Development of Care Model for Neonatal Jaundice at Phayakkhaphumphisai Hospital, Mahasarakham Province

Abstract

Abstract

            This action research aimed to 1) develop a care model for newborns with jaundice, and 2) study the outcomes of the developed care model. The study utilized the PAOR process over 2 cycles between October 2024 and September 2025. The sample consisted of 28 multidisciplinary healthcare personnel, and mothers with newborns before development 120 persons (60 pairs) and after development 46 persons (23 pairs). Data were analyzed using descriptive statistics and Independent t-test.

            Result Phase 1 : Situation Analysis revealed major problems including no screening and risk stratification system (0%), delayed detection (73.3%), and high NICU referral rate (13.3%). Cycle 1 developed a preliminary model with 5 main steps, piloted with 20 cases, and identified problems in service systems, personnel, and equipment. Cycle 2 refined into the "JAUNDICE-CARE Model" comprising 11 components and 7 main processes. Evaluation results showed improved clinical outcomes across all indicators: jaundice incidence requiring phototherapy decreased from 8.0% to 3.9%, detection rate within 24 hours increased to 96.7%, risk stratification rate increased to 95.0%, NICU referral rate decreased to 1.7%, healthcare personnel compliance ranged from
85.7-100% with high satisfaction (Mean = 4.32), and mothers reported highest satisfaction (Mean = 4.68).

            In conclusion, the JAUNDICE-CARE Model was effective in reducing severe jaundice incidence, increasing early detection, reducing referrals, and achieving high satisfaction from both healthcare personnel and mothers.

Keywords : neonatal jaundice, care model, action research, JAUNDICE-CARE Model