Development of Telephone Consultation Algorithm for Patient Discharged with Ophthalmic Disease

눈질환자의 퇴원 후 증상관리를 위한 전화상담 알고리즘 개발

  • Received : 2011.06.13
  • Accepted : 2011.09.09
  • Published : 2011.09.30

Abstract

Purpose: This methodological study was done to develop a telephone consultation algorithms and practice guidelines for patient discharged with ophthalmic diseases. Methods: The ophthalmic problems of the patients were identified and expert knowledge on managing the problems was acquired. Algorithms and practice guidelines were developed based on the expert knowledge. The content validity of algorithms and practice guidelines was evaluated by the experts. Results: The preliminary algorithms and practice guidelines were developed from 60 detailed signs and symptoms and 45 nursing interventions. The experts agreed that 57 detailed signs and symptoms linked with nursing interventions were valid, with the content validity index over 80%. Meeting with nurse experts and ophthalmologists was convened to review the rest of the 3 detailed signs and symptoms linked with nursing interventions. Finally, 60 detailed signs and symptoms and 46 nursing interventions were confirmed. Conclusion: This study suggests that the algorithms and practice guidelines are effective decision-making tools and utilization of these algorithms and practice guidelines is expected to improve the quality of clinical nursing and patient satisfaction.

Keywords

References

  1. Bridgeman, T., Flores, M., Rosenbluth, J., & Pierog, J. (1997). One emergency department's experience: clinical algorithms and documentation. Journal of Emergency Nursing, 23, 316-325. https://doi.org/10.1016/S0099-1767(97)90218-X
  2. Dong, S. L., Bullard, M. J., Meurer, D. P., Blitz, S., Holroyd, B. R., & Rowe, B. H. (2007). The effect of training on nurse agreement using an electronic triage system. Canadian Journal of Emergency Medicine, 9(4), 260-266.
  3. Emergency Medical Information Center. (2008). Counseling booklet in first aid. Seoul: Emergency Medical Information Center.
  4. Greenberg, M. E. (2009) Comprehensive model of the process of telephone nursing. Journal of Advanced Nursing, 65(12), 2621-2629. https://doi.org/10.1111/j.1365-2648.2009.05132.x
  5. Jang, H. S. (1999). A study of telephone advice and nursing intervention in a general hospital outpatient department. Unpublished master's thesis, Ewha Womans University of Korea, Seoul.
  6. Kang, H. J., Han, K., J., Choe, M. A., Park, S. H., Kim, Y. M., Kwon, W. K., et al. (1996). An investigational study on telephone calls to the pediatric nursing unit. Journal of Korean Academy of Child Health Nursing, 2(1), 112-126.
  7. Kang, S. J. (2001). The effects of phone counseling on maternal role in primiperous mothers. Journal of Korean Academy of Child Health Nursing, 7(4), 405-420.
  8. Kanski, J. J. (2005). Clinical ophthalmology (Trans. Jin, G. H., Park, I. G., Yoo, S. Y., Nam, U. H., Kwak, H. U.). Seoul: Jungdam Publishing Company.
  9. Kim, J. J., Noh, Y. J., Choi, Y. H., & Kim, M. J. (2000). Medical surgical nursing. Seoul: Hyunmoonsa.
  10. Kim, K. J., Lee, H. Y., Goh, G. J., Kim, J. H., Wang, M. J., Choi, G. O., et al. (2001). Manual of emergency care. Seoul:Hyunmoonsa
  11. Kim, K. J., Lee, H. Y., Kim, G. B., Wang, M. J., Park, K. S., Shon, I. A., et al. (1998). Emergency nursing: A physiologic and clinical perspectives. Seoul: Hyunmoonsa
  12. Ko, Y. M. (2006). A study of thesaurus based ontology. Information Management, 5, 5-22.
  13. Korean Academy of Home Care Nursing. (2005). Stress in home health care advanced practice nurses experiences of telephone consultation. The Journal of Korean Academic Society of Home Care Nursing, 12(2), 33-44.
  14. Lee, E. O., Choi, M. A., Park, S. Y., Lee, S. O., Song, M. S., Kim, D. S., et al. (2002). Medical surgical nursing. Seoul: Shinkwang Publishing Company.
  15. Lee, H. J., & Park H. A. (2009). Telephone inquiries to the ophthalmology nursing units and nursing interventions through telephone consultations. Journal of East-West Nursing Research, 15(2), 157-167
  16. Lee, H. Y., Choi, C. J., Park, O. J., Kim, K. S., Choi, K., O., Kim K., S., et al. (2010). Adult health nursing(6TH ed.). Seoul: Soomoonsa.
  17. Lee, J. H. (2007). A clinical-decision support system for the nursing process for the major signs and symptoms seen in primary and secondary school students. Unpublished master's thesis. Seoul National University of Korea, Seoul.
  18. Lee, S. K., Song, M. R., Kwon, E. G., Yu, H. A., Lee, S. S., Jung, J. Y., et al. (2002). The development of a telephone triage protocol for outpatient department(OPD) nurses: for patients with chest pain. Journal of Korean Clinical Nursing Research, 8(1), 73-88.
  19. Letourneau, M. A., MacGregor, D. L., Dick, P. T., McCabe, E. J., Allen, A. J., Chan, V. W., et al. (2003). Use of a telephone nursing line in a pediatric neurology clinic: one approach to the shortage of subspecialist. Pediatrics, 112(5), 1083-1087. https://doi.org/10.1542/peds.112.5.1083
  20. Lynn, M. R. (1986). Determination and quantification of content validity. Nursing Research, 35(6), 382-385.
  21. National Health Insurance Corporation. (2009). 2008 statistics of major surgery. Seoul: National Health Insurance Corporation.
  22. Nauriqht, L. P., Moneyham, L., & Williamson, J. (1999). Telephone triage and consultation: an emerging role for nurses. Nursing Outlook, 47(5), 219-226. https://doi.org/10.1016/S0029-6554(99)90054-4
  23. Park, M. O. (2009). Development of a nursing practice guideline for pre & post-operative care of gastric cancer patient. Unpublished master's thesis, Seoul National University of Korea, Seoul.
  24. Wahlberg, A. C., Cedersund, E., & Wredling, R. (2003). Telephone nurses' experience of problems with telephone advice in Sweden. Journal of Clinical Nursing, 12(1), 37-45. https://doi.org/10.1046/j.1365-2702.2003.00702.x
  25. Yang, J. J. (2005). Development and application of the algorithm for emergency nursing care of dyspneic patients. Unpublished doctoral dissertation. Chonnam National University of Korea, Gwangju.
  26. Yoon, D. H., Lee, S. W., & Choi, E. (2005). Ophthalmology. Seoul: Ilchokak.