Evaluation of Nursing Management for Patient Under investigate and COVID-19 Patient, Samutsakhon Hospital.

Abstract

Objective: The purpose was to evaluate the results of nursing management for patients under investigate and COVID-19 patients at Samutsakhon Hospital, in aspects of setting up nursing service and outcomes of nursing service for patients under investigate and COVID-19 patients.

Methods: The “CIPP model” was used in this study. The studied samples were 27 persons of focused groups of hospital administrators, nurse administrators, and healthcare providers who worked at the in-patient units and field hospitals; and 75 COVID-19 in-patients. In–depth interview forms and patient satisfaction questionnaire between were used for data collection 17 December 2020 to 31 March 2020. Quantitative data were presented by descriptive statistics and qualitative data by content analysis.

Results: Evaluation of the outcomes of nursing service for patient under investigate and COVID-19 patient showed that 1) structure of the management for COVID-19 patient in Samutsakhon Hospital had an appropriate structure corresponding with organizational context and policy in COVID–19 prevention and control. Teamwork and employee engagement were encouraged to develop and improve the quality and feasibility of the services. These mechanisms were used to help people, healthcare personnel, and society. The hospital administrators have supported academic information, resources, welfare, and risk compensation  appropriately and continuously. The developmental proceses were adequate. Moreover, the staff understood the principle and guidelines of infection control. Shared resources by rotating medical staff from all related units. 2) Evaluation of the proceses showed that adequately updated information was provided to increase knowledge and skills for staff working. The original administration structure was applied for setting the master plan. Healthcare service systems and working processes were operated by the infectious control department. All units had regular meetings to evaluate the working proceses. The medical resources preparation and training of staff and related persons were performed. 3) Evaluation of outcomes from 17 December 2020 to 31 March 2020 revealed extended ward to prepare from 25 beds up to 233 beds and field hospitals of 3 areas with 2,160 beds. About the efficacy of patient screening for referral in yellow and red groups to high potential hospitals found 6 deaths whreas a green group referral to region 5 found no mortality.

Conclusion: In conclusion, the evaluation of nursing management for COVID-19 patient in Samutsakhon Hospital showed several advantages in the services. The results are suggested to use as the model development nursing management for in-patient. The patient would receive the best care and be safe from the infection. The prompt and continuous services would increase clients’ satisfaction. The organization should readily prepare for respiratory infection disease or emerging diseases.