A DEVELOPMENT OF NURSING CARE IN PATIENTS WITH PERIPHERAL INTRAVENOUS INFUSION AT MEDICAL INTENSIVE CARE UNIT, FACULTY OF MEDICINE RAMATHIBODI HOSPITAL

Authors

  • วรันต์ภรณ์ พนสิทธิวนา Faculty of Public Health Mahidol University Bangkok
  • วิรัช ตั้งสุจริตวิจิตร Faculty of Public Health Mahidol University Bangkok
  • สมชาติ โตรักษา Faculty of Public Health Mahidol University Bangkok

Keywords:

PERIPHERAL INTRAVENOUS INFUSION, CARE FOR ICU PATIENTS, EXPERIMENTAL DEVELOPMENT RESEARCH, MODEL DEVELOPMENT, ROUTINE TO RESEARCH

Abstract

Caring for patients in intensive care units (ICU) and preventing complications of peripheral intravenous infusion is crucial. This experimental development research of two groups with pre-test and post-test designs was aimed at developing a working model for nursing patients with peripheral intravenous infusion at the Medical Intensive Care Unit, Faculty of Medicine, Ramathibodi hospital. The research was conducted from June 16 to September 15, 2017. The control area was in the Cardiac Care Unit, Ramathibodi hospital. The sample of work was care implementation for patients with peripheral intravenous infusion during pre- and post-experimental phases in total of 167 times. The sample of participants included 69 service receivers, 47 service providers/nurses, and 2 managers. The nursing care was measured in 5 aspects: quantity, quality, duration, satisfaction of individuals involved, and economics. Data was analyzed using descriptive statistics, T-values, Paired T tests, Wilcoxon Signed-Rank test, Mann-Whitney U test with the alpha level at .05, and content analysis.

          The research findings revealed that the developed model applied 11 involved academics principles harmoniously with the context of the experimental area by using existing resources. The clearly written structures of workers, finance, equipment, and service systems helped the workers to understand and perform work by themselves. They were able to apply this model further in real contexts at Ramathibodi hospital, which emphasized simple but highly efficient work operations. The workflow chart to care for patients with peripheral intravenous infusion was clearly written by focusing on patient centeredness and nursing principles. After the experiment, the workers’ workload did not increase, but the accuracy rate to follow the standard increased (p=.003); work duration did not increase, the workers’ satisfaction did not decrease, and cost per service unit decreased (p<.001). For recommendations, the research should be continuously conducted throughout the entire hospital and developed to be a good working model of the country with higher efficiency. Policies on health service provisions should be more intense by focusing more on integrative work and multidisciplinary participation for patients to receive quality nursing care.

References

Furtado LCdR. Incidence and predisposing factors of phlebitis in a surgery department. British Journal of Nursing. 2011; 20(Sup7): S16-S25. [2]

Abolfotouh MA, Salam M, Bani-Mustafa A, White D, Balkhy HH. Prospective study of incidence and predictors of peripheral intravenous catheter-induced complications. Therapeutics and clinical risk management. 2014; 10:993-1001.

Dychter SS, Gold DA, Carson D, Haller M. Intravenous therapy: a review of complications and economic considerations of peripheral access. Journal of infusion nursing: the official publication of the Infusion Nurses Society. 2012 Mar-Apr; 35(2): 84-91. [6]

Ray Higginson, Andrew Parry. Pheblitis: treatment, care and prevention. Nursing Times. 2011. 107(36): 18-21.

Susanne Suttich. Fulfill All Your CE Requirement Through IV Nurse Consultant (IVNC). IV Newsletter. 2012. 15: 1-8.

Complications of peripheral I.V. Therapy. Nursing made Incredibly Easy: January/February. 2008. 6(1): 14-18.

Supranee Senadisai, Wannapa Prapaipanich. Basic Nursing Concepts and practices. Bangkok: Judthong Company Limited. 2011. (In Thai)

Sirirat Chatachaisucha, Prangtip Ucharattana, Natthawang Boonchan, Editor. Basic skills in nursing: Department of Foundation Nursing Faculty of Nurse Mahidol University. 2010. (In Thai)

Somchart Torugsa. (2557). Application of administrative principles For continuous and sustainable work development. 1st ed. Bangkok: Department of Public Health Administration Faculty of Public Health Mahidol University. 2014. (In Thai)

Pennapa Prompriang, Jittaporn Chitreecheur, Pikul Boonchuang. Effects of Evidence-based Practice Promotion for Infection Prevention on Knowledge and Practices Among Nurses and Incidence of Peripheral Intravenous Infection in a Community Hospital. Thai Journal of Nursing Council. 2009. 24(3): 31-41. (In Thai)

Guideline for Peripheral Intravenous Catheters (PIVC). Centre for Healthcare Related Infection Surveillance and Prevention & Tuberculosis Control. 2013. 1-14.

Chasri D., Pookboonmee R., Orathai P. Effect of Self-Efficacy Promotion on Caregiver’s Confidence of Participation in Child Care before Discharge from Pediatric Intensive Care Unit. Journal of The Royal Thai Army Nurses. 2018;19(3):234-242.(in Thai).

Downloads

Published

21-08-2019

How to Cite

1.
พนสิทธิวนา ว, ตั้งสุจริตวิจิตร ว, โตรักษา ส. A DEVELOPMENT OF NURSING CARE IN PATIENTS WITH PERIPHERAL INTRAVENOUS INFUSION AT MEDICAL INTENSIVE CARE UNIT, FACULTY OF MEDICINE RAMATHIBODI HOSPITAL. J Royal Thai Army Nurses [Internet]. 2019 Aug. 21 [cited 2024 Mar. 28];20(2):215-24. Available from: https://he01.tci-thaijo.org/index.php/JRTAN/article/view/181571

Issue

Section

Research Articles