Browse > Article
http://dx.doi.org/10.22650/JKCNR.2021.27.2.187

Development of the Nursing Practice Guidelines for Preventing Postoperative Pulmonary Complications using the Guideline Adaptation Process  

Choi, Jin Ju (Department of Nursing, Samsung Medical Center)
Kim, Hyeon Jeong (Department of Nursing, Samsung Medical Center)
Kang, Hye Min (Department of Nursing, Samsung Medical Center)
Chu, Hee Young (Department of Nursing, Samsung Medical Center)
Kim, Kyeong Sug (Department of Nursing, Samsung Medical Center)
Publication Information
Abstract
Purpose: This study aimed to develop an evidence-based nursing practice guideline for preventing postoperative pulmonary complications (PPCs). Methods: The guideline adaptation process was conducted through the 24 steps based on the guideline adaptation manual of Korean Hospital Nurses Association. Results: The newly developed guideline to prevent PPCs consisted of four domains and 30 recommendations. The number of recommendations in each domain was 7 for assessment of PPCs, 17 for nursing interventions to prevent PPCs after general anesthesia, 4 for education (intended for patients and medical staff), and 2 for monitoring and recording. Conclusion: The developed guidelines will contribute in standardization of nursing practice and PPCs prevention and management. We recommend the dissemination and utilization of these guidelines nationwide to improve the quality of postoperative pulmonary complication prevention.
Keywords
Postoperative Complications; Respiratory Therapy; Guideline; Evidence-Based Nursing;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Fernandez-Bustamante A, Frendl G, Sprung J, Kor DJ, Subramaniam B, Martinez Ruiz R, et al. Postoperative pulmonary complications, early mortality, and hospital stay following noncardiothoracic surgery: A multicenter study by the perioperative research network investigators. JAMA Surgery. 2017;152(2):157-166. https://doi.org/10.1001/jamasurg.2016.4065   DOI
2 Strickland SL, Rubin BK, Drescher GS, Haas CF, O'Malley CA, Volsko TA, et al. AARC clinical practice guideline: Effectiveness of nonpharmacologic airway clearance therapies in hospitalized patients. Respiratory Care. 2013;58(12):2187-2193. https://doi.org/10.4187/respcare.02925   DOI
3 do Nascimento Junior P, Modolo NS, Andrade S, Guimaraes MM, Braz LG, El Dib R. Incentive spirometry for prevention of postoperative pulmonary complications in upper abdominal surgery. Cochrane Database of Systematic Reviews. 2014;2014(2):CD006058. https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD006058.pub3/full.   DOI
4 Restrepo RD, Wettstein R, Wittnebel L, Tracy M. Incentive spirometry: 2011. Respiratory Care. 2011;56(10):1600-1604. https://doi.org/10.4187/respcare.01471   DOI
5 O'Driscoll BR, Howard LS, Earis J, Mak V. BTS guideline for oxygen use in adults in healthcare and emergency settings. Thorax. 2017;72(Suppl 1):ii1-ii90. https://doi.org/10.1136/thoraxjnl-2016-209729   DOI
6 Card R, Sawyer M, Degnan B, Harder K, Kemper J, Marshall M, et al. Perioperative Protocol. 5th ed. Institute for Clinical Systems Improvement; 2014 Mar [cited 2019 Mar 10]. Available from: https://www.icsi.org/wp-content/uploads/2019/01/Periop.pdf.
7 Sung TY, Cho CK. Preoperative assessment of geriatric patients. Journal of the Korean Medical Association. 2017;60(5):364-370. https://doi.org/10.5124/jkma.2017.60.5.364   DOI
8 Grau L, Orozco FR, Duque AF, Post ZD, Ponzio DY, Ong AC. A simple protocol to stratify pulmonary risk reduces complications after total joint arthroplasty. Journal of Arthroplasty. 2019;34(6):1233-1239. https://doi.org/10.1016/j.arth.2019.01.048   DOI
9 Branson RD. The scientific basis for postoperative respiratory care. Respiratory Care. 2013;58(11):1974-1984. https://doi.org/10.4187/respcare.02832   DOI
10 Health Insurance Review and Assessment Service. 2016(4th) Appropriateness evaluation of 7 diagnosis related group [Internet]. Wonju: Health Insurance Review & Assessment Service; 2017 Nov [cited 2019 Sep 11]. Available from: https://biz.hira.or.kr/cms/PC/notice01/__icsFiles/afieldfile/2017/11/10/1.pdf.
