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A Feasibility Study of Implementing Model for Critical Ill
Surgery Patients Based on FAST HUGS BID in Trauma
Intensive Care Unit
Tanate Sripoom1
, Chotip Gajaseni1, Rachadaphorn Jaihow1, Chonlada Krutsri3, Pongsasit Singhatas3
,
Chiraphi Soonthornkul Na Chonburi2*
1 Critical care nurses, Nursing Service Department, Faculty of Medicine, Ramathibodi Hospital, Mahidol
University.
2 Advanced Practice Nurse, Nursing Service Department, Faculty of Medicine, Ramathibodi Hospital,
Mahidol University
3 Trauma, Acute Care Surgery, and Surgical Critical Care Unit, Department of Surgery, Faculty of Medicine
Ramathibodi Hospital, Mahidol University
*Corresponding Author E-mail: schiraphi@gmail.com
Background: Methods: Abstract
New therapeutic approaches are constantly being explored in trauma intensive care units.to
improve the quality of care. One tool intended to help ICU nurses communicate is the FAST
HUGS BID model. This study is developmental research aimed at evaluating the feasibility
of implementing the FAST HUGS BID concept for critically ill surgical patients. The purpose
of the sampling was to recruit 15 critical care nurses working in the traumatic intensive care
unit of Ramathibodi Hospital.
The study applied the FAST HUGS BID concept over three months for critically ill surgical
patients. The research tools included 1) a handling manual for the FAST HUGS BID concept 2)
a daily record form for FAST HUGS BID developed by the researcher based on the previously
used form, and 3) a questionnaire designed to assess the feasibility of the FAST HUGS
BID concept. Data collection involved personal data and evaluation forms, which were
analyzed using descriptive statistics, including percentages, means, standard deviations,
and Pearson chi-square tests.
Results: The finding indicated that 86.67% to 93% of the nurses strongly agreed with the
implementation of the FAST HUGS BID model, rating it from high to the highest level. The
ability to fully implement the FAST HUGS BID model was assessed at 93.8 to 100%. There
were no significant differences in the implementation rate among the morning, evening, and
night shifts. However, there was a lack of communication regarding fluid and electrolyte
imbalance during the night shift, which occurred eight times and was significantly different
(p<0.05) from those noted during the morning and evening shifts.
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