfaction of register nurse is high level 6) Re-admit rate in 28 day before used CPGs is more than after use in significant 0.05.

          Conclusion: CNPGs. can be practiced and had good outcomes such as decreased re-admit rate of antimicrobial resistance infection.

          Implication: Should be used CNPGs continuing for encouragement patient and care giver to be confident in taking care of yourself.

Key words: 1. Clinical Practice Guidelines (CPGs) 2. Discharge Planning 3. Antimicrobial Resistance