The Development of a Nursing Care Model for Premature Newborns with Respiratory Distress Syndrome at Yasothon Hospital

Abstract

This study aimed to develop a nursing model for preterm infants with respiratory distress at Yasothon Hospital using participatory action research (PAR). The study was conducted from January to July 2023 and consisted of three phases: (1) situational analysis, (2) nursing model development, and (3) evaluation. The purposive sample included 15 professional nurses and 15 mothers with their preterm infants. Research instruments comprised nursing standards validated by five experts, along with data collection tools such as quality indicator record forms, stress assessment scales, satisfaction questionnaires, and maternal knowledge and competency assessments. Data were analyzed using descriptive statistics, paired t-test, and Chi-square test. The findings indicated that the developed nursing model enhanced healthcare providers’ adherence to professional standards and yielded positive outcomes for service recipients. Specifically, maternal knowledge increased significantly, stress levels decreased, satisfaction was rated at a very high level, and complication rates, length of hospital stay, and healthcare costs were significantly reduced. In conclusion, the developed model was effective, suggesting its applicability to other healthcare units, along with the recommendation to promote continuous evaluation within each local context.