Development of Nursing Practice Guidelines for Sepsis Patients In the Accident and Emergency Unit at Thatphanom Crown Prince Hospital
Keywords:
Nursing practice guidelines, Patients with sepsisAbstract
This developmental research aimed to improve and evaluate the quality of nursing practices for patients with sepsis in the Accident and Emergency Department of Thatphanom Crown Prince Hospital. Sample size were 15 professional nurses working in the emergency department. Somdej Phra Yupparat That Phanom Hospita The tools included the nursing practice guidelines for patients with sepsis in the Accident and Emergency Department and an assessment form for the feasibility of implementing these nursing practices. The developed nursing practices were validated for content accuracy by five experts, achieving a total content validity index (S-CVI) of 1. Data analysis of the implementation evaluation was conducted through frequency and percentage.
The research found that: 1) The nursing practice guidelines for patients with sepsis in the Accident and Emergency Department comprised four categories: screening patients for symptoms of sepsis, providing care according to the Resuscitation Bundle within the first 6 hours, monitoring and follow-up of patients under the Resuscitation Bundle, and assessment and discharge from the emergency department. 2) The feasibility assessment of implementing the nursing practice guidelines by 15 professional nurses working in the emergency department showed that 94.5% of the sample found the guidelines easy to implement, and 98.2% believed the practices were applicable in reality.
References
Singer, M.; Deutschman, C.S.; Seymour, C.W.; Shankar-Hari, M.; Annane, D.; Bauer, M.; Bellomo, R.; Bernard, G.R.; Chiche, J.-D.; Coopersmith, C.M.; et al. The Third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-3). JAMA 2016; 315, 801–810.
Mehta Y, Kochhar G. Sepsis and Septic Shock. Journal of Cardiac Critical Care TSS 2017; 1(1): 3-5.
Chiu, C.; Legrand, M. Epidemiology of sepsis and septic shock. Curr. Opin. Anaesthesiol. 2021; 34, 71–76.
กองตรวจราชการ กระทรวงสาธารณสุข. เล่มแผนการตรวจราชการกระทรวงสาธารณสุข ประจำปี2562. [อินเทอร์เน็ต].2562[เข้าถึงเมื่อ 29 มกราคม 2567]. เข้าถึงได้จาก: http://bie.moph.go.th/einsreport/
WHO. Global Report on the Epidemiology and Burden of Sepsis: Current Evidence, Identifying Gaps and Future Directions; World Health Organization: Geneva, Switzerland, 2020.
World health Organization. Improving the prevention, diagnosis and clinical management of sepsis; 2017.
Gotts EJ, Matthay AM. Sepsis: pathophysiology and clinical management. British Medical Journal; 2016.
Bloos F, Thomas-Ruddel D, Ruddel H, Engel C, Schwarzkopf D, John CM. Impact of compliance with infection management guidelines on outcome in patients with severe sepsis: a prospective observational multi-center study. Critical Care 2014; 18(2): R42.
The Joanna Briggs Institute. (2008). JBI levels of evidence and grading of recommendations. Retrieved January 29, 2023, from http://jbiconnect.org/connect/info/jbi_ebhc_approach.php
ศศิวิมล ศิริรักษ์ และทัศนี ประสบกิตติคุณ. ปัจจัยทำนายการปฏิบัติการพยาบาลตามหลักฐานเชิงประจักษ์ของพยาบาลเด็ก. Journal of Nursing Science 2016; 34(1), 5-15
บุญใจ ศรีสถิตนรากูร. ระเบียบวิธีการวิจัยทางพยาบาลศาสตร์ = The methodology in nursing research. พิมพ์ครั้งที่ 4. กรุงเทพฯ: คณะพยาบาลศาสตร์ จุฬาลงกรณ์มหาวิทยาลัย; 2550
Geoffrey EH, Rachel ET, Rachel S, Joseph DL, Aaron MB, Andrew JS. et.al. Triage sepsis alert and sepsis protocol lower times to fluids and antibiotics in the ED. American Journal of Emergency Medicine 2016; 34(2016): 1-9
กองการพยาบาล สำนักปลัดกระทรวง กระทรวงสาธารณสุข. บทบาทหน้าที่ของพยาบาลวิชาชีพ. พิมพ์ครั้งที่ 1. บริษัท สำ นักพิมพ์สื่อตะวัน จำกัด; 2561
Margaret, M.D., Isabel, F.M., Mary, A.D., & Joyce, J.F. (). Impact of a sepsis educational program on nurse competence. The Journal of Continuing Education in Nursing 2015; 46(4), 179-186.
