Model Development and Evaluation the Effectiveness of a Family-Centered Care for Pediatric Patients with Acute Lower Respiratory Tract Infections at Phrapokklao Hospital, Thailand
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Abstract
BACKGROUND: Acute lower respiratory tract infections in children under 5 years old are the most common causes of illness and death. Therefore, there is a need to develop an effective nursing model.
OBJECTIVES: To develop and study the effectiveness of a nursing model for pediatric patients with acute lower respiratory tract infections, with the family at the center.
METHODS: This is a research and development study. The sample group consisted of 26 professional nurses in the pediatric ward and 34 children with acute lower respiratory tract infections and their families. The research tools included the developed nursing model for pediatric patients with acute lower respiratory tract infections centered on the family, and a guidebook for families or primary caregivers in caring for pediatric patients with acute lower respiratory tract infections at Phrapokklao Hospital. The tools used for data collection include an assessment form on the knowledge of professional nurses in caring for pediatric patients with acute lower respiratory tract infections. An assessment form on the ability to evaluate warning signs for families/primary caregivers. An assessment form on nursing model satisfaction for professional nurses. And an assessment form on satisfaction for families/primary caregivers. Data will be collected from August to November 2024 and analyzed using descriptive statistics, including frequency, percentage, mean, and standard deviation, as well as inferential statistics such as the Paired T-Test.
RESULTS: The average knowledge score of professional nurses in caring for pediatric patients with acute lower respiratory tract infections and the ability of families or primary caregivers to assess warning signs for pediatric patients after the development was significantly higher than before (p<0.05). The average hospital stays, incidence of unplanned PICU admissions, and complication of diseases in children with acute lower respiratory tract infections decreased significantly after the development (p<0.05). Family or primary caregivers' satisfaction with the care provided to children with acute lower respiratory tract infections and the professional nurses' satisfaction with the nursing model was the highest, with average scores of 4.4±0.4 and 4.4±0.4, respectively.
CONCLUSIONS: The nursing model for pediatric patients with acute lower respiratory tract infections centered on families at Phrapokklao Hospital helped reduce the length of hospital stays, unplanned PICU admissions, and contributed to better involvement of families or primary caregivers in the care of pediatric patients.
Thaiclinicaltrials.org number, TCTR20250111001
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References
Sitthikarnkha P, Uppala R, Niamsanit S, Sutra S, Thepsuthammarat K, Techasatian L, et al. Epidemiology of acute lower respiratory tract infection hospitalizations in Thai children: a 5-year national data analysis. Influenza Other Respir Viruses 2022;16:142-50.
Thokngaen J, Karoonboonyanan W. Pediatric respiratory severity score evaluates disease severity of respiratory tract infection in children. Chulalongkorn Medical Journal 2019;63:41-6.
Safiri S, Mahmoodpoor A, Kolahi AA, Nejadghaderi SA, Sullman MJM, Mansournia MA, et al. Global burden of lower respiratory infections during the last three decades. Front Public Health [Internet]. 2023 [cited 2024 Oct 30];10:1028525. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC9869262/pdf/fpubh-10-1028525.pdf
Ball JW, Bindler RC, Cowen KJ. Principles of pediatric nursing: caring for children. 5th ed. London: Pearson; 2011.
Srasom C, Klunklin P, Thaiyapirom N. Effectiveness of preventive interventions for acute lower respiratory tract infection among children under the age of five: a systematic review. Nursing Journal 2011;38(4),123-42.
McCarthy E, Guerin S. Family-centred care in early intervention: a systematic review of the processes and outcomes of family centred care and impacting factors. Child Care Health Dev 2022;48:1-32.
Sanprasan P, Kulpakdee R, Wonganantnont P. Study the integrated nursing supervision process in clinics based on the recognition of professional nurses in private hospitals. Journal of The Royal Thai Army Nurses 2020;21(2):400-10.
Seniwati T, Rustina Y, Nurhaeni N, Wanda D. Patient and family-centered care for children: a concept analysis. Belitung Nurs J 2023;9:17-24.
Cheevakasemsook A. New clinical nursing supervision with 2P safety: concept and application. Journal of The Royal Thai Army Nurses 2020;21(2):9-17.
Seanpook W, Srisong S, Sansuriwong P. The development of the care model for children with pneumonia. Journal of Nursing Division 2020;47(1):153-72.
Seema T. The effects of health literacy promotion program for caregivers of Pediatric patients with Acute bronchitis in ward of Namnao hospital. Research and Development Health System Journal 2024;17(2):183-96.
Srikhaorot O, Prachusilpa G. Effect of using the standard of nursing care model for pediatric acute respiratory tract infection with pediatric early warning system on professional nurse’s satisfaction. Journal of Nursing Science Chulalongkorn University 2022;34(1):51-64.