DOI QR코드

DOI QR Code

Topics for Evidence-Based Clinical Nursing Practice Guidelines in Korea

국내 근거기반 임상간호실무지침의 주제 선정

  • Gu, Mee Ok (College of Nursing, Institute of Health Sciences, Gyeongsang National University) ;
  • Cho, Myoung Sook (Samsung Medical Center, Department of Clinical Nursing Science, Sungkyunkwan University School of Medicine) ;
  • Cho, Yong Ae (Department of Nursing Staff Development, Samsung Medical Center, Graduate School of Clinical Nursing Science, Sungkyunkwan University) ;
  • Jeong, Jae Sim (Department of Clinical Nursing, University of Ulsan) ;
  • Jeong, Ihn Sook (College of Nursing, Pusan National University) ;
  • Park, Jeong Sook (Division of Nursing, Severance Hospital, Yonsei University Health System) ;
  • Kim, Hea Jeong (Nursing Department, Seoul St. Mary's Hospital) ;
  • Eun, Young (College of Nursing, Institute of Health Sciences, Gyeongsang National University)
  • 구미옥 (경상대학교 간호대학, 경상대학교 건강과학연구원) ;
  • 조명숙 (삼성서울병원 간호본부, 성균관대학교 의과대학 임상간호학교실) ;
  • 조용애 (삼성서울병원 간호교육팀, 성균관대학교 의과대학 임상간호학교실) ;
  • 정재심 (울산대학교 임상전문간호학) ;
  • 정인숙 (부산대학교 간호대학) ;
  • 박정숙 (세브란스병원 간호팀) ;
  • 김혜정 (서울성모병원 간호팀) ;
  • 은영 (경상대학교 간호대학, 경상대학교 건강과학연구원)
  • Received : 2011.09.12
  • Accepted : 2011.10.24
  • Published : 2011.12.31

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.

Keywords

References

  1. 구미옥, 조명숙, 조용애, 은영, 정재심, 정인숙 등(2010).국내 근거 기반 임상간호실무지침의 주제 선정 및 우선순위. 서울: 병원간호사회.
  2. 김수미(2009). 출혈위험이 있는 신부전환자의 혈액투석을 위한 근거중심 간호실무 가이드라인 개발과 적용 및 평가. 전남대학교 박사학위논문, 광주.
  3. 대한의학회(2010).임상 진료지침 개발 워크숍 자료집. 서울: 저자.
  4. 문경자, 이선미(2010). 중환자실 섬망예방을 위한 근거중심 간호중재 프로토콜 개발. 임상간호연구, 16 (3), 175-186.
  5. 박명화(2006).근거중심 간호의 이해와 적용. 서울: 군자출판사.
  6. 박용숙(2011). 근거중심 암환자 섬망간호 가이드라인 개발과 효과검증. 경상대학교 박사학위논문, 진주.
  7. 박정숙, 고효정, 권영숙, 김정남,박영숙, 박청자 등(2001). 일 대학병원 낮번, 초번간호사의업무분석. 계명간호과학, 5 (1), 169-183.
  8. 박정호, 성영희, 송미숙, 조정숙, 심원희(2000). 한국 표준 간호행위분류. 대한간호학회지, 30 (6), 1411-1426.
  9. 박태남(2006). 시설노인의 비약물적 변비관리를 위한 근거중심 간호실무 가이드라인 개발. 계명대학교 박사학위논문, 대구.
  10. 박효순(2005). 임상간호사의 근거중심간호의 접근성과 활용성 및 장애요인에 관한 연구. 계명대학교 석사학위논문, 대구.
  11. 병원간호사회(2006). 임상간호실무지침서(개정 3판). 서울: 저자.
  12. 양태영(2002). 일 대학병원 내과병동 초번 간호사의 간호업무활동 분석. 인제대학교 석사학위논문, 부산.
  13. 오의금, 오현주, 이윤정(2004). 임상간호사들의연구관련활동실태 및 연구결과 활용의 장애 요인. 대한간호학회지, 34 (5), 838-848.
  14. 황주연(2004). 급성혼돈 환자관리를 위한 근거중심 간호실무 가이드라인 개발. 계명대학교 석사학위논문, 대구.
  15. Brown, C. E., Wickline, M. A., Ecoff, L., & Glaser, D. (2009). Nursing practice, knowledge, attitudes, and perceived barriers to evidence-based practice at an academic medical center. Journal of Advanced Nursing, 65 (2), 371- 381. https://doi.org/10.1111/j.1365-2648.2008.04878.x
  16. Estabrooks, C. A. (1999). Modeling the individual determinants of research utilization. Western Journal of Nursing Research, 21 (6), 758-772. https://doi.org/10.1177/01939459922044171
  17. Field, M. J., & Lohr, K. N. (Eds.). (1990). Clinical practice guidelines: Directions for a new program. Washington DC: National Academy Press.
  18. Grimshaw, J., Eccles, M., Thomas, R., MacLennan, G., Ramsay, C., Fraser, C., et al. (2006). Toward evidence-based quality improvement. Evidence (and its limitations) of the effectiveness of guideline dissemination and implementation strategies 1966-1998. Journal of General Internal Medicine, 21 (Suppl 2), S14-S20.
  19. Ketola, E., Toropainen, E., Kaila, M., Luoto, R., & Makela, M. (2007). Prioritizing guideline topics: Development and evaluation of a practical tool. Journal of Evaluation in Clinical Practice, 13 (4), 627-631. https://doi.org/10.1111/j.1365-2753.2007.00813.x
  20. Leake, P. Y. (2004). Teaming with students and a sacred cow contest to make changes in nursing practice. The Journal of Continuing Education in Nursing, 35 (6), 271- 277.
  21. McClarey, M., & Duff, L. (1999). Identifying priorities for national clinical guidelines. Nursing Standard, 13 (41), 37-41.
  22. Melnyk, B. M., & Fineout-Overholt, E. (2005). Evidence-based practice in nursing & healthcare: A guide to best practice. Philadelphia, PA: Lippicott Williams & Wilkins.
  23. Polit, D. F., & Beck, C. T. (2008). Nursing research: Generating and assessing evidence for nursing practice (8th ed.). Philadelphia, PA: Lippincott Williams & Wilkins.
  24. Rizzuto, C., Bostrom, J., Suter, W. N., & Chenitz, W. C. (1994). Predictors of nurses' involvement in research activities. Western Journal of Nursing Research, 16(2), 193-204.
  25. Sackett, D. L., Straus, S. E., Richardson, W. S., Rosenberg, W., & Haynes, R. B. (2000). Evidence-based medicine: How to practice and teach EBM (2nd ed.). London: Churchill Livingstone.
  26. Thomas, L. H., Cullum, N. A., McColl, E., Rousseau, N., Soutter, J., & Steen, N. (2009). Guidelines in professions allied to medicine (Review). The Cochrane Library, Issue 1.
  27. Woolf, S. H., Grol, R., Hutchinson, A., Eccles, M., & Grimshaw, J. (1999). Clinical guidelines: Potential benefits, limitations, and harms of clinical guidelines. British Medical Journal, 318 (7182), 527-530. https://doi.org/10.1136/bmj.318.7182.527