Effectiveness of Caring Practice Guidelines in Traumas to Reduce Risk of Bleeding due to Abdominal Trauma
Keywords:
Abdominal Trauma Patients, Bleeding Risk, Caring Practice GuidelinesAbstract
This study was aimed to study is the effectiveness of practice guidelines for caring for injured patients to reduce the risk of bleeding from abdominal injuries. The practice guideline was used in the Emergency department, Pediatric Ward, Male surgery ward, Female surgery ward and the intensive care unit of Krabi Hospital. Research Implementation was guided by the Soukup (2000) 4-step conceptual framework. (1) Search clinical problem (2) searching Evidence supported (3) developing evidence observed and (4) apply evidence based and evaluated.Purposive sampling technique was used for recruitment the participants in the study. There were 20 with abdominal injury relatives and 30 professional nurses. Research instruments were included 1) opinions of professional nurse on used of guidelines queationaires 15 item 2) nurse satisfaction queationaires 12 item 3) parents / injured patients satisfaction questionnaires 12 item. Data were analyzed using descriptive statistics.
The results showed that the guideline was possibility to use with 100% satisfisatisfaction collecting from the study participants. The study outcome regarding practical guideline indicator section has an achievement; however only one item which measure the percentage of patients receiving care after discharge from the hospital is unsuccessful. Professional nurses were satisfied with the use of the guidelines and the score was at the high level (M = 4.68, SD = 0.46) and the parents / injured patients were satisfied with the use of the guidelines and the score was also at a high level (M = 4.78, SD = 0.41) Therefore, this guideline can be used as a guideline for caring for the injured patient in order to reduce the risk of bleeding from abdominal injuries resulting in good results for patients.
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