The Study effectiveness of Clinical Nursing Practice Guideline for Life Threatening Condition in Traumatic Patients for Inter hospital Transfer in Ambulance Udonthani Hospital Network

Abstract

The purpose of this research was to study effectiveness of clinical nursing practice guideline for life threatening condition in traumatic patients for inters hospital transfer in Ambulance Udonthani Hospital Network. Study sample were 2 groups from 93 traumatic patients and 93 teams of the registered nurses who were submission traumatic patients to regional hospital in Udonthani province. The data were collected in September to November 2015. This study used the instruments which comprised of demographic data questionnaire and check list of nursing practice guideline for life threatening condition in traumatic patients and Satisfaction of nurse’s questionnaire and Knowledge examination of ATLS. Scale content validity was explored by three experts. Cronbach’s alpha coefficient was used to test reliabilities of check list of nursing practice guideline for life threatening condition in traumatic patients and satisfaction of nurse’s questionnaire and knowledge examination of nurse with ATLS (0.90, 0.80 and 0.92 respectively). Data were collected after completed patient submission and analyzed by using frequency, percentage, mean, standardized deviation.

The result revealed that: there were 162 nurses, most were female (88.89%) and experience 5-10 years (65.43%) and had working in Emergency department (38.87%). Most of patients were data with male (78.49%) age group 36-50 years old (19.35%) with diagnosis was traumatic brain injury (54.84%). The mean of end time for resuscitated in life threatening condition were 15.02 minutes and the total mean time of resuscitated and time in emergency room were 47.40, 79.75 minutes, respectively. There were no patient dead in ambulances. Eighty four teams (90.32%) had complete competency of teamwork. Refer teams had not clearly assignment, the first nurse (Leader) had not complete activity; checked resuscitate equipment, in assessment pulse rate, capillary refill time, remove patient’s cloths and warmth after assessment. The second nurse (member) had not complete in traumatic patient’s history. The total mean score nurse satisfaction was at the highest level ( Χ= 4.20, S.D. 60) and the highest segment mean score was the refer system had the guidelines for life threatening condition in traumatic patients ( Χ= 4.31, S.D. 71) The total mean score of ATLS knowledge in nurses was at the medium level ( Χ= 10.45, S.D. 1.52)