임상간호연구 (Journal of Korean Clinical Nursing Research)

  • 제29권1호
  • /
  • Pages.12-23
  • /
  • 2023
  • /
  • 1598-9186(pISSN)
  • /
  • 2287-3694(eISSN)
병원간호사회 (Hospital Nurses Association)
권호 표지
DOI QR코드

DOI QR Code

근거기반 욕창간호 실무지침 개정

Updates of Evidence-Based Nursing Practice Guidelines for Pressure Injury

  • 투고 : 2022.09.28
  • 심사 : 2023.02.20
  • 발행 : 2023.04.30
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Purpose: This study was conducted to update the previous evidence-based nursing clinical practice guidelines for pressure injury. Methods: The guideline was revised in 22 steps based on the international standards. Results: The updated nursing practice guideline for pressure injury consisted of four domains and 494 recommendations. The numbers of recommendations in each domain was: 31 hospital policy, 64 assessment, 386 prevention and management, and 13 education. The recommended grade was 10.3% for A, 13.8% for B, and 75.9% for C. Of these, the major revision was done in 40 recommendations (8.1%). A total of 55 recommendations (11.0%) were newly added. 25 recommendations had minor revisions such as changes or additions for some words, and only one recommendation was deleted. Conclusion: The revised nursing practice guidelines for pressure injury are expected to serve as an evidence-based practice guideline for pressure injury in Korea. This guideline will provide healthcare providers, patients, and caregivers with information to help prevent and manage pressure injuries, leading to improving patient outcomes.

키워드

과제정보

본 논문은 2020년 병원간호사회에서 연구비를 지원받아 진행한 연구임.

