Journal of Korean Clinical Nursing Research (임상간호연구)

Hospital Nurses Association (병원간호사회)
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Updates of Nursing Evidence-Based Practice Guideline for Indwelling Urinary Catheterization

근거기반 유치도뇨간호 실무지침 개정

  • Park, Kyung Hee (Department of Nursing Science, The University of Suwon) ;
  • Choo, Hee Jung (Department of Nursing, Ewha Womans University Seoul Hospital) ;
  • Seo, Hyun Ju (College of Nursing, Chungnam National University) ;
  • Hong, Hae Kyung (Department of Nursing, Soonchunhyang University Bucheon Hospital) ;
  • Lee, Joohyun (College of Nursing, Eulji University Seongnam Campus) ;
  • Lim, Kyung Choon (College of Nursing, Sungshin Women's University)
  • 박경희 (수원대학교 간호학과) ;
  • 추희정 (이화여자대학교 의과대학 부속 서울병원) ;
  • 서현주 (충남대학교 간호대학) ;
  • 홍혜경 (순천향대학교 부속 부천병원) ;
  • 이주현 (을지대학교 성남캠퍼스 간호학과) ;
  • 임경춘 (성신여자대학교 간호대학)
  • Received : 2023.09.30
  • Accepted : 2023.10.25
  • Published : 2023.12.31
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Abstract

Purpose: This study was conducted to update the existing evidence-based nursing clinical practice guideline for indwelling urinary catheterization (IUC). Methods: The guideline have been revised in 22 steps based on international standards. The quality of the practice guidelines to be used for revision was evaluated using the Appraisal of Guidelines for Research and Evaluation II. The evaluation of the content appropriateness and applicability of the draft recommendations of the revised practice guidelines was performed using the RAND/UCLA Appropriateness Method, a decision-making method developed by the RAND Corporation. Four guidelines were used for the revision. Results: The updated nursing practice guideline for IUC consisted of 9 domains and 134 recommendations. The numbers of recommendations in each domain were: 4 Assessment, 20 Equipment, 11 Catheter insertion, 52 Catheter maintenance, 4 Catheter and drainage bag change, 9 Catheter removal, 22 Complications management, 5 Education and consult, and 7 Hospital support. The recommended grade was 8.2% for A, 38.1% for B, and 53.7% for C. Among these, the major revision was done in 11 recommendations (8.2%). A total of 29 recommendations (21.6%) were newly added. 30 (22.4%) recommendations had minor revisions such as changes or addition for some words or sentences, and 13 (9.7%) recommendations were deleted. Conclusion: Revised nursing practice guideline is expected to serve as an evidence-based practice guideline for IUC in Korea. This guideline will provide health care providers, patients, and caregivers with information to help manage IUC, leading to improved patient outcomes.

Keywords

Acknowledgement

본 논문은 2021년 병원간호사회에서 연구비를 지원받아 진행한 연구임.

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