Research and Development of a Participatory Care Model for Patients with Sepsis at Sribanphot Hospital, Sribanphot District, Phatthalung Province
Keywords:
Sepsis, Care Model, Interprofessional TeamAbstract
This research aimed to (1) examine problems and gaps in the sepsis care system at Sribunpot Hospital, (2) develop a participatory sepsis care model appropriate for community hospital contexts, and (3) evaluate outcomes of the model, including clinical processes, knowledge, attitudes, practices of healthcare personnel, and patient satisfaction. The study employed a 4-phase Research and Development (R&D) methodology combined with a Participatory Action Research (PAR) approach. Participants included 45 sepsis patients and 15 nursing staff. Six research instruments were validated for content validity (IOC ≥ 0.80) and reliability (α = 0.82–0.88). Data analysis utilized descriptive statistics, paired t-tests, and qualitative content analysis.
Results revealed that (1) pre-intervention problems included delayed screening, fragmented communication between Emergency Room (ER) and Inpatient Department (IPD), incomplete Sepsis Bundle compliance, and inadequate documentation; (2) the developed care model comprised Sepsis Pathway Version 2, SCN-01 communication form, Sepsis Emergency Kit, and participatory communication system, validated by experts (IOC = 0.92); (3) evaluation outcomes showed significant improvements in staff knowledge from 5.60±1.41 to 7.10±1.53 (p<0.001), attitudes from 3.47±0.32 to 3.99±0.35 (p<0.001), and practices from 3.32±0.28 to 3.92±0.33 (p<0.001). Sepsis Bundle compliance improved across all components, with time-to-antibiotic within 1 hour increasing from 46% to 72%. Staff satisfaction was high (x̄=4.39, S.D.=0.51). The findings demonstrate that the participatory sepsis care model effectively enhanced knowledge, attitudes, and practices among healthcare personnel while improving care quality to align with international standards. The model is suitable for implementation in community hospitals with similar contexts.
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