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Development of Pressure Ulcer Management Guideline by Adaptation Process

수용개작방법을 활용한 욕창간호 실무지침 개발

  • Jeong, Ihn Sook (College of Nursing, Pusan National University) ;
  • Kim, Shinmi (Department of Nursing, Changwon National University) ;
  • Jeong, Jae Sim (Department of Clinical Nursing, University of Ulsan) ;
  • Hong, Eun Young (Department of Nursing Education, Seoul St. Mary's Hospital) ;
  • Lim, Eun Young (Department of Nursing, Asan Medical Center) ;
  • Seo, Hyun Ju (Department of Nursing, Chosun University) ;
  • Park, Kyung Hee (Wound Ostomy Continence Clinical Nurse, Samsung Medical Center) ;
  • Hong, Yong Eun (Wound Ostomy Continence Clinical Nurse, National Cancer Center) ;
  • Hwang, Ji Hyeon (Wound Ostomy Continence Clinical Nurse, Asan Medical Center)
  • 정인숙 (부산대학교 간호대학) ;
  • 김신미 (창원대학교 간호학과) ;
  • 정재심 (울산대학교 임상전문간호학) ;
  • 홍은영 (서울성모병원 간호부) ;
  • 임은영 (서울아산병원 간호부) ;
  • 서현주 (조선대학교 간호대학) ;
  • 박경희 (삼성서울병원 상처.장루.실금전문) ;
  • 홍용은 (국립암센터 상처.장루.실금전문) ;
  • 황지현 (서울아산병원 상처.장루.실금전문)
  • Received : 2014.01.19
  • Accepted : 2014.02.20
  • Published : 2014.04.30

Abstract

Purpose: This study was done to develop an evidence-based nursing clinical practice guideline (PU CPG) for pressure ulcer prevention and management in Korea. Methods: The guideline adaptation process was used and conducted according to the guideline adaptation manual developed by Gu et al. (2012) which consists of three main phases and 9 modules including a total of 24 steps. Results: The newly developed PU CPG included the introduction, pressure ulcers, summary of recommendations, recommendations, references, appendices, and glossary. The total number of recommendations was 148 in 4 sections (organizational policy, assessment, pressure ulcer prevention and management, and education) and 16 domains. Of the recommendations 4.7% were graded A, 16.9%, B, and 78.4%, C. Conclusion: Results indicate that this new PU CPG is an evidence-based practice guidance for pressure ulcer prevention and management and can be recommended for dissemination and utilization by nurses nationwide to improve the quality of pressure ulcer prevention and management. Regular revision is recommended.

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