Journal of Korean Clinical Nursing Research (임상간호연구)
- Volume 21 Issue 3
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- Pages.293-308
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- 2015
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- 1598-9186(pISSN)
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- 2287-3694(eISSN)
DOI QR Code
Development of Nursing Practice Standards of Hemodialysis Care According to Admission Types
내원유형별 혈액투석 간호업무 표준개발
- Kim, Min Sun (Hemodialysis Room, Dongguk University Ilsan Hospital) ;
- Kim, Moon Sil (Division of Nursing Science, Ewha Womans University) ;
- Kim, Jung A (College of Nursing, Hanyang University) ;
- Jeong, Eun Ju (Hemodialysis Room, Gangnam Severance Hospital) ;
- Heo, Eun Hwa (CHA Bundang Medical Center) ;
- Hong, Hwa Jeong (Son's Internal Medicine Clinic) ;
- Shin, Hye Sun (Department of Nursing, Kyungdong University) ;
- Jeong, Yeo Won (Department of Nursing, Hanyang University)
- 김민선 (동국대학교일산병원 인공신장실) ;
- 김문실 (이화여자대학교 간호학부) ;
- 김정아 (한양대학교 간호학부) ;
- 정은주 (강남세브란스병원 인공신장실) ;
- 허은화 (분당차병원) ;
- 홍화정 (손승환내과) ;
- 신혜선 (경동대학교 간호학과) ;
- 정여원 (한양대학교 간호학과)
- Received : 2015.09.30
- Accepted : 2015.10.21
- Published : 2015.12.31
Abstract
Purpose: This study aimed to develop nursing practice standards of hemodialysis care according to admission types. Methods: The standards were developed in four phases. Phase 1: The preliminary standards of hemodialysis care were developed based on literature review and evaluation of professional experts. Phase 2: Content validity was evaluated by 34 professional experts and the standards were modified and revised. Phase 3: Clinical validity was evaluated by 212 hemodialysis nurses. Expert group validated and verified the final outcome. Phase 4: Final standards of hemodialysis care according to admission types were developed. Results: The standard of hemodialysis care for out-patients included 5 standards, 9 contents, 43 nursing activities. The standard for in-patients included 6 standards, 10 contents, 50 nursing activities. The standards for critical patients included 4 standards, 10 contents, 43 nursing activities. There were differences in nursing activities according to admission type. Time required to meet the standards were different according to admission types. Conclusion: The findings of this research demonstrated that the time required for hemodialysis care and appropriate number of nurse would be different according to admission types. Different nursing workload according to admission type of hemodialysis patients need to be considered in allocating nursing manpower.