Quality of care management in children with febrile convulsion of a government hospital in Samutsakhon province

Abstract

Background: This research is a descriptive research in a retrospective study to study the quality of care management for children with high fever seizures who were admitted in the pediatric wards, a public hospital in Samutsakhon province. Methods: The samples were from 221 files of medical records of pediatric patients diagnosed with Febrile Convulsion who were treated at the pediatric ward from October 2016 to September 2018 and from the nurses who had been working in the pediatric ward during the time. Data collected was purposive sampling. The instrument used to collect data from medical records consisted and collect data from nurses consisted. Data were analyzed by descriptive statistics and one sample t-test Results: The results showed that there were 3 aspects on the quality of caring management process of pediatric patients with high fever seizures which were 1) Independent Role that could not be implemented at all in which the distribution plan using the D METHOD principle has the least clear record of 2.7%. 2) In all roles cooperating with doctors can perform 100 %. 3) The roles with other health team personnel, it is not possible to perform all tasks by contacting and coordinating with the laboratory (Lab) to monitor the results of the laboratory in an appropriate period with a principle has the least clear record of 9%. According to the quality of outcomes of care management for children with high fever seizures found that there was a recurrence of seizures during the hospital admittance at 6.8 percent with the average days of sleep was 2.8 days (SD = 2.53). Most of the nurses had less than 80% knowledge of caring for children with high fever (68.8%) and were satisfied with the nursing practice guidelines for children with high fever seizures. However, when comparing the mean scores of knowledge in taking care of children with high fever seizure with the specified criteria at 80 percent with the One Sample t-test statistics, it is less than the specified criteria at statistical significance (t15 = -48.577, p <.001). Conclusion: The results of this study can be used to develop professional competencies in two areas, namely knowledge development Ability to perform nursing activities in pediatric patients with high fever seizures and develop the independent role of nurses in the medical record section clearly.