Development of Nursing Practice Guidelines for Septic Shock Patients at Department of the Intensive Care Unit, Wanonniwas Hospital, Sakon Nakhon Province.
Abstract
Objectives : This action research aimed to study about the development of nursing practice guideline for septic shock patients at department of the intensive care unit, Wanonniwas Hospital, Sakon Nakhon Province.
Materials & Method : This study was the action research. The samplings were 17 register nurses who work in the intensive care unit and 20 patients who admitted due to septic shock. The data was collected on the month of January – March, 2020. The process of study were 1) plan; improved nursing guideline for septic shock, 2) DO; used guideline in the routine, 3) check; study about the result of implementation guideline and 4) act; solved the problem by improved nursing guideline for septic shock. The instruments consisted 2 parts including 1) the questionnaires about register nurse such as personal factors, nursing guideline and check list about nursing guideline for septic shock patient, and the questionnaires of satisfaction to use nursing guideline for septic shock, 2) the report of patient outcome. The data were analyzed using descriptive statistics comprising frequency, percentage, mean and standard deviation.
Result: The findings showed that majority of register nurses were female (94.1%), aged less than 30 year (58.58%), status single (58.8%) , with education level at bachelor’s degree (100%), working experience at the hospital less than 5 year (58.8%), and working experience in the intensive care unit (94.1%). The intervention for septic shock all of the nursing guideline was the level of high ( = 3.98, S.D.= 0.48), through the crisis nursing care of septic shock ( = 3.98, S.D.= 0.48) and continuing nursing care ( = 3.99, S.D.= 0.50) phases were the level of high. The average length of time that the septic shock patients were cared in the crisis phase was 178.3 minutes (S.D.=74.9 minutes) and nursing care in the crisis rated was 60%. The satisfaction of nurses with the guidelines at the highest level ( = 4.47, S.D.= 0.62).
Conclusion: The study showed the effective of the nursing practice guideline for septic shock in the intensive care unit that mean patient’s safety.
