The objective of this study is to develop a guideline for the surveillance of respiratory failure in patients using a high-flow nasal oxygen concentrator of the surgical intensive care units at Nakhon Pathom Hospital. It also aims to study the feasibility of using a surveillance approach for respiratory failure in patients using a high-flow nasal oxygen concentrator. Specifically the selected sample group are 13 professional nurses.

          The results of the development found that the surveillance guidelines for respiratory failure in patients using a high-flow nasal oxygen concentrator has a high level of opinion about the practical possibilities to be applied in the organization.

          The findings of this study show that the development of a guideline for monitoring respiratory failure in patients using high-flow nasal oxygen concentrators to improve the quality of care can prevent further complications. And for this to happen, it requires cooperation from a multi-disciplinary team that must have a consistent approach and  same direction in order to achieve the desired health outcomes.