Result of Pediatric Early Warning Score: PEWS on Acute Infectious Disease Surveillance in Pediatric Ward of Phaholpolpayuhasena Hospital, Mueang District, Kanchanaburi Province

Abstract

          The objective of this research is to evaluate 1) the use of the Pediatric Early Warning Score:   PEWS  model for acute respiratory infections which the model was developed and improved to meet the standards of pediatric nursing in pediatric wards of Phaholpolpayuhasena Hospital, Mueang Dis- trict, Kanchanaburi Province.  The assessment was based on the incidence of   Unplanned ICU,   Unplanned ETT,  Unplanned CPR,  Morbidity rate and Mortality rate that should be reduced by at least 5%compared with the pr- evious month without using the Pediatric Early Warning Score: PEWS mo- del on Acute respiratory infection that was developed and improved;  And 2) Satisfaction of parents, relatives, or caregivers of the nursing service pr- ovision in child care who came to use the service during April to June  202 0. This study used action research methods.  Population and sample group 1) All pediatric patients admitted to pediatric wards Phaholpolpayuhasena Hospital, Mueang District, Kanchanaburi Province; and 2) 166 parents, rel- atives or caregivers  of children using Simple Random Sampling technique to select samples. Data were collected by 1) Unplanned ICU, Unplanned ET T, Unplanned CPR, Morbidity rate and Mortality rate from patient data rec- orded between November 2019 and June 2020; and 2) Satisfaction questio- nnaires for parents, relatives or child care taker. Data were analyzed using descriptive statistics. The results of the research showed that:

          1) The incidence of Unplanned ICU,  Unplanned ETT, Unplanned CPR,  Morbidity rate and Mortality rate decreased by more than 5% the previous month using the Pediatric Early Warning Score: PEWS model for acute res- piratory infections at Developed and improved Between March - June 2020 , it was found that there were zero surveillance cases in all areas.

          2) Parents, relatives or child care taker are satisfied with the standa- rds of professional nurses in child care in Lower Pediatric Ward as found in the overall, it is at the high level (= 4.39, S.D. = 0.45). When considering each aspect,   it is found that the level  of satisfaction is the high to highest level in which the facilities was found the highest level of satisfaction  (= 5.00, SD = 0.64) followed by service quality (= 4.33, SD = 0.47) and the thi- rd was the process of giving Service (= 4.24, SD = 0.51) respectively