수용개작방법을 활용한 욕창간호 실무지침 개발
Development of Pressure Ulcer Management Guideline by Adaptation Process
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참고문헌
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초록
본 연구는 국내 의료기관에서 사용할 욕창예방과 관리를 위한 근거기반 간호실무지침을 개발하기 위해 실시되었다. 방법: 간호분야 실무지침 수용개작 방법론(Gu, 2012)에 따라 24단계의 수용개작과정에 거쳐 “욕창관리 실무지침”을 개발하였다. 결과: 새로이 개발된 욕창관리 실무지침은 머리글, 욕창에 대한 이해, 권고안 요약, 권고안, 참고문헌, 부록, 용어의 순으로 구성되었다. 총 4개의 영역(기관의 정책, 사정, 욕창예방과 관리, 교육)과 16개 소영역에 총 133개의 권고안을 포함하고 있다. 권고등급은 A가 4.7%, B가 16.9%, C가 78.4%를 차지하였다. 논의: 욕창관리 실무지침은 근거기반 실무지침으로, 본 연구를 통해 개발된 “욕창관리 실무지침”이 전국적으로 확산되어 여러 의료기관에서 사용되기를 권장한다.
Abstract
Purpose: This study was done to develop an evidence-based nursing clinical practice guideline (PU CPG) for pressure ulcer prevention and management in Korea. Methods: The guideline adaptation process was used and conducted according to the guideline adaptation manual developed by Gu et al. (2012) which consists of three main phases and 9 modules including a total of 24 steps. Results: The newly developed PU CPG included the introduction, pressure ulcers, summary of recommendations, recommendations, references, appendices, and glossary. The total number of recommendations was 148 in 4 sections (organizational policy, assessment, pressure ulcer prevention and management, and education) and 16 domains. Of the recommendations 4.7% were graded A, 16.9%, B, and 78.4%, C. Conclusion: Results indicate that this new PU CPG is an evidence-based practice guidance for pressure ulcer prevention and management and can be recommended for dissemination and utilization by nurses nationwide to improve the quality of pressure ulcer prevention and management. Regular revision is recommended.
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