DOI QR코드

DOI QR Code

Updates of Nursing Practice Guideline for Pressure Injury

욕창간호 실무지침 개정

  • 박경희 (수원대학교 간호학과) ;
  • 김정윤 (분당서울대학교병원 상처장루실금) ;
  • 박옥경 (고려대학교 안산병원 상처장루실금) ;
  • 박주희 (삼성서울병원 상처장루실금) ;
  • 이윤진 (세브란스병원) ;
  • 황지현 (서울아산병원 상처장루실금)
  • Received : 2019.01.29
  • Accepted : 2019.02.22
  • Published : 2019.04.30

Abstract

Purpose: This study was conducted to update the existing evidence-based nursing clinical practice guideline in management of pressure injury in South Korea. Methods: The update process underwent the 22 steps according to the update method based on the international standards. Results: The updated nursing practice guideline for pressure injury consists of 4 domains and 436 recommendations. The numbers of recommendations in each domain were 25 for hospital policies, 51 for assessment, 350 for prevention and management, and 10 for education. There were 2.5% of A, 13.3% of B, 84.2% of C in terms of grading of recommendations. Among these, the major revision was done in 32 recommendations (7.4%). A total of 299 recommendations (68.6%) were added newly. Minor revisions, such as change or addition of some words, were also made in 25 recommendations(5.7%). No change was made in 80 recommendations (18.3%) compared to the previous ones. Conclusion: The nursing practice guideline for pressure injury has been updated. This updated guideline can be used as educational materials for both healthcare workers and patients with pressure injury.

Keywords

Table 1. Guidelines Assessment using AGREE II Tool and TAAD Tool

BGHSBR_2019_v25n1_67_t0001.png 이미지

Table 2. Distribution of Recommendations of the Nursing Practice Guideline for Pressure Injury

BGHSBR_2019_v25n1_67_t0002.png 이미지

Table 3. Classification of Revisions in the Recommendations of the Update Guidelines

