병원 성인 환자의 사후 간호 프로토콜 개발
Development of a Protocol for Nursing Care after Death for Adult Patients in Hospitals
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목적: 이 연구에서는 병원 성인 환자를 위한 사후간호 프로토콜을 개발하였다. 방법:이 연구는 사후 관리 프로토콜을 개발하기 위한 방법론적 연구이다. 예비 프로토콜은 문헌고찰, 지침, 전문가와 임상 간호사 그룹의 임상 권장사항을 기반으로 개발되었다. 내용 타당성은 두 병원의 전문가 그룹(n=6)과 간호사 그룹(n=30)에 의해 평가되었다. 결과: 예비 프로토콜 권고사항은 타당도 검증 및 개방형 질문 분석 결과에 의해 수정되고 보완되었다. 최종 프로토콜은 5단계(사망확인 및 알림, 사후 개인 몸 돌봄, 환자 면회, 환자 운구, 기록 및 자기돌봄)로 3가지 일반 권고안과 43가지 권고안으로 구성되었다. 결론: 이 연구는 간호사들에게 병원 환경에서의 환자 사망 후 치료와 가족 지원을 설명하기 위해 합의된 이론적 기틀을 제공한다. 이 간호 프로토콜은 성인 환자와 그 가족의 사후 관리의 질을 향상시킬 것으로 기대되며, 간호사가 그들의 중요한 역할을 수행할 수 있도록 교육적, 정서적 지원을 개발하는 데 활용될 수 있다.
Abstract
Purpose: This study developed a protocol for nursing care after death for adult patients in hospitals. Methods: This was a methodological study to develop a care after death protocol. The preliminary protocol was developed based on a literature review, guidelines, and practice recommendations from groups of experts and clinical nurses. Content validity was evaluated by a group of experts (n=6) and nurses (n=30) in two hospitals. Results: The preliminary protocol recommendations were modified by validation and the open-question analysis results. The final protocol comprised three general recommendations and 43 recommendations in five steps that are verification and notification of a death, personal care of the body, viewing the patient, patient transfer, and documentation and self-care. Conclusion: This study result provides nurses with a consensus information on patient care after death and family support in a hospital setting. This nursing protocol is expectedto improve the quality of care after death for adult patients and their families, and can be used for developing educational and emotional support for nurses to accomplish their important role.
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