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Journal of Korean Academy of Fundamentals of Nursing 2012;19(1): 87
급성 뇌졸중 환자 대상 근거중심 간호 가이드라인 수용개작의 적용 평가
송소이1, 조명숙2, 김지현3, 한윤경4, 양혜민5
1삼성서울병원
2성균관대학교 의과대학 삼성서울병원 임상간호학교실, 삼성서울병원 간호본부
3삼성서울병원
4삼성서울병원
5삼성서울병원 뇌졸중 센터
Evaluation of Applications of Adaptation of the Evidence-Based Nursing Practice Guidelines Patients with Acute Stroke
So-Lee Song1, Myoung-Sook Cho2, Ji-Hyun Kim3, Yun-Kyang Han4, Hye-Min Yan5
1Department of Nursing, Samsung Medical Center
2Department of Clinical Nursing Science, Samsung Medical Center, Sungkyunkwan University School of Medicine
3Department of Nursing, Samsung Medical Center
4Department of Nursing, Samsung Medical Center
5Stroke Center, Samsung Medical Center
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.
Key words: Evidence-Based Nursing | Practice Guideline | Stroke | Care | Complication
주요어: 근거중심 간호 | 간호 실무 가이드라인 | 뇌졸중 | 간호 | 합병증
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