Development of nursing practice model for patients with septicemia In the ward, Loengnoktha Crown Prince Hospital.

Abstract

     This research was action research aimed to develop and evaluate the effects of a nursing model for patients with bloodstream infections in the ward. The study was conducted between June 2021 - December 2021. The sample group were bloodstream infection patients. male and female 30 subjects were selected according to specific qualifications. Continuous follow-up assessment form Assessment form for nursing activities based on SOS Score condition, Sepsis Bundles recording form. Data were analyzed by means. standard deviation, percentage, and Manwitney U test.

     Results of the Phase 1 study Factors affecting the care of patients with septicemia were the duration of diagnosis of septicemia. dissemination of care guidelines for nurses thoroughly, communication and supervision of the model's compliance in Phase 2. Nursing practice models include 1) the use of tools to help screen at-risk patients quickly; 2) training. A workshop to enhance nurses' knowledge of modern practice guidelines for patients with bloodstream infections. 4) the preparation of a manual to be used as a guideline for nursing practice and 5) the establishment of a monitoring system for compliance with the model. Phase 3 After using the model for 3 months, it was found that the number of patients diagnosed with Infection and receiving care before shock was significantly increased at the 0.05 level (X2=13.017, p<0.05). with statistical significance at the 0.05 level (X2=10.80, X2=1.92 , p<0.05).