Browse > Article
http://dx.doi.org/10.22650/JKCNR.2011.17.2.5

Adaptation of the Evidence Based Nursing Practice Guideline  

Kim, Ji Hyun (Department of Nursing, Samsung Medical Center)
Song, So Lee (Department of Nursing, Samsung Medical Center)
Kim, Mi Kyung (Department of Nursing, Samsung Medical Center)
Cho, Myoung Sook (Department of Clinical Nursing Science, Samsung Medical Center, Sungkyunkwan University School of Medicine)
Publication Information
Journal of Korean Clinical Nursing Research / v.17, no.2, 2011 , pp. 176-191 More about this Journal
Abstract
Purpose: This methodological study translated, adapted, and validated the evidence based guideline of RNAO (Registered Nurses Association of Ontario) in Canada, for acute stroke care to domestic circumstances. Methods: Quality of the RNAO guideline was evaluated using AGREE tool. Then the guideline was translated into Korean and a preliminary guideline was established After checking content validation by an expert group, the Korean version of the guideline was applied to clinical settings to see its applicability. Results: The RNAO guideline in Korea was deemed appropriate. The Korean version of the guideline was drawn up with 56 items in 3 areas in stroke system related nursing, nursing of acute stroke inpatients, and stroke nursing assessment. A questionnaire survey was performed on appropriateness, enforceability, and applicability of those recommendations. A total of 54 recommendations were finalized after deleting 2 items below CVI 0.7 and correcting 3 items by taking professional advices. After trial application of the guideline to 40 stroke patients hospitalized at a ward of a hospital in Seoul, its performance was improved but was not statistically significant. Conclusion: This guideline is expected to contribute to improving nursing quality by offering it as a guide to evidence based practices for acute stroke care in Korea.
Keywords
Acute stroke care; Evidence based guideline; Guideline adaptation;
Citations & Related Records
Times Cited By KSCI : 1  (Citation Analysis)
연도 인용수 순위
1 박명화(2006). 근거중심 간호의 이해와 적용. 서울: 군자출판사.
2 박명화, 김명애(2005). 미국 NGC 배뇨자극요법 근거중심 가이드 라인의 국내 적용가능성 평가. 성인간호학회지, 17 (4), 622- 634.
3 박미옥(2009). 위암환자 수술 전. 후 간호실무 가이드라인 개발. 서울대학교 석사학위논문, 서울.
4 박태남(2006). 한국 노인의 변비예방 지침. 지역사회간호학회지, 17 (3), 315-325.
5 박태남(2007). 시설노인의 비약물적 변비 관리를 위한 근거중심 간호실무 가이드라인 개발. 계명대학교 석사학위논문, 대구.
6 박현영(2009). 수술실 계수 오류 예방 가이드라인 개발. 전남대학교 석사학위논문, 광주.
7 손현지(2004). NGC에 등재된 근거중심 노인의 급성통증 관리 가이드라인의 국내 적용가능성. 계명대학교 석사학위논문, 대구.
8 유지수(2000). 뇌졸중 환자의 가정간호중재 프로토콜 개발. 기본간호학회지, 7 (1), 122-136.
9 이재현(2006). RCN 아동 급성통증 사정 임상실무지침의 타당도 조사. 계명대학교 석사학위논문, 대구.
10 이종민(2009). 급성기 합병증 관리. 대한의사협회지, 52 (4), 365- 374.
11 임상진료지침 정보센터(2009). AGREE 도구 I. 2009. 6. 6. http:// www.guideline.or.kr/contents/index.php?code=030에서 인출
12 최선애(2004). 만성 뇌졸중 장애인의 삶의 질에 영향을 미치는 요인 연구. 성균관대학교 석사학위논문, 서울.
