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설미이/Seol ME
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Abstract
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The purpose of this study was to develop a clinical pathway for the allogeneic bone marrow transplantation donor. For this study, a conceptual framework was developed through a review of the literature including six steps which are using in Jones Hopkins Hospital. USA The researcher reviewed 129 medical re-cords of donor who had bone marrow donation between January 2002 to January 2004 to identify the overall service contents required by these patients and to make a prelmunary clinical pathway. A content validity test was done for the preliminary climcal pathway, a professional group screened 51 medical re-cords and adopted with 3 hospitalization days as the climcal pathway framework In the fifth step, climcal pathway test was also done to 7 donors from April 28th to July, 2004 After these processes the final clinical pathway was developed.
The results of this study are as follows
1 The vertical axis of the clinical pathway includes the following 9 items’ vital signs, nursing assessment, activity, diet, intervention, medlcation, test, consultation and patient teaching The duration of the honzontal axis was 3days from admission to discharge.
2 Analysis of the 129 medical records indicated that the average length of stay was 3 4 days. The medical performance according to the vertica! axis in the prelimioary clinical pathway consisted of 51 items. After clinical validity test, It steel consisted of 51 items 10 the final form
3 Clinical Validity test was done to 7 bone marrow donors. During these process, The first patient was deleted because he was out of the criteria the investigate set and 6 patients were used, finally
The result of this study indicated all of 7 donors were discharged on expected day
4 Clinical pathway enables to improve the quality of care, multidisciplinary team work It also helps nursing bone marrow donor. effective education to donor or medical member.
The results of this study suggest that clinical pathway may be able to improve the quality of nursing care for bone marrow transplantation donors
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KeyWords
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원문 및 링크아웃 정보
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등재저널 정보
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