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Á¤¿ø°æ ( Jung Won-Kyung ) - »ï¼º¼¿ïº´¿ø
ÀÌ¿µÈñ ( Yi Young-Hee ) - ¼º±Õ°ü´ëÇб³ ÀÓ»ó°£È£´ëÇпø
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Abstract
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Purpose: This study was done to develop an evidence-based external ventricular drainage (EVD) nursing practice guideline in order to provide standardized nursing and prevent EVD related complications.
Methods: We used the standardized methodology for nursing practice guideline adaptation developed by Korean Hospital Nurses Association for the guideline adaptation process in this study.
Results: The newly developed EVD nursing practice guideline was adapted to the American Association of Neuroscience Nurses (AANN)¡¯s clinical practice guideline which is 'Care of the patient undergoing intra-cranial pressure monitoring/external ventricular drainage of lumbar drainage.' There were 61 recommendations documented in the preliminary guideline all evaluated by 9 experts based on acceptability and applicability. The final practice guideline was composed of 3 domains with 57 recommendations. The three domains of nursing were the insertion, maintenance, and removal of the EVD. The number of recommendations in each domain was 8 in EVD insertions, 39 in EVD maintenance, and 10 in EVD removals. Of the 57 recommendations 3.5% were level 1, 31.5% were level 2,
and 65% were level 3.
Conclusion: The standardized practice guideline can improve nurses' performance and accuracy. It can also be used as the foundation for effective communication between all medical staff.
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KeyWords
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³ú½Ç¿Ü¹è¾×, ½Ç¹«Áöħ, ¼ö¿ë°³ÀÛ
Cerebral Ventricle, Drainage, Practice Guideline, Adaptation
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