• Title/Summary/Keyword: general guideline

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Updates of Nursing Practice Guideline for Intravenous Infusion (정맥주입요법 간호실무지침 개정)

  • Gu, Mee Ock;Cho, Yong Ae;Eun, Young;Jung, Ihn Sook;Kim, Hyun Lim;Yoon, Hee Sook;Kim, Eun Hyun;Yoon, Ji Hyun;Chang, Hee Kyung
    • Journal of Korean Clinical Nursing Research
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    • v.23 no.3
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    • pp.361-375
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    • 2017
  • Purpose: This study was conducted to update the existing nursing practice guideline for intravenous infusion guidelines according to the evidence-based practice guideline in South Korea. Methods: Guideline update process was performed using 22 steps according to the manuals developed by NICE and SIGN. Results: Updated nursing practice guidelines for the intravenous infusion were consisted of 23 domains and 322 recommendations. The number of recommendations in each domain were 4 for general instruction, 12 for vascular access device selection, 20 for site selection, 9 for insertion, 54 for stabilization, 21 for maintaining patency, 4 for blood sampling, 33 for exchange and removal, 28 for add-on device selection, 28, 72 for infusion related complications, 56 for infusion therapies, 7 for education, and 2 for documentation and report. There were 15.9% of A, 30.2% of B, 53.9% of C in terms of grade recommendations. A total of 178 (51.6%) recommendations were newly developed and 24 previous recommendations have been deleted. Conclusion: Updated nursing practice guideline for intravenous infusion was expected to be an evidence-based practice guideline for intravenous infusion in South Korea. This guideline is suggested to be disseminated to clinical nursing settings nationwide to improve the efficiency of intravenous infusion practice.

Nursing Practice Guideline for Prevention of Venous Thromboembolism According to the Guideline Adaptation Process (간호분야 실무지침의 수용개작 방법론에 따른 정맥혈전색전증예방 간호실무지침의 개발)

  • Cho, Yong Ae;Gu, Mee Ock;Eun, Young;Kim, Kyung Sook;Lee, Seon Heui;Yoon, Ji Hyun;Hwang, Jung Hwa;Lee, Kyeong Yoon;Park, Mi Joung
    • Journal of Korean Clinical Nursing Research
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    • v.22 no.2
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    • pp.118-131
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    • 2016
  • Purpose: This study was conducted to develop a useful evidence-based guideline for preventing venous thromboembolism(VTE) in Korea adapting previously developed VTE guidelines. Methods: The guideline adaptation process was performed using 24 steps according to the nursing practice guideline adaptation manual developed by Hospital Nurses Association in 2012. Results: The newly developed VTE prevention guideline was consisted of 16 domains and 163 recommendations. The number of recommendations in each domain were: 4 general issues, 4 risk factors, 2 intervention at occurrence of VTE, 14 mechanical interventions, 30 pharmacological interventions, 19 VTE prevention for medical patient, 10 stroke patient, 16 cancer patient, 14 pregnancy, 6 for long distance traveller, 5 for abdominal surgery, 10 thoractic surgery, 10 orthopedic surgery, 5 neurosurgery, 4 other surgical patient, 2 urological surgery, 1 ENT surgery, 1 plastic surgery, 3 day surgery, 3 education of VTE prevention. Fourteen point three percent, 61.1%, and 24.6% of the recommendations were graded A, B, and C, respectively. Conclusion: The findings suggest that the new VTE prevention guideline can be more efficiently used to prevent VTE in hospital settings.

Development of the Nursing Practice Guideline for Pain Management according to the Guideline Adaptation Process (간호 분야 실무지침의 수용개작 방법론에 따른 통증간호 실무지침의 개발)

  • Eun, Young;Yu, Mi;Gu, Mee Ok;Cho, Yong Ae;Kim, Kyung Sook;Kim, Tae Hee;Lee, Hyun Hee;Jeon, Mi Jin
    • Journal of Korean Clinical Nursing Research
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    • v.25 no.1
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    • pp.1-14
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    • 2019
  • Purpose: This study was done to develop a evidence-based guideline for pain assessment and management in Korea by adapting previously developed pain guidelines. Methods: The guideline adaptation process was conducted using 24 steps according to the guideline adaptation manual developed by Hospital Nurses Association in 2012. Results: The newly developed pain management guideline consisted of 9 domains and 234 recommendations. The number of recommendations in each domain was: 13 general instruction items, 51 pain assessments, 14 pain interventions, 66 pharmacological interventions for acute pain, 41 pharmacological interventions for chronic cancer pain, 35 pharmacological interventions for chronic noncancer pain, 21 non-pharmacological interventions, 2 documentations, 10 nursing education items, for pain. Conclusion: The findings suggest that the new pain management guideline can be used to address pain in hospital settings.

