Journal of Korean Clinical Nursing Research (임상간호연구)

Hospital Nurses Association (병원간호사회)
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Updates of Evidence-Based Nursing Practice Guidelines for Central Venous Infusion Therapy

근거기반 중심정맥 주입요법 간호실무지침 개정

  • Lim, Kyung Choon (College of Nursing, Sungshin Women's University) ;
  • Jeong, Jae Sim (Department of Clinical Nursing, University of Ulsan Graduate School of Industry) ;
  • Kim, Kyeong Sug (Department of Nursing, Samsung Medical Center ․ Professor, Graduate School of Clinical Nursing Science, Sungkyunkwan University ) ;
  • Kim, Hyun Lim (Department of Nursing, Asan Medical Center) ;
  • Kim, Hyun Jeong (Department of Nursing, Seoul National University Bundang Hospital) ;
  • Kim, Dong Yeon (Department of Nursing, Seoul St. Mary's Hospital) ;
  • Lee, Mi Jeong (Department of Nursing, Ajou University Hospital) ;
  • Lee, Joohyun (College of Nursing, Eulji University Seongnam Campus)
  • 임경춘 (성신여자대학교 간호대학 간호학과) ;
  • 정재심 (울산대학교 산업대학원 임상전문간호학 ) ;
  • 김경숙 (삼성서울병원.성균관대학교 임상간호대학원) ;
  • 김현림 (서울아산병원) ;
  • 김현정 (분당서울대병원 ) ;
  • 김동연 (서울성모병원) ;
  • 이미정 (아주대학교병원) ;
  • 이주현 (을지대학교(성남캠퍼스) 간호학과)
  • Received : 2023.01.31
  • Accepted : 2023.02.20
  • Published : 2023.04.30
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Abstract

Purpose: This study was conducted to update nursing practice guidelines for intravenous infusion published in 2017. Methods: The guideline update process was carried out using 22 steps developed by NICE and SIGN. It was agreed to update domains related to central venous infusion therapy. Contents related to peripheral infusion would be updated later. Results: Updated guidelines for central venous infusion therapy consisted of 6 domains and 195 recommendations. The number of recommendations by domain was 11 for general instruction, 14 for central vascular access devices (CVAD) and add-on devices, 13 for nursing management before insertion of CVAD, 30 for management during insertion of CVAD, 51 for management after insertion of CVAD, and 76 for complications. A grade was 29 (14.9%), B grade was 87 (44.6%), and C grade was 79 (40.5%) in the strength of recommendations. A total of 37 (19.0%) recommendations were newly developed and 23 (12.3%) previous recommendations have been modified. The newly developed recommendations were mainly related to the infection control methods. Conclusion: The updated guideline is focused on safe maintenance of central venous infusion therapy. Through this guideline, it is hoped to minimize the occurrence of complications and improve the standardization and efficiency of nursing practice.

Keywords

Acknowledgement

본 논문은 2021년 병원간호사회에서 연구비를 지원받아 진행한 연구임.

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