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KMID : 0367020190310040365
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Journal of Korean Academic of Adult Nursing
2019 Volume.31 No. 4 p.365 ~ p.379
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Development of the Unit Specialist-led Pressure Ulcer Nursing Algorithm
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Noh Yun-A
Lee Ji-A
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Abstract
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Purpose: The aims of this study were to develop the unit specialist-led pressure ulcer nursing algorithm for hospital nurses, and to examine its clinical adequacy.
Methods: The study used a methodological design. The algorithm was developed through the Analysis, Design, Development, Implementation, and Evaluation (ADDIE) model using the combination of systematic review, clinical staff interview, and expert panel interview. Thirty nurses in two hospital units applied the algorithm to 30 patients from September 7, 2017 to September 20, 2017.
Results: The contents of the nursing algorithm included roles of the unit specialist, application of the algorithm, assessment, nursing interventions, and documentation. The algorithm had acceptable validity of Scale-level Content Validity Index (S-CVI) from .93 to .95. The Braden scale scores were significantly improved from 12.37±3.30 to 13.67±3.59 (t=20.55, p<.001) in the patients who used the algorithm. The hospital unit nurses rated the algorithm’s clinical adequacy as acceptable, with a mean score ranging from 3.30±0.65 to 3.67±0.48. The most highly rated item was that “pressure ulcer has been detected and managed promptly”.
Conclusion: The unit specialist-led pressure ulcer nursing algorithm in general hospital units facilitated the prompt and accurate decision-making for hospital unit nurses. Using this algorithm, the hospital unit nurses will be able to provide relevant and prompt care for pressure ulcer prevention and management.ㄴ
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KEYWORD
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Pressure ulcer, Hospital units, Nursing, Algorithms
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