Development of Nursing Practice Guidelines on Enteral Tube Feeding using the Guideline Adaptation Process (간호분야 실무지침의 수용개작 방법론에 따른 경장영양 실무지침의 개발)

  • Cho, Yong Ae;Eun, Young;Gu, Mee Ock;Cho, Myung Sook;Park, Myung Wha;Kim, Kyung Sook;Kim, Jeong Yeun
    • Journal of Korean Clinical Nursing Research
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    • v.20 no.2
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    • pp.147-161
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    • 2014
  • Purpose: This study was aimed to modify and adapt the previously developed, high-quality enteral tube feeding guidelines for the usage in clinical settings in Korea. Methods: Guideline adaptation process was undertaken according to the guideline adaptation manual version 2.0 developed by NECA (Kim, et al., 2011) and the standardized methodology for nursing practice guideline adaptation (Gu, et al. 2012). Results: The modified and adapted enteral tube feeding guidelines were consisted of 11 domains and 95 recommendations. The domains and numbers of recommendations in each domain were: 4 on general issues, 2 on enteral nutrition indication and discontinue, 6 on enteral nutrition device selection, 12 on enteral tube feeding device insertions, 3 on enteral nutrition formular and choices, 16 on enteral tube feeding start and progress, 20 on enteral tube feeding maintenance and management, 15 on monitoring enteral tube feeding administration, 10 on prevention of error, 5 on medication administration, and 2 on documentation and report. There were 16.1% of the recommendations marked as A grade, 17.8% of B grade, and 66.1% of C grade. Conclusion: The adapted enteral tube feeding nursing practice guideline is to be added to the evidence-based practice guidelines for fundamentals of nursing practice. The guideline is hoped to be disseminated to nurses nationwide in order to improve the efficiency of enteral tube feeding practice.

A Study on the guideline of Visual Landscape Planning for Landscape Agricultural Region (경관농업지 경관계획 기준 연구)

  • Kang, Young-Eun;Im, Seung-Bin
    • Journal of Korean Society of Rural Planning
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    • v.16 no.3
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    • pp.143-157
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    • 2010
  • This study provides a physical indicator of landscape that can be guidelines so as to evaluate landscape agricultural region for visual landscape planning, finds out the guideline for visual landscape planning lastly through examining importance of indicators and the preference of each indicator of landscape. The physical landscape indicators were derived from document study and questionnaire survey to evaluate visual landscape on landscape agricultural region. In addition, field study was conducted to examine and inspect the physical landscape indicator, managers' interview and photograph was took for evaluating the landscape simulation. Moreover, the important elements for visual landscape planning of landscape agricultural region, the importance of physical landscape indicator and the preferences of each indicator were derived by conducting questionnaire to experts and general publics. The physical landscape indicator guideline was established from the following procedures. In case of the land, flat area had higher preference than steep region. So, planning an agricultural area at a flat region with open space will be better than establishing an agricultural area on a steep region. In case of the kind of landscape crops, For the background of landscape agricultural region, the seashore type had the highest preference and mountain type and non-background type was followed in order. According to the study, facilities built with natural elements such as straw-roofed pavilion received high preference. Therefore, look-out shed and straw-roofed pavilion should be introduced in the landscape agriculture planning to select materials and colors to keep harmony with the nature. The result of this study could be used as a best choice for improving visual landscape of landscape agricultural region on selecting suitable land, facilities and so on. Moreover, the results of manager interview could be used as a useful tool in the management and formation of visual landscape. The landscape point evaluating visual landscape of landscape agricultural region could be used as a reference for establishing relative guideline for the direct payment program for rural landscape conservation and landscape agreement. In addition, it could be a useful reference to improve the general landscape and revitalize the rural area.

Utilization of Evidence-Based Clinical Nursing Practice Guidelines in Tertiary Hospitals and General Hospitals (상급종합병원과 종합병원의 근거기반 임상간호실무지침의 활용도)

  • Eun, Young;Jeon, Mi Yang;Gu, Mee Ock;Cho, Young Ae;Kim, Jung Yeon;Kwon, Jeong Soon;Kim, Kyeong Sug
    • Journal of Korean Clinical Nursing Research
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    • v.27 no.3
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    • pp.233-244
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    • 2021
  • Purpose: The purpose of this study was to investigate the actual utilization of clinical practice guidelines developed by Hospital Nurses Association. Methods: The subjects were 70 nurses who were in charge of guideline distributions in 70 advanced general hospital and general hospitals with 500 beds or more nationwide. Data were collected between June and August, 2020 by mail (return rate: 88.6%). Data were analyzed using descriptive statistics, t-test, and ANOVA with SPSS/WIN 24.0. Results: Among the clinical practice guidelines developed by Hospital Nurses Association, 72.9~90.1% were placed with book and electronic file in nursing department and 24.3~35.8% were placed with book and electronic file in each nursing unit at hospital. The average number of utilized clinical practice guidelines were 3.96±3.88, and average score of guideline utilization was score 2.85±0.79 which means 'use sometimes'. Conclusion: To improve the distribution and utilization of the clinical practice guidelines, it is necessary to enhance the recognition of values of evidence based nursing practice targeting head of nursing department and to stimulate the distribution and utilization of the clinical practice guidelines using diverse education programs for staff nurses.

