Journal of Korean Clinical Nursing Research (임상간호연구)

Hospital Nurses Association (병원간호사회)
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Development of the Nursing Practice Guideline for Pain Management according to the Guideline Adaptation Process

간호 분야 실무지침의 수용개작 방법론에 따른 통증간호 실무지침의 개발

  • Eun, Young (College of Nursing, Institute of Health Sciences, Gyeongsang National University) ;
  • Yu, Mi (College of Nursing, Institute of Health Sciences, Gyeongsang National University) ;
  • Gu, Mee Ok (College of Nursing, Institute of Health Sciences, Gyeongsang National University) ;
  • Cho, Yong Ae (Red Cross College of Nursing, Chung-Ang University) ;
  • Kim, Kyung Sook (Department of Nursing, Samsung Medical Center) ;
  • Kim, Tae Hee (Division of Nursing, Severance Hospital) ;
  • Lee, Hyun Hee (Department of Nursing, Seoul National University Bundang Hospital) ;
  • Jeon, Mi Jin (Department of Nursing, Seoul Asan Medical Center)
  • 은영 (경상대학교 간호대학.건강과학연구원) ;
  • 유미 (경상대학교 간호대학.건강과학연구원) ;
  • 구미옥 (경상대학교 간호대학.건강과학연구원) ;
  • 조용애 (중앙대학교 적십자간호대학) ;
  • 김경숙 (삼성서울병원 간호교육팀) ;
  • 김태희 (세브란스병원 간호파트) ;
  • 이현희 (분당서울대병원 간호파트) ;
  • 전미진 (서울아산병원)
  • Received : 2019.01.18
  • Accepted : 2019.02.22
  • Published : 2019.04.30
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Abstract

Purpose: This study was done to develop a evidence-based guideline for pain assessment and management in Korea by adapting previously developed pain guidelines. Methods: The guideline adaptation process was conducted using 24 steps according to the guideline adaptation manual developed by Hospital Nurses Association in 2012. Results: The newly developed pain management guideline consisted of 9 domains and 234 recommendations. The number of recommendations in each domain was: 13 general instruction items, 51 pain assessments, 14 pain interventions, 66 pharmacological interventions for acute pain, 41 pharmacological interventions for chronic cancer pain, 35 pharmacological interventions for chronic noncancer pain, 21 non-pharmacological interventions, 2 documentations, 10 nursing education items, for pain. Conclusion: The findings suggest that the new pain management guideline can be used to address pain in hospital settings.

Keywords

Table 1. Selected Guidelines and Domain Scores using AGREE II Appraisal Instrument and Acceptance

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Table 2. System of Quality of Evidence and Strength of Recommendation

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Table 3. Distribution of Strength of Recommendation

BGHSBR_2019_v25n1_1_t0003.png 이미지

Table 4. Distribution of Quality of Evidence and Strength of Recommendation in Nursing Practice Guideline for Pain Management

BGHSBR_2019_v25n1_1_t0004.png 이미지

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