Journal of Korean Clinical Nursing Research (임상간호연구)

Hospital Nurses Association (병원간호사회)
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Development of Performance Measures Based on the Nursing Process for Prevention and Management of Pressure Ulcers, Falls and Pain

욕창, 낙상예방 및 통증간호의 간호과정 적용 평가도구 개발

  • Kim, Keum Soon (College of Nursing, Seoul National University) ;
  • Kim, Jin A (College of Nursing, Seoul National University) ;
  • Kim, Moon Sook (Quality Assurance Team, Seoul National University Hospital) ;
  • Kim, Yu Jeong (Quality Assurance Team, Seoul National University Hospital) ;
  • Kim, Eul Soon (Hospital Nurses Association) ;
  • Park, Kwang Ok (Children's Hospital Nursing Team, Asan Medical Center) ;
  • Song, Mal Soon (Nursing Division, Gangnam Severance Hospital) ;
  • Yi, Young Hee (Graduate School of Clinical Nursing Science, Sungkyunkwan University) ;
  • Lee, In Ok (Seoul St. Mary's Hospital) ;
  • Jung, Yoen Yi (Department of Clinical Quality Management, Samsung Medical Center) ;
  • Choi, Yun Kyoung (Korea Health Industry Development Institute)
  • 김금순 (서울대학교 간호대학) ;
  • 김진아 (서울대학교 간호대학원) ;
  • 김문숙 (서울대학교병원 QA팀) ;
  • 김유정 (서울대학교병원) ;
  • 김을순 (병원간호사회 사무처) ;
  • 박광옥 (서울아산병원 소아청소년병원 간호부) ;
  • 송말순 (강남세브란스병원 간호국) ;
  • 이영희 (성균관대학교 임상간호대학원) ;
  • 이인옥 (서울성모병원 간호팀) ;
  • 정연이 (삼성서울병원 진료개선팀) ;
  • 최윤경 (한국보건산업진흥원)
  • Received : 2009.01.30
  • Accepted : 2009.02.27
  • Published : 2009.04.30
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Abstract

Purpose: This study was conducted to construct evidence based clinical guidelines and to develop nursing process based performance measures for prevention and management of pressure ulcers, falls and pain. Method: Clinical guidelines were drafted through a comprehensive review of relevant literature, national guidelines and hospital protocols. The proposed guidelines were reviewed by a panel of experts and 90 hospital nurses, and refined on the basis of their suggestions. Nursing process based performance measures were developed based on the clinical guidelines and content validity was examined by surveys from 90 hospital nurses. Results: All items, except timetable for position change and pressure ulcer nursing record, in the guidelines for prevention and management of pressure ulcer were appropriate. Most items, except fall risk assessment tools, were appropriate for the guidelines of fall prevention. All other items, except the purpose of pain management, were appropriate for the guidelines of pain management. Performance measures developed in this study were acceptable as a tool to evaluate quality of nursing care. Conclusion: Nursing process based performance measures provide important indicators to monitor whether necessary nursing care is implemented and can be used as the primary resources to improve quality of nursing services.

Keywords

Acknowledgement

Supported by : 병원간호사회

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