The Effectiveness of Nursing care process for preventing the spread of Multidrug-resistant infection, Maesai hospital

Abstract

This research was a research and development designed, to study the effectiveness of the nursing care process for preventing the spread of multidrug-resistant infection. The research process was conducted from March - July 2021. The sample group was professional nurses in the nursing department of Maesai hospital consisting of 42 people, 10 head nurses of inpatient ward and 14 professional nurses of the nursing guideline development department. The research tools consisted of 1) general information questionnaire of the sample group 2) situational questionnaires and problems in preventing the spread of multidrug-resistant 3) nursing guidelines for the prevention of multidrug-resistant spread 4) observation form on nursing practice guidelines for preventing the spread of drugresistant infection. The data were analyzed using descriptive statistics, t-test and content analysis.

The results showed that after establishing a nursing guideline for preventing the spread of multidrug-resistant and putting it into practice.
It consists of four components of nursing care, screening, patient isolation, disinfection, daily cleaning environment disinfection and discharged
cleaning environment. It was found that the post-test was 86.75%, an increase from the pre-test (63.96%), with a statistical significance at 0.05.
The most accurate nursing practice was patient isolation (97.99%), followed by ,daily cleaning environment disinfection and discharged cleaning environment and screening, respectively. Patient isolation can be increased caused by clearly defining the bed to separate according to the type of multidrugresistance, resulting in easy to follow but still found the isolation of patients during the COVID-19 pandemic. This makes bed allocation difficult.