Guidelines for the surveillance of respiratory failure in patients using high-flow Nasal oxygen regulator

Abstract

This action research aimed to develop clinical nursing 1) Guidelines for the surveillance of respiratory failure in patients using nasal high-flow oxygen concentrators. surgical intensive care unit Nakhon Pathom Hospital The guidelines followed the seven-step conceptual framework for developing guidelines outlined by the National Health and Medical Research Council [NMRC], 1999. This framework included 1) defining the problem to be solved, 2) establishing a development team, 3) defining objectives, scope, and outcomes, 4) searching and evaluating empirical evidence, 5) drafting the clinical nursing practice guidelines, 6) expert review, and 7) conducting trials of the guidelines. The results were revealed as follows. 1) The Guidelines for the surveillance of respiratory failure in patients using nasal high-flow oxygen concentrators. surgical intensive care unit Nakhon Pathom Hospital comprised two categories : consisted of using the calculated respiratory rate and oxygenation index (ROX index) to predict the likelihood that patients would suffer from nasal high-flow oxygen concentrator failure and assessing symptoms while patients were using nasal high-flow oxygen concentrator. The guidelines underwent content validation index by three experts with scores of 1.0, 1.0, and 1.0, respectively 2) The feasibility of implementing a respiratory failure surveillance approach in patients using a nasal high-flow oxygen concentrator. surgical intensive care unit Nakhon Pathom Hospital found that the possibility of implementation and practical possibility to be used in the organization was at a high level with an average of 4 . 4 6 ( SD 0 . 5 1 ) . useful in evaluating patients Clarity, recommendations in practice suitability for the agency savings and reducing costs Guidelines can solve problems and produce good results for service recipients. was at a high level of 4.30 (0.56) and for the satisfaction of the implementation was moderate, the mean was 3.61 (SD 0.48)