임상간호연구 (Journal of Korean Clinical Nursing Research)

  • 제26권1호
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  • Pages.10-25
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  • 2020
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  • 1598-9186(pISSN)
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  • 2287-3694(eISSN)
병원간호사회 (Hospital Nurses Association)
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경장영양 간호실무지침 개정

Updates of Nursing Practice Guideline for Enteral Nutrition

  • 조용애 (중앙대학교 적십자간호대학) ;
  • 구미옥 (경상대학교 간호대학.건강과학연구원) ;
  • 은영 (경상대학교 간호대학.건강과학연구원) ;
  • 유미 (경상대학교 간호대학.건강과학연구원) ;
  • 김정연 (세브란스병원 간호팀) ;
  • 이현희 (분당서울대병원 간호파트) ;
  • 민자경 (삼성서울병원) ;
  • 송정미 (서울아산병원)
  • Cho, Yong Ae (Red Cross College of Nursing, Chung-Ang University) ;
  • Gu, Mee Ok (College of Nursing.Gerontological Health Research Center in Institute of Health Sciences, Gyeongsang National University) ;
  • Eun, Young (College of Nursing.Gerontological Health Research Center in Institute of Health Sciences, Gyeongsang National University) ;
  • Yu, Mi (College of Nursing.Gerontological Health Research Center in Institute of Health Sciences, Gyeongsang National University) ;
  • Kim, Jung Yeon (Division of Nursing, Severance Hospital) ;
  • Lee, Hyun Hee (Department of Nursing, Bundang Seoul National University Hospital) ;
  • Min, Ja Kyung (Department of Nursing, Samsung Medical Center) ;
  • Song, Jung Mi (Department of Nursing, Asan Medical Center)
  • 투고 : 2020.01.31
  • 심사 : 2020.02.21
  • 발행 : 2020.04.30
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초록

Purpose: The purpose of this study was to update the previously developed nursing practice guideline for enteral nutrition (EN). Methods: The guideline update was done in 22 steps using standardized methodology for nursing practice guidelines. Results: The updated EN guideline consisted of 16 domains and 228 recommendations. The domains and number of recommendations in each domain were for IDSA (Infectious Diseases Society of America): 8 on general instruction, 9 on general instruction for special nutrition, 9 on general instruction for EN, 3 on assessment of EN, 10 on access to EN, 18 on EN device insertion, 16 on selection and preparation of nutritional supplements, 46 on administration and stopping EN, 22 on maintenance and management of EN, 9 on monitoring EN, 16 on prevention and management of complications of EN, 18 on medication administration, 20 on EN in various situations, 20 on prevention of errors, 1 on nursing education, and 3 on nursing documentation. For the levels of evidence, there were 9.7% for level I, 13.1% for level II, 62.5% for level III and 1.1% for GRADE (Grading of Recommendations Assessment, Development and Evaluation): 3.3% for low, 0.8% for moderate, 9.3% for very low. A total of 133 recommendations were newly developed and 10 previous recommendations were modified. Conclusion: This updated EN nursing practice guideline can be used to enhance evidence-based practice in fundamentals of nursing practice and it should be disseminated to nurses nationwide in order to improve the efficiency of EN practice.

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참고문헌

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