BGHSBR_2019_v25n1_67_t0003.png 이미지

References

  1. National Pressure Ulcer Advisory Panel; European Pressure Ulcer Advisory Panel; Pan Pacific Pressure Injury Alliance. Prevention and treatment of pressure ulcers: Clinical practice guideline. Perth: Cambridge Media; 2014. p. 10-292.
  2. Park KH. Visual wound management. 2nd ed. Paju: Koonja Publishing; 2019. p. 219-282.
  3. Moon M. The characteristics related to the development of pressure ulcers in long term care facilities: The use of 2009 National Patient Sample. Journal of the Korea Academia- Industrial cooperation Society. 2013;14(7):3390-3399. https://doi.org/10.5762/KAIS.2013.14.7.3390
  4. Qaseem A, Mir TP, Starkey M, Denberg TD. Clinical Guidelines Committee of the American College of Physicians. Risk assessment and prevention of pressure ulcers: A clinical practice guideline from the American College of Physicians. Annals of Internal Medicine. 2015;162(5):359-369. https://doi.org/10.7326/M14-1567
  5. Padula WV, Mishra MK, Makic MB, Sullivan PW. Improving the quality of pressure ulcer care with prevention: A cost-effectiveness analysis. Medical Care. 2011;49(4):385-392. https://doi.org/10.1097/MLR.0b013e31820292b3
  6. Dealey C, Posnett J, Walker A. The cost of pressure ulcers in the United Kingdom. Journal of Wound Care. 2012;21(6):261-262, 264, 266. https://doi.org/10.12968/jowc.2012.21.6.261
  7. Han TR, Bang MS, Jung SK. Rehabilitation medicine. 6th ed. Paju: Koonja Publishing; 2019. p. 617-637.
  8. Park KH. Suspected deep tissue injury and managing shearing force. Journal of Korean Wound Management Society. 2014;10(2):89-93.
  9. Jung IS, Kim SM, Jeong JS, Hong EY, Lim EY, Seo HJ, et al. Development of pressure ulcer management guideline by adaptation process. Research report. Seoul: Korean Hospital Nurses Association; 2013.
  10. Kim SY, Choi MY, Shin SS, Ji SM, Park JJ, Yoo JH, et al. NECA's handbook for clinical practice guideline developer. Seoul: National Evidence-based Healthcare Collaborating Agency; 2015.
  11. National Institute for Health and Care Excellence(NICE). Developing NICE guidelines: The manual. London: NICE;2016.
  12. Scottish Intercollegiate Guidelines Network(SIGN). SIGN 50: A guideline developer's handbook. Edinburgh, SIGN; 2015.
  13. Gu MO, Cho YA, Eun Y, Jeong IS, Kim HL, Yoon HS, et al. Updates of nursing practice guideline for intravenous infusion. Research report. Seoul: Korean Hospital Nurses Association; 2017.
  14. Kim NS, Kim SY, Park HA, Shin SS, Lee HY, Ji SM, et al. Tool for assessment of adapted guidelines(TAAD). Seoul: National Strategic Coordinating Center for Clinical Research; 2012.
  15. Choi BR. RAM(RAND/UCLA Appropriateness Method) applied to decision making method. HIRA Policy Trends. 2010;4(1):58-62.
  16. Fitch K, Bernstein SJ, Aguilar MD, Burnand B, LaCalle JR, Lazaro P, et al. The RAND/UCLA appropriateness method user's manual. Santa Monica, CA: RAND Corporation; 2001.
  17. National Pressure Ulcer Advisory Panel; European Pressure Ulcer Advisory Panel. Prevention and treatment of pressure ulcers: Clinical practice guideline. Washington DC: National Pressure Ulcer Advisory Panel; 2009. p. 12-120.
  18. Wound, Ostomy, and Continence Nurses Society(WOCN). Guideline for prevention and management of pressure ulcers. Mt. Laurel, NJ: WOCN; 2010.
  19. Association for the Advancement of Wound Care(AAWC). AAWC pressure ulcer guidelines. Malvern, PA: AAWC; 2010.
  20. Registered Nurses' Association of Ontario(RNAO). Assessment and management of stage I to IV pressure ulcers. Toronto, ON: RNAO; 2007. p. 6-56.
  21. Registered Nurses' Association of Ontario(RNAO). Risk assessment and prevention of pressure ulcers. Toronto, ON: RNAO; 2011. p. 9-50.
  22. Registered Nurses' Association of Ontario(RNAO). Assessment and management of pressure injuries for interprofessional team. Toronto, ON: RNAO; 2016. p. 6-156.
  23. Wound, Ostomy and Continence Nurses Society(WOCN). Guideline for prevention and management of pressure ulcers(Injuries). Mt. Laurel, NJ: WOCN; 2016.
  24. Institute for Clinical Systems Improvement(ICSI). Health care protocol: Pressure ulcer prevention and treatment protocol. 2014. p. 1-82.
  25. National Pressure Ulcer Advisory Panel(NPUAP). NPUAP position statement on staging 2017 clarifications. Osborne Park, Western Australia: Cambridge Media; 2017.
  26. Gu MO, Cho MS, Cho YA, Jeong JS, Jeong IS, Park JS, et al. Topics for evidence-based clinical nursing practice guidelines in Korea. Journal of Korean Clinical Nursing Research. 2011;17(3):307-318.
  27. Gu MO, Cho MS, Cho YA, Eun Y, Jeong JS, Jeong IS, et al. Adaptation process of nursing practice guideline and standardization of nursing practice guideline adaptation. Research report. Seoul: Korean Hospital Nurses Association; 2012.
  28. Clark E, Donovan EF, Schoettker P. From outdated to updated, keeping clinical guidelines valid. International Journal for Quality in Health Care. 2006;18(3):165-166. https://doi.org/10.1093/intqhc/mzl007
  29. Shekelle PG, Ortiz E, Rhodes S, Morton SC, Eccles MP, Grimshaw JM, et al. Validity of the Agency for Healthcare Research and Quality clinical practice guidelines: how quickly do guidelines become outdated. AMA. 2001;286(12):1461-1467. https://doi.org/10.1001/jama.286.12.1461