국내 근거기반 임상간호실무지침의 주제 선정
Topics for Evidence-Based Clinical Nursing Practice Guidelines in Korea
0
조회
0
다운로드
29
인용
0
참고문헌
키워드
초록
Purpose: This study was to identify topics for evidence-based clinical nursing practice guidelines in Korea. Methods: Data were collected from 330 staff nurses from 10 general hospitals and 53 nurses in charge of nursing education in 110 hospitals with over 500 beds. Using open questions, the nurses identified activities which could not be verified, which lacked consistency among nurses, clinical units and/or hospitals, which were not based on the up-to-date knowledge and which needed reform. The data were analysed by content analysis using a qualitative methodology. Results: Collected data consisted of 1882 clinical topics, which were classified into 50 topics, 207 mid-categories, and 456 sub-categories. The most frequent topics in order of frequency were medications, central line management, intravenous injections, urinary catheterization, perioperative nursing care, skin tests, pressure ulcer care, blood transfusions, laboratory examination-culture, respiratory care which were performed routinely in clinical setting by staff nurses. Conclusion: The research findings indicate the urgent need to develop evidence-based clinical nursing practice guidelines related to these research findings. Further research is needed to identify topics related to health promotion, and symptom/management of health problem.
Abstract
Purpose: This study was to identify topics for evidence-based clinical nursing practice guidelines in Korea. Methods: Data were collected from 330 staff nurses from 10 general hospitals and 53 nurses in charge of nursing education in 110 hospitals with over 500 beds. Using open questions, the nurses identified activities which could not be verified, which lacked consistency among nurses, clinical units and/or hospitals, which were not based on the up-to-date knowledge and which needed reform. The data were analysed by content analysis using a qualitative methodology. Results: Collected data consisted of 1882 clinical topics, which were classified into 50 topics, 207 mid-categories, and 456 sub-categories. The most frequent topics in order of frequency were medications, central line management, intravenous injections, urinary catheterization, perioperative nursing care, skin tests, pressure ulcer care, blood transfusions, laboratory examination-culture, respiratory care which were performed routinely in clinical setting by staff nurses. Conclusion: The research findings indicate the urgent need to develop evidence-based clinical nursing practice guidelines related to these research findings. Further research is needed to identify topics related to health promotion, and symptom/management of health problem.
참고문헌 (27)
- 구미옥, "국내 근거기반 임상간호실무지침의 주제 선정 및 우선순위" (2010), 병원간호사회
- 김수미, "출혈위험이 있는 신부전환자의 혈액투석을 위한 근거중심 간호실무 가이드라인 개발과 적용 및 평가", 박사, pp.2009
- 대한의학회, "임상 진료지침 개발 워크숍 자료집" (2010), 저자
- 문경자, "중환자실 섬망예방을 위한 근거중심 간호중재 프로토콜 개발", 임상간호연구, 16(3), pp.175~186 (2010), 병원간호사회
- 박명화, "근거중심 간호의 이해와 적용" (2006), 군자출판사
- 박용숙, "근거중심 암환자 섬망간호 가이드라인 개발과 효과검증", 박사, pp.2011
- 박정숙, "일 대학병원 낮번,초번간호사의업무분석", 계명간호과학, 5(1), pp.169~183 (2001)
- 박정호, "한국 표준 간호행위분류", 대한간호학회지, 30(6), pp.1411~1426 (2000)
- 박태남, "시설노인의 비약물적 변비관리를 위한 근거중심 간호실무 가이드라인 개발", 박사, pp.2006
- 박효순, "임상간호사의 근거중심간호의 접근성과 활용성 및장애요인에 관한 연구", 석사, pp.2005
- 병원간호사회, "임상간호실무지침서(개정 3판)" (2006), 저자
- 양태영, "일 대학병원 내과병동 초번 간호사의 간호업무활동분석", 석사, pp.2002
- 오의금, "임상 간호사들의 연구 관련 활동 실태 및 연구결과 활용의 장애 요인", Journal of Korean Academy of Nursing, 34(5), pp.838~848 (2004), 한국간호과학회
- 황주연, "급성혼돈 환자관리를 위한 근거중심 간호실무 가이드라인 개발", 석사, pp.2004
- Brown, C. E, "Nursing practice, knowledge, attitudes, and perceivedbarriers to evidence-based practice at an academic medicalcenter", Journal of Advanced Nursing, 65(2), pp.371~381 (2009)
- Estabrooks,C.A, "Modeling the individual determinantsof research utilization", Western Journal of Nursing Research, 21(6), pp.758~772 (1999)
- Field, M. J, "Clinical practiceguidelines: Directions for a new program" (1990), National Academy Press
- Grimshaw, J, "Toward evidence-basedquality improvement. Evidence (and its limitations) ofthe effectiveness of guideline dissemination and implementationstrategies 1966-1998", Journal of GeneralInternal Medicine, 21(2), pp.14~20 (2006)
- Ketola, E, "Prioritizing guideline topics: Development andevaluation of a practical tool", Journal of Evaluation inClinical Practice, 13(4), pp.627~631 (2007)
- Leake,P.Y, "Teaming with students and a sacred cowcontest to make changes in nursing practice", The Journalof Continuing Education in Nursing, 35(6), pp.271~277 (2004)
- McClarey, M., "Identifying priorities for nationalclinical guidelines", Nursing Standard, 13(41), pp.37~41 (1999)
- Melnyk, B. M., "Evidence-basedpractice in nursing & healthcare: A guide to bestpractice" (2005), Lippicott Williams & Wilkins
- Polit, D. F., "Nursing research: Generatingand assessing evidence for nursing practice (8th ed.)" (2008), Lippincott Williams & Wilkins
- Rizzuto, C., "Predictors of nurses' involvement in research activities", Western Journal of Nursing Research, 16(2), pp.193~204 (1994)
- Sackett, D. L, "Evidence-based medicine: Howto practice and teach EBM (2nd ed.)" (2000), ChurchillLivingstone
- Thomas, L. H., "Guidelines in professions allied tomedicine (Review)", The Cochrane Library, 1 (2009)
- Woolf, S. H., "Clinical guidelines: Potential benefits, limitations,and harms of clinical guidelines", British Medical Journal, 318(7182), pp.527~530 (1999)