Development of Nursing Model for Monitoring and Management of Sepsis in Older Adults at Emergency Room, Hatyai Hospital
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Abstract
The purpose of this study was to develop nursing model for monitoring and management of sepsis in older adults admitted to emergency room (ER), Hatyai hospital. Participants were 36 emergency nurses and 55 older persons with sepsis. The study was conducted in three phases, including 1) situation analysis by conducting focus groups with emergency nurses, 2) development and implementation of a nursing model for monitoring and management of sepsis in older adults, and 3) evaluation both nursing and patient outcomes. The instruments were validated, and test for reliability using the percentage of agreement yielding of 1.00. Data were analyzed using descriptive statistics, and t-test. The results showed that emergency nurses’ knowledge on nursing management of older adults with sepsis was significantly higher than before. The feasibility of using the nursing model in total and each item were at a high level. Nurses’ satisfaction in every item was at a high level. Patients’ outcomes showed that the percentage of assessment and nursing care delivered to older adults was at 92.73-100. Older adults with sepsis received correctly triaged at 98.18%, were monitored and managed correctly at 96.12%, were evaluated and monitored during transferred to another department at 99.44%. SOS score was decreased from admission. In conclusion, this nursing model could be applied in improving quality of nursing care for monitoring and management of older adults with sepsis and achieving optimal outcomes.
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