The development and evaluation of clinical nursing practice guideline for modified high flow nasal cannula system in pediatric patients
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Abstract: Development and implementation of clinical nursing practice guideline (CNPG) provides good outcomes of care. This research aimed to develop the CNPG using the evidence-based practice model of Soukup. The samples were 25 nurses and 25 pediatric patients with modified high flow nasal cannula system (MHFNCS) who ages ranged from 1 month to 5 years in the pediatric wards of a university hospital. Data
collection tools were: (1) clinical data record form for MHFNCS; (2) nurse’s skill assessment form; (3) feasibility of guideline implementation questionnaire; and (4) nurses’ satisfaction with the CNPG implementation questionnaire. Data were analyzed by descriptive statistics. Results showed that: (1) the CNPG comprised of 3 components: 1) preparation and composition of MHFNCS devices; 2) initial setting up and taking care of MHFNCS; and 3) nursing care of pediatric patients with MHFNCS. (2)The results of the CNPG implementation revealed the feasibility of CNPG implementation at the high level (Mean = 4.34, SD = 0.39). Nurses’ satisfaction on the CNPG implementation was at the high level. (Mean = 4.31, SD = 0.45). It is recommended that the developed CNPG is appropriately use in clinical settings. It should be further
continuously used, monitored, evaluated and refined.
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