Development of care for patients with acute respiratory failure Pa Daet Hospital, Pa Daet District, Chiang Rai Province

Development of Care for Patients with Acute Respiratory Failure at Pa Daet Hospital, Pa Daet District, Chiang Rai Province

Abstract

This study employed operational research based on the conceptual framework of Kemmis and McTaggart. To develop the care for patients with acute respiratory failure using clinical practice guidelines, and to study the outcomes of implementing the guidelines in the care of patients with acute respiratory failure.

The population and sample consisted of 13 healthcare professionals working in the emergency department of Pa Daet Hospital, selected through purposive sampling and voluntarily participating in the study. Additionally, 20 patients diagnosed with acute respiratory failure and admitted to Pa Daet Hospital between January 1 and April 30, 2025, were included. Data collection utilized validated tools, including individual interview forms, observation checklists for acute respiratory failure care, and staff satisfaction questionnaires regarding the implementation of care guidelines for acute respiratory failure. General data were analyzed using descriptive statistics, including frequency, percentage, mean, and standard deviation. Interview data were analyzed and categorized using content analysis.

Research findings showed that patient preparation prior to referral was fully performed according to guidelines in 90% of cases. However, equipment preparation was incomplete in 75%. Nursing activities prior to referral were fully performed in 60% of cases, while nursing care during transfer was partially completed in 75%. Patient handover was successfully completed in accordance with the guidelines in 100% of cases. Overall, staff satisfaction with the implementation of the acute respiratory failure care guidelines was rated at a high level (= 4.32, SD = 0.47). The findings of this study indicate that the clinical practice guideline for the care of patients with acute respiratory failure can be effectively implemented by nursing personnel, resulting in efficient care without nursing-related complications during the treatment process.