Development of a Nursing Care Model for Patients with Shock in the Intensive Care Unit Based on Early Goal Directed Therapy

Abstract

          This developmental research aimed to create and assess the effectiveness of a Nursing Care Model for Patients with Shock in the intensive care unit (ICU). The sample included 30 professional nurses working in the ICU and 53 patients with shock admitted to the respiratory ICU between February and May 2024. The research instruments included a knowledge assessment form for nurses caring for patients with shock (reliability = 0.94), a nurse's perception of model benefits assessment form, and a patient outcome recording form (IOC = 0.87, reliability = 0.88). Data were analyzed using content analysis, frequency, percentage, mean, standard deviation, and paired t-test.

             The research findings indicated that the Nursing Care Model for Patients with Shock in the Intensive care unit based on early goal directed therapy comprised three key components: 1) a support system for organizing the nursing model, including ICU staffing policies and team-based nursing guidelines; 2) a shock patient care process, incorporating nursing standards for shock management and the SHOCK Bundle; and 3) outcomes and continuous improvement, featuring quality assurance indicators for shock patient care services and a professional development plan to enhance the knowledge and skills of the nursing team. Following the intervention, nurses showed a statistically significant increase in knowledge regarding shock patient care (p < .05), and the mean score for the perceived benefit of Nursing Care Model for Patients with Shock was rated as very high. Patient care outcomes achieved a success rate of 77.36%, with a survival rate of 83.02%.

           Suggestions from the research results: The targeted nursing care model for shock patients can be applied as a guideline for improving shock patient care.