Development of Nursing Service Model for Transfer of Critically Ill and Emergency Patients from Standard-Level Hospital to Advance-Level Hospitals

Abstract

This action research to development of nursing service model for transfer of critically Ill and emergency patients and study the results of implementation. The sample was carried out by purposive sampling with nursing personnel who are on duty to refer critical and emergency patients, Srisangwan Hospital total of 80 people and patient referral records, during January 1, 2024 to June 30, 2024. The tools used to conduct the research include the nursing service model for transfer of critically Ill and emergency patients. The tools used to collect data include the personnel data recording form, opinion assessment form, knowledge assessment form, nursing practice survey, satisfaction assessment form and patient safety incident record. Passed the IOC between 0.87-1.00 and tested Cronbach's alpha coefficient equal to 0.91, 0.90 and 0.96. The data were analyzed with descriptive statistics, including frequency, percentage, mean, standard deviation, and inferential statistics, as follows; Paired Samples t-test and Fisher’s exact probability test. The results of the study showed that; nursing service model for transfer of critically Ill and emergency patients, it consists of 3 stages: pre-referral, during referral and post-referral. Overall, most of the nursing personnel who are on duty to refer critical and emergency patients agree with the model that has been developed to a high extent. (X ̅=4.18, S.D.=0.37) The results after using the model showed that; Nursing personnel are knowledgeable about transfer of critically Ill and emergency patients from standard-level hospital to advance - level hospitals has increased statistically significantly (p<.05). Able to perform nursing operations to refer critical and emergency patients to advance-level hospitals. This is a statistically significant difference from 80.00% to 96.00%, which is a statistically significant difference (p<.05). Statistically significant reduction in patient safety incidence (p<.05) and nursing personnel are very satisfied with the model. (X ̅=4.20, S.D.=0.27) This model helps to develop the knowledge, skills, and operational abilities of the nursing staff team, patients are safe, there are no life-threatening complications.