Development of nursing model for patients with sepsis by community participation of Wapipathum Hospital, Mahasarakham Province.

Abstract

     This research was participatory action research. Aim to develop and use a model for Development of nursing model for patients with sepsis by community participation of Wapipathum Hospital, Mahasarakham Province. Sample group consists of 53 health network partners and professional nurses working in infection prevention and 56 patients at risk of sepsis. Research tools used include 1) open-ended focus group questions, a knowledge test for patient care in the network partners, and a knowledge test for self-care in patients. Qualitative analysis uses content analysis. Statistics use descriptive statistics for quantitative data analysis, and before-after comparisons using Paired-t test.
     The research results found that the development consists of 8 important models: 1) Development of a risk search form by village health volunteers. 2) Nursing practice guidelines for patients with bloodstream infections for health-promoting hospitals. 3) Development of initial solutions for clinical assessment. 4) Development of a coordinating nurse structure. 5) Development of nurse competence in caring for patients with bloodstream infections. 6) Development of manuals and guidelines. 7) Creating participation of multidisciplinary teams and community network partners according to their roles and responsibilities. 8) Development of forms and referral systems for patients with bloodstream infections in the community. The results of the model resulted in a significant decrease in the incidence of infection, knowledge of care in the network partners, and self-care knowledge at the .05 level (t = 10.24, 11.29).