The development of care model in patients with multiple trauma at emergency department Nongkhai hospital

Abstract

      Action Research aimed to develop and evaluate the use of a multi-system model of care for trauma patients in the accident and emergency department. Nong Khai Hospital. It is adapted from the concept of Advanced Trauma Life Support (ATLS) guidelines. The sample group is Nurses caring for 13 multi-system injury patients and 30 multi-system injury patients. Tools used to collect data include:1) Form for recording personal information of patients with multi-system injuries and nurses caring for patients with multi-system injuries. 2) Form for assessing the difficulty - ease and feasibility of activities. 3) Assessment of ability to follow guidelines. 4) Questionnaire on nurses' satisfaction with the use of the format 5) a form to record patient outcomes from using a multi-system model of care for trauma patients. Data were analyzed using frequency, percentage, mean, and standard deviation.
     The results of the study found that the multi-system trauma care model is a record type for use in initial assessment and screening. Assessment and assistance in the first phase, assessment and assistance in the second phase and preparation for discharge/Admit phase. After applying the model, it was found that most of the guidelines created had a level of difficulty - ease and feasibility of use. At the simplest level and nurses were able to follow this guideline at the highest level, 88.90 percent. Clinical outcome assessments achieve the goals set for every indicator. Results of this study shows that A multi-system model of care for injured patients has been developed. It is possible to put it into practice. and can increase the quality of care for injured patients in many systems as well