ABSTRACT
@#Introduction: Nursing care planning based on case studies develops students’ nursing ability and competence of knowing, understanding, applying, analyzing, and evaluating knowledge. The objectives this Quasi-Experimental research aimed to compare nursing students’ ability to create nursing care plans after receiving the development program focused on clinical nursing care planning through case study-based learning. Methods: The subjects included 70 third year nursing students, academic year 2019, Boromarajonani College of Nursing Nakhon Phanom, Nakhonphanom University. The data collection was conducted from January – December 2020 using a case study -based development program, data collection record form, knowledge test on critical nursing care and ability test in making nursing care plans. Finally, data were analyzed using wilcoxon matched pairs signed-ranks test. Results: The results revealed that the students had a higher level of knowledge of critical nursing care after program participation (p < .05) and the ability to create nursing plans also increased after the program participation (p=05). Conclusion: The findings indicate that this teaching and learning approach was found appropriate to be used in nursing clinical practicum.
ABSTRACT
Purpose@#Early enteral nutrition (EN) can improve clinical outcomes in critically ill patients. This study aimed to evaluate the effects of this clinical nursing practice guideline (CNPG) of EN care on the duration of mechanical ventilator in critically ill patients to investigate whether it was able to improve clinical outcomes. @*Methods@#This study compares a pretest-posttest design for the two groups, which was done before and after to determine the effects of a CNPG of EN care on the duration of a mechanical ventilator in critically ill patients. This study was performed on 44 critically ill patients admitted to the intensive care unit (ICU). The patients were divided into two groups according to EN. For the intervention group, CNPG started within the first 48 hours of admission to the ICU, and for the control group, they received standard nursing care. @*Results@#After the implementation, it showed significant associations between the duration of mechanical ventilator in ICU. The intervention group who received the CNPG had significantly shorter starting time of EN and a reduced duration of mechanical ventilator than those in the control group (p < .001). @*Conclusion@#A CNPG for EN care reduced the duration of mechanical ventilator. This could possibly improve the delivery of target calories when compared with current standard practice and improve the outcome of critically ill patients.
ABSTRACT
Purpose@#Early enteral nutrition (EN) can improve clinical outcomes in critically ill patients. This study aimed to evaluate the effects of this clinical nursing practice guideline (CNPG) of EN care on the duration of mechanical ventilator in critically ill patients to investigate whether it was able to improve clinical outcomes. @*Methods@#This study compares a pretest-posttest design for the two groups, which was done before and after to determine the effects of a CNPG of EN care on the duration of a mechanical ventilator in critically ill patients. This study was performed on 44 critically ill patients admitted to the intensive care unit (ICU). The patients were divided into two groups according to EN. For the intervention group, CNPG started within the first 48 hours of admission to the ICU, and for the control group, they received standard nursing care. @*Results@#After the implementation, it showed significant associations between the duration of mechanical ventilator in ICU. The intervention group who received the CNPG had significantly shorter starting time of EN and a reduced duration of mechanical ventilator than those in the control group (p < .001). @*Conclusion@#A CNPG for EN care reduced the duration of mechanical ventilator. This could possibly improve the delivery of target calories when compared with current standard practice and improve the outcome of critically ill patients.