The Development of a Care Model for Patients with Multiple Injuries in an Emergency Room, Maharaj Nakhon Si Thammarat Hospital
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Abstract
Objectives: This research and development aimed to develop and evaluate the effectiveness of a care model for patients with multiple injuries in an emergency room, Maharaj Nakhon Si Thammarat Hospital. Method: The study was conducted in 3 phases: 1) analyzing problems and situations 2) developing a care model for patients with multiple injuries in an emergency room, and 3) examining the effectiveness of a multiple injuries patient care model in an emergency room. The samples consisted of 33 nurses who provided care for multiple injuries patients and 93 multiple injury patients. Data were collected by Patient Demographics Questionnaire, Nurse Demographics Questionnaire, Care Process Outcome Evaluation Form, Clinical Outcome Evaluation Form, and Organization Outcome Evaluation Form. Results: The Care Model for Patients with Multiple Injuries in an Emergency Room, Maharaj Nakhon Si Thammarat Hospital composed of 1) The care model for patients with multiple injuries and 2) Multiple injuries nursing team. After the model implementation, it was found that application and feasibility dimension was rated at high and very high level (> 80%), and the clinical outcomes were achieving the set target criteria for all indicators. Conclusion: The findings suggest that the care model for multiple injuries patients in an emergency room is appropriate for nurses to provide care for multiple injuries patients in order to achieve high standard of nursing care. Longitudinal study is needed for hospitalized of patients with multiple injuries. The model should be promoted for applying in other hospitals within similar context.
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References
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