Effects of Using Nursing Practice Guidelines Based on “Modified Early Warning Scores” for Patients with Sepsis in the Medicine Women Department at Buengkan Hospital

Abstract

The purpose of this quasi-experimental research was to study effects of using nursing practice guidelines based on “Modified Early Warning Scores” for patients with Sepsis in the Medicine Women Department at Buengkan Hospital.

The purposive sample was composed of 2 groups: 60 patients with sepsis and 12 nurses. The first group included 30 patients with sepsis before using nursing practice guidelines based on the MEWS, who were admitted from 1–30 March 2018 and the other 30 patients with sepsis after using nursing practice guidelines based on the MEWS, who were admitted from 1–30 May 2018. The second group comprised 12 professional nurses who worked at Medicine Women Department at Buengkan Hospital. Research tools were 2 types: 1) tools for using samples included Modifed Early Warning Scores (MEWS) record form and nursing practice guidelines based on the MEWS for patients with sepsis. 2) tool for evaluation included the nurse’s personal data, medical records, 6 the nurse’s possibility questionnaires and 4 the nurse’s satisfaction questionnaires. The questionnaires were approved by 3 experts in terms of content validity. The content validity index of the nursing practice guidelines based on the MEWS, the nurse’s possibility questionnaires and the nurse’s satisfaction questionnaires were 0.92, 0.90 and 0.85 respectively. Statistical techniques utilized in data analysis were frequency, percentage, mean, standard deviation, Chi-square test

The major findings were as follows. 1) The complication rate of patients with sepsis after using nursing practice guidelines based on the MEWS was 10.00%: Septic shock was decrease from 16.90% to 6.70%, acute renal failure was decrease from 26.40% to 3.30% and the mortality rate of those patients was zero. 2) The complication rate of patients with sepsis before using nursing practice guidelines based on the MEWS was significantly higher than the complication rate of patients with sepsis after using nursing practice guidelines based on the MEWS (p < 0.05). 3) professional nurses rated their possibility on nursing practice guidelines based on the MEWS at the high level. and their satisfaction on nursing practice guidelines based on the MEWS as a whole and each aspect at the high level.