THE IMPACT OF IMPLEMENTING A NURSING PRACTICE GUIDELINE OF PREVENT ACCIDENTAL EXTUBATION IN CRITICAL CARE UNIT AT SAWANG DAENDIN CROWN PRINCE HOSPITAL.

Abstract

      This quasi-experimental research objective is: 1) compare nurses' knowledge; 2) compare the proportion of nurses who performed correct practice; 3) study nurses' satisfaction levels; and 4) examine the incidence of endotracheal tube prolapse before and after implementing the nursing practice guidelines for preventing endotracheal tube prolapse in critically ill nursing at Sawang Daendin Crown Prince Hospital. Thirteen nurses who implemented the guidelines were enrolled between May and September 2025. The research instruments included a personal data assessment form, nursing knowledge, and practice, and a satisfaction survey. Data collection tools included a general questionnaire and an observation record. Data were analyzed using descriptive statistics, standard deviation, and a paired t-test.

      Results: The nurses who implemented the guidelines had a moderate level of knowledge (76.92%) before implementation. The nurses who implemented the guidelines were at a high level (100%). Professional nurses correctly followed the guidelines (55.77%) before implementation and 96.58% after implementation. Nurses who implemented the guidelines were highly satisfied, with a mean score of 4.84. The incidence of endotracheal tube prolapse was also found. Before using the guidelines, 13.33 percent and after using the guidelines, 2.22 percent (p < 0.05).