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KMID : 1004620090150010133
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Clinical Nursing Research
2009 Volume.15 No. 1 p.133 ~ p.147
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Development of Performance Measures Based on the Nursing Process for Prevention and Management of Pressure Ulcers, Falls and Pain
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Kim Keum-Soon
Song Mal-Soon
Park Kwang-Ok
Jung Yeon-Yi
Choi Yun-Kyoung
Kim Eul-Soon
Yi Young-Hee
Kim Jin-A
Kim Moon-Sook
Kim Yu-Jeong
Lee In Ok
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Abstract
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Purpose: This study was conducted to construct evidence based clinical guidelines and to develop nursing process based performance measures for prevention and management of pressure ulcers, falls and pain.
Method: Clinical guidelines were drafted through a comprehensive review of relevant literature, national guidelines and hospital protocols. The proposed guidelines were reviewed by a panel of experts and 90 hospital nurses, and refined on the basis of their suggestions. Nursing process based performance measures were developed based on the clinical guidelines and content validity was examined by surveys from 90 hospital nurses.
Results: All items, except timetable for position change and pressure ulcer nursing record, in the guidelines for prevention and management of pressure ulcer were appropriate. Most items, except fall risk assessment tools, were appropriate for the guidelines of fall prevention. All other items, except the purpose of pain management, were appropriate for the guidelines of pain management. Performance measures developed in this study were acceptable as a tool to evaluate quality of nursing care.
Conclusion: Nursing process based performance measures provide important indicators to monitor whether necessary nursing care is implemented and can be used as the primary resources to improve quality of nursing services.
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KEYWORD
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Performance, Measure, Pressure ulcer, Falls, Pain
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