The Development and Evaluation of Clinical Nursing Practice Guideline for Preventing Hospital-Acquired Pneumonia of Bedridden Patients in Naradhiwasrajanagarindra Hospital
Keywords:
Practice guideline, Hospital acquired pneumonia, Prevention bedriddenAbstract
The purposes of this study were to develop and evaluate a clinical nursing practice guideline (CNPG) for preventing hospital-acquired pneumonia of bedridden patients. The study consisted of 3 phases: 1) study and problem analysis, 2) construction and development of the nursing practice guidelines for HAP prevention and 3) evaluation. The study is a quasi-experimental research designed. The sample consisted of 39 professional nurses, 39 caregivers and 78 bedridden patients which they were categorized into the experimental and the control group. The research instrument included the nursing practice guideline (NPG) and the CNPG video for HAP prevention. The data were collected by observation form for CNPG, record form for HAP cases and satisfaction questionnaires for nurses and caregivers. Data were analyzed by using descriptive statistics, Fisher’ exact test and Wilcoxon Sign-Rank test.
The results showed that nurses had a mean score of nursing practice in bedridden patients for HAP after using the guideline than before using the nursing guideline with statistical significance
(t = 4.91, p <.001). The HAP incidence in bedridden patients before and after adopting NPG were 27 and 2 cases, respectively, with statistical significance (p <.001). Nurses and caregivers were satisfied at a high level (M = 4.19, SD = 44 and M = 2.85, SD = .32) after using the guideline.
In conclusion, it is suggested that the CNPG development should be brought to implement. Based on the evidence, this helps reduce Hospital Acquired Pneumonia of bedridden patients, and the CNPG should be expanded to caregivers for the care of bedridden patient at home.
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