Development of a Care System for Patients with Bloodstream Infections at Phon Na Kaeo Hospital, Sakon Nakhon Province.
Keywords:
Sepsis, bloodstream infection patients, care system for bloodstream infections, Phon Na Kaeo Hospital, Sakon Nakhon ProvinceAbstract
This study employed an action research design aimed to develop and evaluate the outcomes of a care system for patients with bloodstream infections at Phon Na Kaeo Hospital, Sakon Nakhon Province. This study employed an action research design. The participants included 36 healthcare team members (physicians, registered nurses, medical technologists, radiologic technologists, pharmacists, and nutritionists) and 35 patients diagnosed with bloodstream infections who received services from initial presentation through hospital admission at Phon Na Kaeo Hospital, Sakon Nakhon Province. The study was conducted over a three-month period from August to November 2025. Data collection tools—questionnaires for healthcare providers and patients, consisting of general information, knowledge assessment, satisfaction, adherence to clinical guidelines, and feasibility of system use; and (2) an intervention tool—the developed care system for patients with bloodstream infections. Data analysis included descriptive statistics for general data, and mean and percentage for knowledge, practice, satisfaction, and feasibility. Comparisons of knowledge, practice, and satisfaction before and after the intervention were analyzed using paired t-tests. Outcome indicators of patient care were compared using mean and percentage values.
Results: The findings revealed that: The mean knowledge score of healthcare providers after the intervention was significantly higher than before (p < 0.05). The mean practice score increased after system development but was not statistically significant (p > 0.05). Satisfaction with the care system among both groups was significantly higher after the intervention (p < 0.05). Additionally, 100% of healthcare providers agreed on the feasibility of implementing the system. All patient care outcome indicators improved after the intervention.
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