DEVELOPMENT OF CLINICAL NURSING PRACTICE GUIDELINE FOR SERIOUS MENTAL ILLNESS WITH HIGH RISK TO VIOLENCE PSYCHIATRIC PATIENTS TO COMMUNITY IN ROIET

Abstract

Clinical nursing practice guideline are essential tools in delivering quality healthcare outcomes. This practical research aimed to conduct operational research for 1) studying the current situation, 2) developing psychiatric clinical nursing practices, and 3) outcome evaluation.
The sample group included nurses from community hospitals, health promotion hospitals, and registered patients from June to September 2022, totaling 1,132 individuals. Research tools comprised group interview questionnaires, questionnaire, and a psychiatric clinical nursing practice guideline manual with a content validity index of 0.80. Data were analyzed using percentage and content analysis.

The study revealed the absence of psychiatric clinical nursing practices. The identified practices included nursing at three levels based on the severity of aggressive behavior: Level 1 in health promotion hospitals, Level 2 in community hospitals, and Level 3 in provincial hospitals. The practices followed a nursing process. The post-intervention results percentage of in hospital admit rates was decreased from 13% to 7.6%.

Conclusion and recommendations: Roi Et Province lacks psychiatric clinical nursing practice guideline for serious mental illness with high risk to violence psychiatric patients to community with quality and standard care, resulting in a reduced hospital admit rate. Further experimental research is recommended to clearly demonstrate the effectiveness of these practices and ensure longer-term follow-up.