The Development of a Clinical Nursing Practice Guideline for Prevention of Increased Intracranial Pressure in Patients with External Ventriculostomy at Phra Nakhon Si Ayutthaya Hospital
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Abstract
The purpose of this action research study were 1) develop a clinical nursing practice guideline and 2) examine effectiveness of clinical nursing practice guideline to prevent increased intracranial pressure among patients with external ventricular drainage in Phra Nakhon Si Ayutthaya Hospital. The clinical nursing practice guideline utilization was developed using the evidence-based practice as a framework. The developed clinical pathway was construct validated with AGREE II by 7 experts and adjusted for better application. The participants were included 30 registered nurses and 40 patients.
The results of this study found that the important develop technique on nursing intervention to prevent increased intracranial pressure among patients with external ventricular drainage were eight core nursing interventions included 1) patient positioning 2) external ventricular drainage system positioning 3) dressing change 4) external ventricular drainage bag and catheter care 5) cerebrospinal fluid (CSF) care 6) CSF volume documentation 7) monitoring the risk during transfer mobilization and 8) monitoring clinical signs of IICP after EVD was removed. The effectiveness outcome was high performance nursing care among patients with external ventricular drainage and high to highest level of satisfaction scores. The result of this study was safer patient and personnel. It should be continuing patient care.
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เนื้อหาและข้อมูลในบทความที่ลงตีพิมพ์ในวชิรสารการพยาบาลถือเป็นข้อคิดเห็นและความรับผิดชอบของผู้เขียนบทความโดยตรง ซึ่งกองบรรณาธิการไม่จำเป็นต้องเห็นด้วย หรือร่วมรับผิดชอบใด ๆ ทั้งสิ้น
บทความ ข้อมูล เนื้อหา รูปภาพ ฯลฯ ที่ได้รับการตีพิมพ์ในวชิรสารการพยาบาล ถือเป็นลิขสิทธิ์ของวชิรสารการพยาบาล หากบุคคลใดหรือหน่วยงานใดต้องการนำทั้งหมดหรือส่วนหนึ่งส่วนใดไปเผยแพร่ต่อหรือเพื่อกระทำการใด ๆ จะต้องได้รับอนุญาตเป็นลายลักอักษรจากวชิรสารการพยาบาลก่อนเท่านั้น
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