Development of Nursing Care Model for Post-Operative Head Injury Patients at Kamphaeng Phet Hospital
Keywords:
nursing care model, head injury patients, post-operativeAbstract
Abstract:
Objectives: To develop a nursing care model and study the outcomes of its implementation on head injury patients have undergone surgery.
Design: Research and development.
Methodology: This study was conducted in four phases: 1) situation analysis; 2) care model development; 3) implementation; and 4) outcome evaluation. The study participants were 28 registered nurses, 28 caregivers, and 56 post-operative head injury patients selected by means of purposive sampling. The patients were equally divided into two groups, one receiving standard care and the other treated with the researcher-designed nursing care model. The data were analysed using descriptive statistics, Chi-square, and t-test.
Results: The designed nursing care model for post-operative head injury patients was composed of three components: 1) the Head Injury Clinical Pathway KPH: SIMPLE +C guidelines; 2) nursing competency development; and 3) monitoring and follow-ups. The study of the model implementation outcomes showed the following. Firstly, the registered nurses displayed signifcantly higher knowledge, competency, and satisfaction concerning the model than before the implementation (p = .000, p = .000, p = .000, respectively). Secondly, the patients treated with the researcher-designed nursing care model experienced signifcantly less deterioration, whether caused by improper care, accidental loosening or disengagement of endotracheal tubes, or pressure sores, than did those receiving standard care (p = .016, p = .000, p = .044, respectively). Finally, the caregivers for the patients treated with the researcher-designed nursing care model displayed signifcantly higher satisfaction with the care quality than did the caregivers looking after the patients given standard care (p = .000).
Recommendations: The nursing care model for traumatic brain injury patients having undergone surgery effectively enhanced the registered nurses’ competency, improved the post-operative head injury patients’ conditions, and increased the nurses’ and caregivers’ satisfaction. It is, therefore, recommended that this model be more widely implemented in order to heighten the quality and effcacy of brain injury patient care.
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