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국내 근거기반 임상간호실무지침 주제의 우선순위 결정

A Prioritizing for the Evidence-Based Nursing Practice Guidelines Development

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주제분류간호학

초록

Purpose: This study was conducted with an aim to get a kind of priorities in developing the evidence-based nursing practice guidelines in fields. Methods: This study utilized a two-round Delphi surveys from November to December, 2010 with self-administered questionnaires which had a scale ranged from 0 to 9. A total of 95 head nurses working at the forty different general hospitals was asked to evaluate the priorities in four criteria; patient coverage, certainty, improvement in patient outcome and in nursing practice (first round) and 65 head nurses were asked to decide the importance of the criteria afterwards (second round). Results: The relative importance of 4 criteria was 22.3% in patient coverage, 26.5% in certainty, 23.5% in improvement of patient outcome, and 27.7% in improvement of nursing practice as the results of the 1st round and 20.6%, 26.6%, 24.8%, and 28.0%for the 2nd round, respectively. Top five nursing practices showed high scores after considering the relative importances of the 4 criteria were medication, intravenous therapy, checking vital sign, pain management, and diagnostic test or procedures care. Conclusion: It is recommended to take into account of the priorities that were found in this study when someone intends to develop a evidence-based nursing practice guideline.

Abstract

Purpose: This study was conducted with an aim to get a kind of priorities in developing the evidence-based nursing practice guidelines in fields. Methods: This study utilized a two-round Delphi surveys from November to December, 2010 with self-administered questionnaires which had a scale ranged from 0 to 9. A total of 95 head nurses working at the forty different general hospitals was asked to evaluate the priorities in four criteria; patient coverage, certainty, improvement in patient outcome and in nursing practice (first round) and 65 head nurses were asked to decide the importance of the criteria afterwards (second round). Results: The relative importance of 4 criteria was 22.3% in patient coverage, 26.5% in certainty, 23.5% in improvement of patient outcome, and 27.7% in improvement of nursing practice as the results of the 1st round and 20.6%, 26.6%, 24.8%, and 28.0%for the 2nd round, respectively. Top five nursing practices showed high scores after considering the relative importances of the 4 criteria were medication, intravenous therapy, checking vital sign, pain management, and diagnostic test or procedures care. Conclusion: It is recommended to take into account of the priorities that were found in this study when someone intends to develop a evidence-based nursing practice guideline.

참고문헌 (15)

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  2. 김수미, "출혈위험이 있는 신부전환자의 혈액투석을 위한 근거중심 간호실무 가이드라인 개발과 적용 및 평가", 박사, pp.2009
  3. 문경자, "중환자실 섬망예방을 위한 근거중심 간호중재 프로토콜 개발", 임상간호연구, 16(3), pp.175~186 (2010), 병원간호사회
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  10. Fransen, J., "Influence of guideline adherence on outcome in a randomised controlled trial on the efficacy of methotrexate with folate supplementation in rheumatoid arthritis", Annals of the Rheumatic Diseases, 63(10), pp.1222~1226 (2004)
  11. Grimshaw, J., "Toward evidence-based quality improvement. Evidence (and its limitations) of the effectiveness of guideline dissemination and implementation strategies 1996-1998", Journal of General Internal Medicine, 21(suppl 2), pp.S14~S20 (2006)
  12. Ketola, E., "Prioritizing guideline topics: Development andevaluation of a practical tool", Journal of Evaluation inClinical Practice, 13(4), pp.627~631 (2007)
  13. "근거창출임상연구국가사업단 출범 임상연구 통합전문관리 체계 구축. NSCR News" (2010)[URL]
  14. McClarey, M., "Identifying priorities for national clinical guidelines", Nursing Standard, 13(41), pp.37~41 (1999)
  15. Reveiz, L., "Prioritization strategies in clinical practice guidelines development: A pilot study", Health Research Policy and Systems, 8, pp.1~10 (2010)

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