수용개작방법을 활용한 의료기관의 격리주의지침 개발
Adaptation of Isolation Guidelines for Health Care Settings
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초록
목적: 본 연구의 목적은 수용개작방법을 활용하여 감염성질환의 전파를 차단하기 위한 근거기반 실무지침을 개발하는 것이다. 방법: 지침수용개작절차는 3부, 9모듈, 24단계로 구성된 병원간호사회의 지침수용개작 매뉴얼에 따라 수행되었다. 결과: 수용개작방법으로 개발된 의료기관의 격리주의지침은 머리글, 격리주의지침의 이해, 권고요약, 권고안, 참고문헌, 부록으로 구성되었다. 격리주의지침은 의료기관의 행정적 지원, 표준주의와 전파경로별주의, 교육과 상담의 네 영역에서 224개 권고안으로 구성되었다. 결론: 수용개작방법으로 개발된 의료기관의 격리주의지침은 보건의료현장에서 감염성 질환 감염자/보균자에게 적용하는 격리실무를 향상시키고 감염의 전파를 감소시키기 위해서 간호사와 임상의에게 확산되고 활용되기를 권고한다.
Abstract
Purpose: This purpose of this study was to develop evidence-based practice guideline for isolation in health care settings to prevent transmission of infectious diseases utilizing guideline adaption process. Methods: The process of guideline adaptation was performed according to the Korean hospital nurses association’s guideline adaptation manual which consisted of three main phases, 9 modules, and 24 steps. Results: The adapted isolation guideline consisted of introduction, overview of isolation guideline, summary of recommendations, recommendations, references, and appendices. The guideline includes 224 recommendations in 4 sections which are organizational administration, standard precautions, transmission-based precautions, and education/ counselling. Conclusion: The adapted isolation guideline is recommended to be disseminated and utilized by nurses and clinicians nationwide to improve the isolation practices for infected or colonized patients with communicable diseases and to decrease the transmission of infections in the healthcare settings.
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