Effectiveness of Clinical Nursing Practice for Warning on Deteriorate of Patients in Premium Ward Uttradit Hospital

Abstract

This quasi-experimental research aimed to study the effects of implementing clinical nursing guidelines for monitoring warning signs of patient deterioration and to compare the incidence of deterioration and patient transfers between those who received the clinical nursing guidelines for monitoring warning signs of patient deterioration in the Premium Ward at Uttaradit Hospital. The sample consisted of two groups: 1) The Patient group was selected by purposive sampling and divided into control and experimental groups. The control group comprised 40 patients treated in the ward before using the SOS score assessment from April 1-30, 2024. The experimental group included 40 patients who used the SOS score assessment and received treatment in the ward from May 1-31, 2024. Data were analyzed using descriptive statistics, chi-square test, and paired t-test.           

The results showed that monitoring warning signs of patient deterioration using critical warning signs and SOS score, including heart rate, respiratory rate, systolic blood pressure, and average urine output over 4 hours, was significantly better in the experimental group compared to the control group (p < .05). However, body temperature and overall average SOS scores did not differ significantly (p > .05). The incidence of deterioration, complications, and patient transfers from the Premium Ward, including discomfort, blood pressure changes, high body temperature, low body temperature, dizziness, and oxygen saturation below 95%, was significantly lower in the experimental group compared to the control group (p < .05). Breathing difficulties, unconsciousness, deterioration requiring intubation did not differ significantly between the groups (p > .05). Regarding transfers out of the Premium Ward, the experimental group had significantly fewer transfers than the control group (p < .05). However, transfers to general wards and ICU did not differ significantly between the groups (p > .05). No patient deaths were reported in the Premium Ward at Uttaradit Hospital