DEVELOPMENT OF A CARE PROCESS TO PREVENT SHOCK AMONG PATIENTS WITH SEPSIS THROUGH THE PARTICIPATION OF A MULTIDISCIPLINARY TEAM: A MIDDLE-LEVEL (M2) COMMUNITY HOSPITAL
Keywords:
Care process, sepsis patients, shock, participationAbstract
This action research aimed to develop a care process to prevent shock among patients with sepsis through the participation of a multidisciplinary team in a middle-level (M2) community hospital. The research comprised three phases during October 2021 - September 2022: 1) the situation and problem study phase, 2) the development phase, and 3) the evaluation phase. The sample consisted of 15 interdisciplinary teams and 50 sepsis patients. Data were collected using a patient care guideline compliance record form, a satisfaction questionnaire, and an in-depth interview guide. Data were analyzed using descriptive statistics and content analysis.
The study found that the 3E Sepsis (Early Detection, Early Resuscitation, and Early Referral) shock prevention care process in patients with sepsis significantly improved clinical outcomes. The septic shock incidence rate decreased from 25.48% to 12.45%, the mortality rate decreased from 18.76% to 0%, the diagnosis time was shortened from 4.25 hours to 2.12 hours, and 100% of all patients received timely antibiotics. In addition, staff knowledge of Sepsis increased from 12.34 to 17.82 points, compliance with Bundle Care increased from 45.23% to 100%, and both staff and patient satisfaction significantly increased. This demonstrates that the development of this care process effectively improves the quality of care and patient outcomes.
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