Development of a nursing model for patients with acute heart failure at Pathum Thani Hospital Model

Abstract

The objective of this study was to develop and evaluate a nursing model for patients with acute heart
failure at Pathum Thani Hospital, a tertiary care facility, using the Donabedian System Framework. The
study was conducted in 3 phases, and a period of 7 months, consisting of 3 phases. The phase 1: problem
analysis by collecting statistics, reviewing literature, brainstorming, interviewing, observing, and summarizing
the analysis results. The phase 2: develop and test the model by creating research instruments,
including a nursing manual for patients with acute heart failure and video clips. The tools used for data
collection included a knowledge, skills, and satisfaction assessment form, administered by five experts,
and were tested with three sample groups: 30 patients, 30 caregivers, and 30 professional nurses. Each
group was selected specifically. The third phase was to evaluate the results of the model, analyzing data
using t-test statistics. It was found that the nursing model for patients with acute heart failure consists
of professional nurses, patients, and caregivers using a nursing manual, video clips, a simulation room,
and continuous care. The patients, caregivers, and nurses after using the model gained knowledge skill
care, and their satisfaction was at higher level. The difference between pre-test and post-test was significant
(p<0.001). The mean satisfaction score was also significantly higher than before using the model
(p<0.001). There was no rate of re-hospitalization for the same disease among all of them. The results
of this research show that the nursing model for patients with acute heart failure at Pathum Thani Hospital
was appropriate and could be effectively applied.