The Development of a Model for Enhancing Nursing Competency in Caring for Septicemia Patients in the Medical Intensive Care Unit at Prapokklao Hospital
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Abstract
BACKGROUND: Septicemia is a leading cause of death. Nurses play an important role in caring for septic patients. Therefore, nursing competency development in caring for these patients is essential.
OBJECTIVES: To develop and study the effectiveness of a model for enhancing the nursing competencies in caring for patients with septicemia.
METHODS: A research and development method with four phases was applied. These phases included Phase I: a situational study; Phase II: Enhancement Model development for caring for septicemic patients; Phase III: a pilot study, and Phase IV: an effectiveness study. Participants consisted of professional nurses with more than 10 years’ experience, two doctors, 7 professional nurse more than 3 years’ experience and 14 professional nurses with less than three years’ experience. The research instruments included a group discussion guide, the enhancement model, a knowledge examination, a skill evaluation form, and an outcome evaluation form on patients and quality of care. The data were analyzed using descriptive statistics, Wilcoxon test statistics, and content analysis.
RESULTS: The results revealed that: The new graduate professional nurses were less competent in caring for septicemic patients; therefore, the development must provide the professional nurses who care for these patients with equal knowledge and nursing skills. The GROW Model of Nursing Competency Enhancement consisted of goal setting (goal), coaching questions to motivate trainees to think (Reality), to find options in problem solving (option), and to formulate a patient care plan (will/way forward). A pilot study found that the mean score of knowledge and skills in caring for patients with septicemia significantly increased (p < 0.05). In terms of the effectiveness of the model, the mean score of knowledge in caring for the patients with septicemia significantly increased (p < 0.05). Nursing coaches and trainees were satisfied with the overall model at a high level. Overall patient outcomes were at a good level and patients had shorter lengths of stay.
CONCLUSIONS: The Developed Effective Enhancement Model for caring for patients with septicemia is effective to develop professional nurses' competencies in caring for these patients, leading to nursing service quality improvement and patient outcomes.
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References
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