Study on the quality of care management for patients with bloodstream infection symptoms at the inpatient nursing unit, Lopburi Cancer Hospital.

Abstract

     This descriptive research aimed to study the quality of nursing care management in patients with bloodstream infection syndrome (BIS) included structure, process and outcome elements at the inpatient nursing unit, Lopburi Cancer Hospital based on the nursing role effectiveness model of Irvine and colleague as a conceptual framework. The purposive sampling groups consisted of: 69 professional nurses and 57 medical records of inpatients who were BIS and admitted in Lopburi Cancer Hospital from January 2021 to December 2023. The tool used to gather data from professional nurses including a knowledge assessment tool of care for patients with BIS and a practice questionnaire of care for patients with BIS. The data collection tools from personal information included medical records of patients with BIS, documented data of care process and outcomes. Data were analyzed using descriptive statistics.
     The results found that the quality of care management in structure element, the professional nurses had moderate levels of knowledge of care (57.97%) for patients with BIS. The quality of care management in process element, nurses didn’t follow constantly several processes according to the guidelines of care for patients with BIS. The quality of care management in outcome element, the patients with BIS were drawn blood for hemoculture in average time 29.61 minutes, 50.87% of all patients were done within the target time (not more than 30 minutes). The average time of antibiotic administration was 21.28 minutes, 84.21% of all patients receiving antibiotics within the target time (not more than 60 minutes). After providing care to patients with BIS according to guidelines, the sample groups had improved symptoms and were able to return to wards (66.70%) and 21.10% were discharged home.