Development of Emergency Nursing Practice Guideline for Blunt Abdominal Trauma Patients

Abstract

This research and development study aimed to develop and evaluate outcomes of the emergency clinical nursing practice guideline (CNPG) for blunt abdominal trauma patients. The study consisted of 3 phases. The phases were to: 1) survey the problems, obstacles, and needs of emergency nursing care for patients with blunt abdominal trauma, 2) develop guidelines for emergency nursing care for patients blunt abdominal trauma, based on Soukup model, and 3) evaluate the outcome of CNPGs. The sample consisted of blunt abdominal trauma patients before and after implement the guidelines 22 people and 20 people, respectively, and 12 register nurses who used the CNPGs. The research tools included surveys, interviews, assessments, and data records. Quantitative data were analyzed using percentages, means, and standard deviations. Comparing the outcomes of CNPGs on the incidence of acute kidney injury were used Chi Square test and Logistics Regression. Qualitative data were analyzed using content analysis. Results found that the problem of emergency trauma care was found that Emergency shock and associated mortality OR 7.37 (95% CI 2.37-22.96). The CNPG for blunt abdominal trauma patients consisted of six components. The CNPGs were approved with AGREE II (75.6-88.4 %). The feasibility of the CNPGs implementation was at a high level. Evaluating the outcomes of CNPGs on the rates of acute kidney injury before and after using the guidelines were 22.7% and 10.0% respectively that were not significantly different (p>.269).