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성인 발열 환자를 위한 근거기반 간호 지침 개발 및 평가

 Development and Evaluation of an Evidence-Based Nursing Protocol for Fever Management in Adult Patients

성인간호학회지 2013년 25권 3호 p.250 ~ 262
KMID : 0367020130250030250
신용순 ( Shin Yong-Sun ) - 창원대학교 간호학과

김성렬 ( Kim Sung-Reul ) - 전북대학교 간호대학
유성희 ( Yoo Sung-Hee ) - 전남대학교 간호대학
김선화 ( Kim Sun-Hwa ) - 서울아산병원
나라 ( Na Ra ) - 서울아산병원
채지선 ( Chae Ji-Sun ) - 서울아산병원
이혜진 ( Lee Hye-Jin ) - 서울아산병원
안영희 ( An Young-Hee ) - 서울아산병원
김경옥 ( Kim Kyoung-Ok ) - 서울아산병원

Abstract

Purpose: This study was designed to develop, to implement and evaluate a fever management nursing protocol for adult patients.

Methods: This study was conducted through seven steps following both the guideline development procedures of the Scottish Intercollegiate Guidelines Network and the Model of the Asan Medical Center Evidence-Based Practice, as follows: 1) identifying the clinical needs and composition of the protocol development group; 2) identifying and evaluating the evidence; 3) assessing the level of evidence and grading recommendations; 4) forming a protocol; 5) evaluating the protocol using an expert group validity test and identifying barriers to its implementation; 6) protocol development; and 7) evaluation of practical improvement measures following implementation of the protocol.

Results: The evidence-based protocol for fever management in adult patients was completed and includes five domains and 15 items. The protocol had good content validity (CVI=.90) and nursing practice could be improved after implementation of the protocol.

Conclusion: This nursing protocol can be used as a guide for nursing in febrile adult patients. We recommend that further guidelines be updated in an interdisciplinary manner in order to foster local adaptation of the best clinical practices.
KeyWords
간호지침, 근거중심실무, 발열, 성인
Adult, Fever, Evidence-Based Practice, Nursing protocol
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학술진흥재단(KCI) KoreaMed