11 Brueckmann B, Villa-Uribe JL, Bateman BT, Grosse-Sundrup M, Hess DR, Schlett CL, et al. Development and validation of a score for prediction of postoperative respiratory complications. Anesthesiology. 2013;118(6):1276-1285. https://doi.org/10.1097/ALN.0b013e318293065c   DOI
12 Eltorai AEM, Baird GL, Eltorai AS, Pangborn J, Antoci V Jr, Cullen HA, et al. Perspectives on incentive spirometry utility and patient protocols. Respiratory Care. 2018;63(5):519-531. https://doi.org/10.4187/respcare.05872   DOI
13 Davies OJ, Husain T, Stephens RC. Postoperative pulmonary complications following non-cardiothoracic surgery. BJA Education. 2017;17(9):295-300. https://doi.org/10.1093/bjaed/mkx012   DOI
14 Diaz-Fuentes G, Hashmi HR, Venkatram S. Perioperative evaluation of patients with pulmonary conditions undergoing non-cardiothoracic surgery. Health Services Insights. 2016;9(Suppl 1):9-23. https://doi.org/10.4137/HSI.S40541   DOI
15 Miskovic A, Lumb AB. Postoperative pulmonary complications. British Journal of Anaesthesia. 2017;118(3):317-334. https://doi.org/10.1093/bja/aex002   DOI
16 Cassidy MR, Rosenkranz P, McCabe K, Rosen JE, McAneny D. I COUGH: Reducing postoperative pulmonary complications with a multidisciplinary patient care program. JAMA Surgery. 2013;148(8):740-745. https://doi.org/10.1001/jamasurg.2013.358   DOI
17 Practice guidelines for moderate procedural sedation and analgesia 2018: a report by the American society of anesthesiologists task force on moderate procedural sedation and analgesia, the American association of oral and maxillofacial surgeons, American college of radiology, American dental association, American society of dentist anesthesiologists, and society of interventional radiology. anesthesiology. 2018;128(3):437-479. https://doi.org/10.1097/ALN.0000000000002043   DOI
18 Lee WS, Yang YL, Oh EG. Effectiveness of deep breathing exercise for postoperative pulmonary complications prevention: A systematic review. Journal of Korean Academy of Fundamentals of Nursing. 2014;21(4):423-432. https://doi.org/10.7739/jkafn.2014.21.4.423   DOI
19 Apfelbaum JL, Silverstein JH, Chung FF, Connis RT, Fillmore RB, Hunt SE, et al. Practice guidelines for postanesthetic care: An updated report by the American Society of Anesthesiologists Task Force on Postanesthetic Care. Anesthesiology. 2013;118(2):291-307. https://doi.org/10.1097/ALN.0b013e31827773e9   DOI
20 AGREE next steps consortium. AGREE II: appraisal of guidelines for research and evaluation II instrument [Internet]. Ontario(CA): AGREE research trust; c2009-2017 [cited 2019 March 19]. Available from: https://www.agreetrust.org/resource-centre/agree-ii.
21 Shin SM, Choi HR. Practice guideline to prevent postoperative pulmonary complications for abdominal surgery. Evidence and Nursing. 2017;5(1):27-37.
22 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 [Internet]. Seoul: Korean Hospital Nurses Association; 2011 [cited 2019 Jan 2] Available from: https://khna.or.kr/home/data/khna_guide04.pdf.
23 Choi BR. RAM(RAND/UCLA Appropriateness Method) applied to decision making method. HIRA Policy Trends. 2010;4(1):58-62.
24 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.
25 Kim SY, Kim NS, Shin SS, Gi SM, Lee SJ, Kim SH, et al. Manual for guideline adaptation. Version 2.0. Seoul: National Evidence- based Healthcare Collaborating Agency; 2011.
26 Mermel LA, Allon M, Bouza E, Craven DE, Flynn P, O'Grady NP, et al. Clinical practice guidelines for the diagnosis and management of intravascular catheter-related infection: 2009 update by the Infectious Diseases Society of America. Clinical Infectious Diseases. 2009;49(1):1-45. https://doi.org/10.1086/599376   DOI
27 Garcia-Delgado M, Navarrete-Sanchez I, Colmenero M. Preventing and managing perioperative pulmonary complications following cardiac surgery. Curr Opin Anaesthesiol. 2014 Apr;27(2):146-152. https://doi.org/10.1097/ACO.0000000000000059   DOI