참고문헌

  1. National Pressure Ulcer Advisory Panel; European Pressure Ulcer Advisory Panel; Pan Pacific Pressure Injury Alliance. Prevention and treatment of pressure ulcers: Clinical practice guideline. Osborne Park(AU): Cambridge Media; 2019. p. 10-292.
  2. Baumgarten M, Margolis DJ, Localio AR, Kagan SH, Lowe RA, Kinosian B, et al. Pressure ulcers among elderly patients early in the hospital stay. Journals of Gerontology. Series A. 2006;61(7):749-754. https://doi.org/10.1093/gerona/61.7.749
  3. Hopkins A, Dealey C, Bale S, Defloor T. Patient stories of living with a pressure ulcer. Journal of Advanced Nursing. 2006;56(4):345-353. https://doi.org/10.1111/j.1365-2648.2006.04007.x
  4. Russo CA, Steiner C, Spector W. Statistical Brief #64: Hospitalizations related to pressure ulcers among adults 18 years and older, 2006 [Internet]. Rockville(MD): Agency for Heathecare Research and Quality; 2008 [cited 2022 Jan 20]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK54557/#sb64.s1.
  5. Bergstrom N, Horn SD, Smout RJ, Bender SA, Ferguson ML, Taler G, et al. The national pressure ulcer long-term care study: Outcomes of pressure ulcer treatments in long-term care. Journal of the American Geriatrics Society. 2005;53(10): 1721-1729. https://doi.org/10.1111/j.1532-5415.2005.53506.x
  6. Bales I, Padwojski A. Reaching for the moon: Achieving zero pressure ulcer prevalence. Journal of Wound Care. 2009;18 (4):137-144. https://doi.org/10.12968/jowc.2009.18.4.41605
  7. Chaboyer WP, Thalib L, Harbeck EL, Coyer FM, Blot S, Bull CF, et al. Incidence and prevalence of pressure injuries in adult intensive care patients: A systematic review and meta-analysis. Critical Care Medicine. 2018;46(11):e1074-e1081. https://doi.org/10.1097/CCM.0000000000003366
  8. Tubaishat A, Tawalbeh LI, AlAzzam M, AlBashtawy M, Batiha AM. Electronic versus paper records: Documentation of pressure ulcer data. British Journal of Nursing. 2015;24(6):S30, S32, S34-S37. https://doi.org/10.12968/bjon.2015.24.Sup6.S30
  9. Jun SS, Kim HJ, Jang YJ. Pressure ulcers caused by equipment and supplies in intensive care unit. Journal of Korean Academic Society of Home Health Care Nursing. 2017;24(3):255-263.
  10. Moon MK. The characteristics related to the development of pressure ulcers in long term care facilities: The use of 2009 national patient sample. Journal of the Korea Academia-Industrial cooperation Society. 2013;14(7):3390-3399. https://doi.org/10.5762/KAIS.2013.14.7.3390
  11. Jeong IS, Kim SM, Jeong JS, Hong EY, Lim EY, Seo HJ, et al. Development of pressure ulcer management guideline by adaptation process. Journal of Korean Clinical Nursing Research. 2013;20(1):40-52.
  12. Park KH, Kim JY, Park OK, Park JH, Lee YJ, Hwang JH. Updates of nursing practice guideline for pressure injury. Journal of Korean Clinical Nursing Research. 2019;25(1): 67-79. https://doi.org/10.22650/JKCNR.2019.25.1.67
  13. Gu MO, Cho YA, Eun Y, Jung IS, Kim HL, Yoon HS, et al. Updates of nursing practice guideline for intravenous infusion. Journal of Korean Clinical Nursing Research. 2017;23(3): 361-375. https://doi.org/10.22650/JKCNR.2017.23.3.361
  14. Kim SY, Choi MY, Shin SS, Ji SM, Park JJ, Yoo JH, et al. Handbook for clinical practice guideline developer. Seoul: National Evidence-based Healthcare Collaborating Agency; 2015. NECA research method series 10.
  15. Choi BR. RAM (RAND/UCLA Appropriateness Method) applied to decision making method. HIRA Policy Trends. 2010;4(1):58-62.
  16. Fitch K, Bernstein SJ, Aguilar MD, Burnand B, LaCalle JR, Lazaro P, et al. The RAND/UCLA appropriateness method user's manual [Internet]. Santa Monica(CA): RAND Corporation; 2001 [cited 2022 Jan 14]. Avaiable from: https://www.rand.org/pubs/monograph_reports/MR1269.html.
  17. Kim SY, Kim NS, Shin SS, Kim DW, Gi SM, Lee SJ. Manual for guideline adaptation. Seoul: Korea Disease Control and Prevention Agency; 2019.
  18. National Pressure Ulcer Advisory Panel, European Pressure Ulcer Advisory Panel, and Pan Pacific Pressure Injury Alliance. Prevention and treatment of pressure ulcers: Clinical practice guideline [Internet]. Osborne Park(AU): Cambridge Media; 2014 [cited 2022 Feb 12]. Avaiable from: https://www.ehob.com/media/2018/04/prevention-and-tr eatment-of-pressure-ulcers-clinical-practice-guidline.pdf.
  19. Wound, Ostomy, and Continence Nurses Society. Guideline for prevention and management of pressure ulcers. Mt. Laurel (NJ): Wound, Ostomy, and Continence Nurses Society; 2010.
  20. Registered Nurses' Association of Ontario. Assessment and management of stage I to IV pressure ulcers. Toronto(ON): Registered Nurses' Association of Ontario; 2007. p. 6-56.
  21. Gu MO, Cho MS, Cho YA, Jeong JS, Jeong IS, Park JS, et al. Topics for evidence-based clinical nursing practice guidelines in Korea. Journal of Korean Clinical Nursing Research. 2011;17(3):307-318. https://doi.org/10.22650/JKCNR.2011.17.3.2
  22. Mermel LA, Allon M, Bouza E, Craven DE, Flynn P, O'grady NP, et al. Clinical practice guidelines for the diagnosis and management of intravascular catheter-related infection: 2009 update by the Infectious Diseases Society of America. Clinical Infectious Diseases. 2009;49(1):1-45. https://doi.org/10.1086/599376