Development of Nursing System for Neonatal Sepsis

Abstract

Objective    : This research and development aimed to develop and evaluate of the development of nursing system for neonatal sepsis in Sawanpracharak hospital and Network hospitals, Nakhonsawan province.

Method       : This research and development was Studied between November 2021 and May 2022. It was divided into 3 phases: 1) situational analysis 2) nursing system development 3) outcome assessment. The sample consisted of 1) Register nurses 2) multidisciplinary team 3) high risk maternal pregnant group  4) newborns with sepsis. It was divided into a group of 33 people before the system development and after the system development 33 people.  The research instruments were 1) the nursing system for Neonatal Sepsis  2) the neonatal sepsis assessment form 3) the maternal satisfaction questionnaire 4) the maternal knowledge test 5) the Nurse Competency Assessment Form. Data were analyzed using content analysis, descriptive statistics and T–test.

Results        : The nursing system consisted of 5 components: 1) building a referral system for at high risk maternal pregnant group and newborns with sepsis 2) nurse Coordinator structure, 3) specific nursing competency, 4) sepsis guidelines and manuals 5) cooperation between multidisciplinary team. The results of the development showed that neonatal mortality and severe sepsis after using the nursing system different from before using the nursing system statistically significant (p < 0.01).

Conclusions : Developed nursing system this allows high risk maternal pregnant Group  and newborns with sepsis to access services quickly,  diagnosed and timely medical treatment reduce the severity of infection and reduce the neonatal mortality rate, should be applied at the health zone level.

Keywords    : Nursing System, Neonatal sepsis