13 통계청(2009). 2009년 사망원인통계 결과. 2009. 6. 6. http://kostat. go.kr/portal/korea/kor_nw/2/6/2/index.board? bmode =read&aSeq=179505에서 인출
14 한국보건의료연구원(2009). 임상진료지침 수용개작 사용 매뉴얼 Ver 2.0. 2011. 6. 6. http://www.cpg.or.kr/images/MANUAL. pdf에서 인출
15 황주연(2005). 급성혼돈 환자관리를 위한 근거중심 간호실무 가이 드라인 개발. 계명대학교 석사학위논문, 대구.
16 Cochran, I., Flynn, C. A., Goetz, G., Potts-Nulty, S. E., Rece, J., & Sensenig, H. (1994). Stroke care--piecing together the long-term picture. Nursing, 24 (6), 34-41.
17 Courtney, M. (2005). Evidence for nursing practice. Sydney: Churchill Livingstone.
18 Field, M., J., & Lohr, K. N. (Eds.). (1990). Clinical practice guidelines: Directions for new program. Washington, DC: Institute of Medicine.
19 Friedman, R. (2003, May). Imperceptible strokes linked depression in elderly. Paper presented at the American Psychiatric Association 156th Annual Meeting, San Francisco, CA.
20 Granitto, M., & Galitz, D. (2008). Update on stroke: The latest guidelines. The Nurse Practitioner, 33 (1), 39-46.   DOI   ScienceOn
21 Lindsay, P., Bayley, M., Hellings, C., Hill, M., Woodbury, E., & Phillips, S., (2008). Canadian best practice recommendations for stroke care (updated 2008). Canadian Medical Association Journal, 179 (12), S1-S25.   DOI
22 National Guideline Clearinghouse. (2008, January). Acute inpatient stroke care. Components of acute inpatient care. In: Canadian best practice recommendations for stroke care. Retrieved August 15, 2008, from http://www.ngc. gov/content.aspx?id=14207&search=stroke+care
23 Royal College of Nursing. (2008, January). National clinical guidelines stroke care. Retrieved August 15, 2008, from http://bureau-query.funnelback.co.uk/search/search.cg i?query=stroke%20care&collection=rcn-meta&form=&st art_rank=1
24 Sachs, G. S., Printz, D. J., Kahn, D. A., Carpenter, D., Docherty, J. P., & Ross, R. (2000). Medication treatment of bipolar disorder 2000: A summary of the expert consensus guidelines. Journal of Psychiatry Practice, 6 (4), 197-211.   DOI   ScienceOn
25 Scottish Intercollegiate Guidelines Network. (2008, December). Management of patients with stroke or TIA: Assessment, investigation, immediate management and secondary prevention. A national clinical guideline. Scottish. United Kingdom. Retrieved August 15, 2008, from http://www. sign.ac.uk/pdf/sign108.pdf
26 뇌졸중 임상연구센터(2009). 뇌졸중 진료 지침. 2009. 8. 15. http:// www.stroke-crc.or.kr/faq/index.asp에서 인출
27 국민건강보험공단(2009). 뇌졸중의 개요, 임상증상, 예방 등. 2009. 12. 15. http://hi.nhic.or.kr/wbJ/data_view.jsp?cat_id=c_0003 &art_id=1294608에서 인출
28 김연희, 한태륜, 정한영, 전민호, 이종민, 김덕용 등(2009). 뇌졸중 재활치료를 위한 한국형 표준 진료 지침. 대한 뇌신경 재활학회지, 2 (1), 1-38.
29 남상원(2007). 급성기 뇌졸중 환자에서 정맥 내 r-tPA 혈전용해 치료법: 지역병원에서의 안정성과 유효성. 순천향대학교 석사학위논문, 아산.
30 대한뇌졸중학회(2005). 뇌졸중이란?. 2011. 6. 6. http://www.stroke. or.kr/stroke/index.html에서 인출
31 대한의학회(2007). 임상진료지침 개발 정책 모형 수립 및 사례지침 개발연구. 서울: 저자.