Effectiveness of Clinical Nursing Practice Guideline for the trauma patient with multiple injury In Emergency Department, Udon Thani Hospital

Abstract

This action research study aimed to study the effectiveness of Clinical Nursing Practice Guideline (CNPG) outcome of the trauma patient in emergency room (ER) and satisfaction of registered nurses on CNPG usage. The sample consisted of 40 critically multiple injuries and 31 registered nurses working in the emergency room, Udon Thani Hospital. The research instrument used in this study was Clinical  Nursing Practice Guideline developed from Clinical Nursing Practice Guideline (CNPG) for the trauma  patients with multiple injury of Asst. Prof. Dr. Krongdai Unhasuta and Trauma Nursing Network of      Thailand 2016. The case record form used for data collection included patient characteristic, the injury, results after use CNPG, nurse characteristics, satisfaction (questionnaire 12 items) Data were analyzed using frequency, percentage, mean, standard deviation, median, interquatile and Paired Sample T-test

The trauma patient, most of them were male ( 87.5%) age between 15-77 years old (median 37.5, IQR 29). Arrive at hospital during 4-12 PM. (42.5%), causes were traffic accidents 87.5%. Part  of  injury were head and abdominal, 35.0% and 25.0% respectively. Time in Emergency room between 35-185 minutes (median 88.5, IQR 46). The result shown that Shock Index of trauma patient after using CNPG was significant lower than before used (p = 0.007) with oxygen saturation was significant higher than    before used (p = 0.001). The registered nurse satisfaction after using CNPG was in the good level (x̄=4.48, S.D. 0.45).

Clinical Nursing Practice Guideline could improved quality of care with the registered nurses had been satisfied. Implementation for effective supervision of trauma patients in Emergency Department should be considered.