Development of User Interface Design Guidelines for Education Software Designers (교육용 소프트웨어 설계자를 위한 사용자 인터페이스 설계지침 개발)

  • Yun, Cheol-Ho
    • Journal of the Ergonomics Society of Korea
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    • v.22 no.3
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    • pp.45-56
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    • 2003
  • This study was conducted to develop user interface design guidelines for those who design education software products (web sites or CD-ROM titles). To establish this guideline scheme, international standards, commercial design guidelines, and research papers were surveyed. Especially, ISO 9241 was referred as a basic model of a guideline scheme. First, the research group developed draft guidelines. After that, education software developers, designers, and a user group reviewed the draft and the draft was revised with their commentations. Five components were selected as a primary class of guideline scheme: general principle, dialogue design, user guidance, visual interface, and information presentation. Each component was divided several components as a secondary class. Finally, 45 items were selected as user interface design guidelines for the education software design.

Guidelines on the Operation Phases of Manual Material Handling Tasks Through Literature Reviews

  • Lee, Kyung-Sun;Jung, Myung-Chul
    • Journal of the Ergonomics Society of Korea
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    • v.36 no.4
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    • pp.325-341
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    • 2017
  • Objective: The purpose of this study is to suggest the guidelines of operation phases to minimize injuries and musculoskeletal disorders in manual material handling (MMH) tasks through literature reviews. The guidelines are presented as the preparing phase, lifting phase, carrying phase, and lowering phase. Also, we summarized the non-numerical general guidelines for MMH tasks. Background: Manual material handling is still a main cause to musculoskeletal disorders. Method: Procedures of a literature review are classified into database selection, keyword search, title review, abstract review related to literature selection, guideline review and arrangement. A total 48 papers and books were analyzed in detail by title and abstract reviews. Results: In the preparing phase, we suggested the basic conditions in MMH, preparing procedure, clothing and protective equipment, and education. In the lifting and carrying phases, we recommended maximal acceptable weight by frequency and body posture. In the lowering phase, we suggested the lowest weight and safety body postures. Finally, we recommended general guidelines and guideline items for MMH. General guidelines are presented to suggest worker selection, technical education, and work design parts. Conclusion: We suggested the guidelines on the four operation phases of MMH tasks such as preparing, lifting, carrying, and lowering phases. Application: The findings of this study can be utilized as guidelines for proactive recommendations according to workers in MMH tasks.

A Study to define the range of sample size for setting Intensive Care Unit(ICU) facility guidelines - Focused on analysis of guidelines and present of ICUs facilities by general hospitals size (중환자실 시설기준 작성을 위한 기본시설 수준 설정 연구 - 국내·외 시설기준 및 국내 종합병원 병상규모 별 시설 현황분석을 기초로 하여)

  • Yoon, Hyung Jin;Cho, Jun Young
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.23 no.3
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    • pp.47-56
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    • 2017
  • Purpose : This study is a basic research to establish guidelines for healthcare facility in Korean healthcare market. As a first step, it is a main purpose for making beginning point of ICU guideline to set a basic level of ICU facility size and quality by analysis current ICU facilities and existed domestic guidelines : law, criteria of healthcare insurance review and assessment service, credit of Korea institute for healthcare accreditation. Methods : First of all, the all requirements of existed guidelines are put together and summarized. The summary is compared with that of US, UK, and Australia to know its quality difference with international market. In addition, all hospitals in Korean market are classified based on total bed number and ICU bed number to know the most occupied facility size range in the market. Second of all, by comparing 15 ICUs' current setting of the public general hospital, a general condition of ICU facility would be extracted based on function, floor area per bed, services Results : 72.8% of hospitals in Korea are belonging below 500 beds hospital. Among them 200-299 beds hospitals occupied 35.3% and are shown as the most occupied hospital size. As 15 public general hospitals are analyzed, it is clear that the more bed size and services the more ICU area per bed. As a result it is sure that the 300~500 bed may be a clear line as a general ICU condition whose function and bed number relatively consistent in the range. Implications : to keep the qualified medical environment and contemporary hospital trend, the guideline as a minimum requirement keep naturally out from current healthcare settings and should reflect their limit to reconcile with the new trend in the market.

A Guideline for Sodium Reduction of Processed Foods (가공식품 나트륨 저감화 가이드라인)

  • Kim, Eui-Su;Yim, Gu-Sang;Choi, Kyung-Sook;Jeong, Gwang-Ho;Lee, Mi-Young;Ryu, Seung-Ho;Yoon, Eun-Kyung
    • Food Science and Industry
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    • v.49 no.2
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    • pp.8-17
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    • 2016
  • Sodium is a component of salt and naturally taken in the process of taking in table salt. For food processing, salt is very important. In general, salt adds flavor and taste including a salty taste and rheologically, it plays an important role in forming tissues. Also, it helps in improving preservability of food by controling growth of microorganisms. But excessive intake of salt has been blamed for outbreak of high blood pressure, heart disease, stroke, osteoporosis, kidney stone, stomach cancer and others. For this reason, there are active efforts to reduce sodium of processed foods all around the world. In Korea, a guideline for sodium reduction in 27 items and 44 kinds of foods including confectionery was suggested as part of the 'processed food sodium reduction guideline development project', which has been conducted since 2012.