The Results of Developing a Nursing Care Model for Sepsis Patients in Emergency Department Bandanlanhoi Hospital, Sukhothai Province

Abstract

Abstract

The purpose of this research and development study is to develop the nursing care model and assess its effectiveness for sepsis patients in the emergency department of Bandanlanhoi Hospital, Sukhothai Province, from November 2023 to February 2024. The study consisted 3 steps: 1) situation analysis and data collection from the medical records of 86 sepsis patients and interviews with 11 nurses in emergency department; 2) development of a patient care model using after action review techniques; and 3) evaluation of the nursing model's effectiveness, with the experimental group data collected from patients receiving care using the developed tools and the control group data collected from medical records of patients receiving traditional care, each group consisting of 34 individuals. Data analysis included descriptive statistics, mean, standard deviation, and inferential statistics such as independent t-test

The results revealed that Bandanlanhoi Hospital, a community hospital without internal medicine physicians, utililized the 6 Bundle guidelines for caring for sepsis patients but had not fully implemented them in nursing practice. Therefore, a patient care model for sepsis patients was developed, consisting of processes including initial assessment and screening, assessment and early intervention, post-treatment monitoring, and discharge preparation, carried out before admission or referral. Results showed that the experimental group successfully followed all development steps more comprehensively than the control group, treatment outcome indicated a significant improvement in the experimental group, with 70.6% showing improvement, compared to the control group where 41.2% improved, showing a statistically significant difference (p-value = 0.027). Therefore, it is recommended to implement the developed nursing model to enhance the quality of care for sepsis patients.