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KMID : 1004620110170020176
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Clinical Nursing Research
2011 Volume.17 No. 2 p.176 ~ p.191
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Adaptation of the Evidence Based Nursing Practice Guideline
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Kim Ji-Hyun
Song So-Lee
Kim Mi-Kyung
Cho Myoung-Sook
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Abstract
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Purpose:This methodological study translated, adapted, and validated the evidence based guideline of RNAO (Registered Nurses Association of Ontario) in Canada, for acute stroke care to domestic circumstances.
Methods: Quality of the RNAO guideline was evaluated using AGREE tool. Then the guideline was translated into Korean and a preliminary guideline was established After checking content validation by an expert group, the Korean version of the guideline was applied to clinical settings to see its applicability.
Results: The RNAO guideline in Korea was deemed appropriate. The Korean version of the guideline was drawn up with 56 items in 3 areas in stroke system related nursing, nursing of acute stroke inpatients, and stroke nursing assessment. A questionnaire survey was performed on appropriateness, enforceability, and applicability of those recommendations. A total of 54 recommendations were finalized after deleting 2 items below CVI 0.7 and correcting 3 items by taking professional advices. After trial application of the guideline to 40 stroke patients hospitalized at a ward of a hospital in Seoul, its performance was improved but was not statistically significant.
Conclusion:This guideline is expected to contribute to improving nursing quality by offering it as a guide to evidence based practices for acute stroke care in Korea.
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KEYWORD
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Acute stroke care, Evidence based guideline, Guideline adaptation
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