응급실 내원 발열 소아환자의 열관리를 위한 근거중심 간호실무 가이드라인 개발
Development of Evidence-based Nursing Practice Guidelines for Febrile Children in Emergency Room
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초록
본 연구의 목적은 발열 소아환자의 근거중심 간호실무 가이드라인을 개발하는 것으로, 신속한 평가와 처치가 이루어져야 하는응급실에서 발열로 인한 소아의 불편감을 사정하여 적절한 중재를 제공하고 심각한 질병위험성을 예측하여 빠르게 대처하고자하는데 있다. 본 연구는 SIGN의 근거중심 실무 가이드라인 개발과정을 참고하여, 문헌의 비평적 분석단계를 거쳐 근거와 권고를 형성하고, 이를 바탕으로 가이드라인의 초안을 개발하였으며 개발된 가이드라인 초안은 전문가 집단의 평가와 시범적용을 거쳐 최종 가이드라인으로 확정하였다. 본 연구의 결과 간호사정, 중재, 보호자 교육의 3개 범주 7개 권고 39개 세부권고로 구성된 발열 소아환자의열관리를 위한 근거중심 간호실무 가이드라인과 가이드라인의 신속한 실무적용을 위한 알고리즘이 개발되었다.
Abstract
Purpose: The purpose of this study was to develop evidence-based nursing practice guidelines for the care of febrile children in the emergency room and to evaluate the guidelines by applying them to practice. Methods: This study was conducted using a methodological design. referring to the Scottish intercollegiate guideline network, draft of guidelines were developed based on the recommendations found from the critical literature analysis. Then, the draft was modified by an expert group and a pilot application. The final draft was evaluated by the expert group using appraisal of guidelines for research and evaluation. Finally,the final guideline and algorithm were completed. Results: The guideline includes 39 recommendations for the care of febrile children in the emergency room. Conclusion: The clinical guidelines developed through this research can be utilized as systematic and scientific guidelines for the care of febrile children in the emergency room. In addition, the research results will contribute to improving care services.
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