The Development of Nursing Supervision Model in Nursing care for Sepsis Patients
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Abstract
BACKGROUND: Unsuitable nursing supervision on sepsis, unclear nursing guidelines and nursing supervision model negatively impact nursing and patient outcomes, leading to increased risk of mortality among patients.
OBJECTIVES: This research and development study aimed to develop a Supervision Model for Nurses to Care for Sepsis patients (SNS), and to examine the effectiveness of the model.
METHODS: This study utilized a research and development design. Samples comprised registered nurses at Phraputthabat Hospital, including 25 nursing supervisors, 50 supervised nurses, and 67 sepsis patients. The experimental instrument was the SNS. Additional instruments included the assessment form for nursing knowledge about sepsis care and the nursing care practice following the sepsis care guidelines, as well as the supervision knowledge assessment form for nurse supervisors and satisfaction with the SNS. These instruments were tested for validity by an expert panel with reliability between 0.80 and 0.90 retrospectively. The research methodology included 3 phases that comprised the situation analysis, the development of the SNS, and the implementation of the SNS. Data were collected from May 1, 2024 to August 31, 2024. Study data were analyzed by using content analysis, frequency, percentage, mean, S.D., Chi-square, and t-test.
RESULTS: After using the SNS, the results showed that the nurse supervisors had average scores for supervision knowledge that were statistically and significantly higher than before using the model (p<0.001). The satisfaction scores of the nurses with the SNS were at a higher level (4.4±0.7). The supervised nurses had average scores for sepsis care knowledge and nursing care following the guidelines of sepsis that were statistically and significantly higher than before using the model (p<0.001). The satisfaction scores for the nurses to the SNS were at a higher level (4.2±0.2). The patient outcomes showed that the complications and patient mortality of the group using the SNS were statistically and significantly lower than the group not using the SNS (p<0.05).
CONCLUSION: The SNS enhances the quality of care and outcomes of sepsis patients.
Thaiclinicaltrials.org number, TCTR20241030011
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