Browse > Article
http://dx.doi.org/10.7739/jkafn.2012.19.1.087

Evaluation of Applications of Adaptation of the Evidence-Based Nursing Practice Guidelines Patients with Acute Stroke  

Song, So-Lee (Department of Nursing, Samsung Medical Center)
Cho, Myoung-Sook (Department of Clinical Nursing Science, Samsung Medical Center, Sungkyunkwan University School of Medicine)
Kim, Ji-Hyun (Department of Nursing, Samsung Medical Center)
Han, Yun-Kyang (Department of Nursing, Samsung Medical Center)
Yan, Hye-Min (Stroke Center, Samsung Medical Center)
Publication Information
Journal of Korean Academy of Fundamentals of Nursing / v.19, no.1, 2012 , pp. 87-97 More about this Journal
Abstract
Purpose: This study was done to evaluate nursing guidelines for patients with acute stroke, developed by adapting the guidelines of Registered Nurses Association of Ontario, Canada to clinical settings on a large scale and evaluating the effectiveness as a research study. Method: The general characteristics of the 319 patients and the effectiveness of guideline application were evaluated in terms of structure, process, and outcome using questionnaires on the guidelines application with reference to the medical records of patients with acute stroke hospitalized on a ward of the stroke center of S General Hospital in Seoul. Results: Structures as a guidance system for assessment were consistent with the recommendations. With respect to the process of the guidelines, for items on nursing assessment, improved performance was found to be statistically significant. For outcomes of the guidelines, complications occurred in 8 patients (5.3%) prior to application of the guidelines and 11 patients (6.5%) after application of the guidelines, but this result was not statistically significant (p=.841). Conclusion: The results of the study indicate that for the effectiveness of the guidelines, accessibility to the guidelines and effectiveness of quality improvement need to be evaluated, in addition to complications of a stroke.
Keywords
Evidence-Based Nursing; Practice Guideline; Stroke; Care; Complication;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Titler, M. G. (2002). Use of research in practice. In G. LoBiondo-Wood & J. Haber (Eds.), Nursing Research(5th ed.). St. Louis, MO: Mosby.
2 Park, M. H., & Kim, M. A. (2005). Evaluating the NGC evidence-based guideline of prompted voiding for use in Korea. Korean Journal of Adult Nursing, 17, 622-634.
3 Davenport R. J., Dennis M. S., Wellwood I,. & Warlow, C. P. (1996). Complications after acute stroke. Stroke, 27, 415-420.   DOI   ScienceOn
4 Hwang, J. Y. (2005). Evidence-based nursing practice guideline for the management of acute confusion patients. Unpublished master's thesis, Keimyung University, Taegu.
5 Johnston, G., Crombie, I. K, Davies, H. T., Alder., E. M., & Millard, A. (2000). Reviewing audit: barriers and facilitating factors for effective clinical audit. Quality in Health Care, 9, 23-26.   DOI
6 Kim, J. H., Song, S. L., Kim, M. K., & Cho, M., S. (2011). Adaptation of the evidence-based nursing practice guideline. Journal of Korean Clinical Research, 17, 176-191.
7 Korea Centers for Disease Control and Prevention. (2009). Manual for Guideline Adaptation, Retrieved June 6, 2011, from Web site http://www.cpg.or.kr/images/MANUAL.pdf
8 Lee. J. H. (2006). Investigating the validity of RCN clinical practice guideline of assessing the acute pain of children. Unpublished master's thesis, Keimyung University, Taegu.
9 Lee, J. M. (2009). Management of acute stroke complication. Journal of the Korean Medical Association, 52, 365-374.   DOI   ScienceOn
10 Lindsay, P., Bayley, M., Hellings, C., Hill, M., Woodbury, E.. & Phillips, S. (2008). Acute inpatient stroke care. Components of acute inpatient care. In: Canadian best practice recommendations for stroke care. Canadian Medical Assosication Journal, 179 (12 Suppl), E48-52.
11 National Guideline Clearinghouse (2008, January). Evidence-based clinical practice guidelines stroke care. Washington, D.C, United States of America. Retrieved August 15, 2008, from Web site http://www.ngc.gov/content.aspx?id=14207&search= stroke+care
12 Scottish Intercollegiate Guidelines Network. (2008, December). Management of patient with stroke or TIA. Retrieved August 15, 2011. form Web site http://www.sign.ac.uk/pdf/sign108.pdf
13 Thomson, P., Angus, N., & Scott, J,. (2000). The value and use of clinical guidelines, protocols, care pathways and algorithmic guidelines as evidence based frameworks in critical care education and practice. Intensive and Critical Care Nursing, 16, 164 - 174.   DOI   ScienceOn
14 Park, M. H. (2006). Understanding and application of evidence based nursing. Seoul: Gun ja.
15 Park, T. N. (2006). Development of evidence-based nursing practice guideline for non-pharmacologic management of constipation in institutionalized elderly. Unpublished master's thesis. Keimyung University, Taegu.
16 Puri, J., Mishra, B., Mal, A., Murthy, N., Thakur, A., Dogra, V., et al. (2002). Catheter associated urinary tract infections in neurology and neurosurgical units. Journal of Infection, 44, 171-175.   DOI   ScienceOn
17 Royal College of Nursing. (2008). National clinical guidelines stroke care.England, United Kingdom. Retrieved August 15, 2011, from Web site http://www.rcplondon.ac.uk/sites/default/ files/psychology-concise-guide-stroke-2008.pdf
18 Son, H. J. (2004). Evaluating the NGC evidence based acute pain management guideline in the elderly for use in Korea. Unpublished master's thesis. Keimyung University, Taegu.
19 Statistics Korea. (2009). Cause of death statistics in 2009. Retrieved June 6, 2009, from Web site http://kostat.go.kr/ portal/korea/kor_nw/2/6/2/index.board?bmode=read&aSeq=179505
20 Stoeckle-Roberts, S., Reeves, M. J., Jacobs, B. S., Maddox, K.,Choate, L., Wehner, S., et al. (2006). Closing gaps between evidence-based stroke care guidelines and practices with a collaborative quality improvement project. Joint Commission Journal on Quality and Safety, 32, 517-527.
21 Thomas, L. H., Barrett, J., Cross, S., French, B., Leathley, M., Sutton, C., et al. (2005). Prevention and treatment of urinary incontinence after stroke in adults. The Cochrane Database of Systematic Reviews, 20(3), CD004462.
22 Clinical Research Center for Stroke. (2009). Clinical practice guidelines for stroke. Retrieved May 01, 2011, from Web site http://www.stroke-crc.or.kr/popup_090513.html.