Development of nursing care model for prevention hospital acquired pneumonia (HAP) in female inpatients ward at Yangtalat Hospital, Kalasin Province.

Abstract

     This study was action research aimed to study situation, problems and develop model for preventing hospital acquired pneumonia (HAP) in female inpatient ward of Yangtalat Hospital, Kalasin Province. Sample size were 32 patients at risk of hospital-acquired pneumonia. Research was conducted from October 2023 to September 2024. Research tools instruments included a general information questionnaire, a nurses' practice assessment form according to the Bundle of Care in infectious disease control, a knowledge assessment form for caregivers, and a satisfaction assessment form. The data were analyzed using descriptive statistics. And inferential statistics in pre-post test developed with pared t-test statistics.
     Study results found that the development consisted of 7 important processes: 1) Develop a surveillance system for all patients admitted to the female ward using a surveillance sheet as a tool for the operation. 2) Promote and establish a system for ICWN training every 2 weeks for all units, at least 1 person per ward. 3) Plan a refresher training course on infection diagnosis for nurses responsible for infection prevention and control (IPC) who are system administrators in the ward, by coordinating with the ICN that oversees the IPC system to cover the entire Yang Talat Hospital. 4) Apply the Bundle of Care to care for all patients under surveillance. 5) Find problems in the infection surveillance system, prioritize problems, and resolve problems according to urgency. 6) Establish a sub-group LINE for easy coordination and information sharing. 7) Develop a coordination system and work tracking system through supervisors for monitoring and supervision. The results of implementing the guidelines found that nurses had increased skills in caring for patients according to the Bundle of Care. The statistical test found that knowledge of caregivers increased and patients' satisfaction increased. At a statistical significance level of .05 (t =14.72, 11.49, respectively).