A Development of Caring Model for Sepsis Patients in the Medical Wards, Nan Hospital
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Abstract
This research and development study aimed to develop and evaluate a caring model for sepsis patients in the medical ward of Nan Hospital. The research was divided into 3 phases. Phase 1: Situational analysis included 1) in-depth interviews of 20 members of the multidisciplinary health care team in the medical wards and 2) focus group discussions among nine members who developed the caring model. Phase 2: Developing and implementing the Caring Model included the development of the model by conducting two focus group discussions among 8 health care members who would use the model for their opinions regarding the model and implementation of the model in the medical ward for 3 months. Phase 3: Model Evaluation was carried out by comparing clinical results before and after using the model. The quantitative data were analyzed using percentage, mean, Chi-Square tests, and the Mann-Whitney U Test while content analysis was performed for qualitative data analysis. The results showed that in Phase1, factors affecting the care for sepsis patients included the duration of the diagnosis and treatment of sepsis, dissemination of caring guidelines to personnel at all levels, communication among multidisciplinary teams, and monitoring and supervising the multidisciplinary team to follow the guidelines. Phase 2: the caring model for sepsis patients comprised 1) early screening and prompt treatment for high-risk patients, 2) workforce management using skill mixed nursing care team, 3) providing a workshop to enhance update knowledge for the multidisciplinary team, 4) creating a manual for nursing practice, and, 5) establishing a system for monitoring and supervising the multidisciplinary care team. Phase 3: after implementation of the 3-month study, it was found that the number of patients who received early diagnosis and prompt treatment of sepsis was significantly increased (χ2=13.017, p<.05). The number of patients who suffered from septic shock and mortality rate statistically significant decreased (χ2=10.80, χ2=1.92, p<.05)
Article Details
บทความและรายงานวิจัยในวารสารพยาบาลกระทรวงสาธารณสุข เป็นความคิดเห็นของ ผู้เขียน มิใช่ของคณะผู้จัดทำ และมิใช่ความรับผิดชอบของสมาคมศิษย์เก่าพยาบาลกระทรวงสาธารณสุข ซึ่งสามารถนำไปอ้างอิงได้
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