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KMID : 1004620140200020147
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Clinical Nursing Research
2014 Volume.20 No. 2 p.147 ~ p.161
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Development of Nursing Practice Guidelines on Enteral Tube Feeding using the Guideline Adaptation Process
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Cho Young-Ae
Eun Young
Gu Mee-Ock
Cho Myung-Sook
Park Myoung-Hwa
Kim Kyung-Sook
Kim Jung-Yeon
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Abstract
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Purpose: This study was aimed to modify and adapt the previously developed, high-quality enteral tube feeding
guidelines for the usage in clinical settings in Korea.
Methods: Guideline adaptation process was undertaken according to the guideline adaptation manual version 2.0 developed by NECA (Kim, et al., 2011) and the standardized methodology for nursing practice guideline adaptation (Gu, et al. 2012).
Results: The modified and adapted enteral tube feeding guidelines were consisted of 11 domains and 95 recommendations. The domains and numbers of recommendations in each domain were: 4 on general issues, 2 on enteral nutrition indication and discontinue, 6 on enteral nutrition device selection, 12 on enteral tube feeding device insertions, 3 on enteral nutrition formular and choices, 16 on enteral tube feeding start and progress, 20 on enteral tube feeding maintenance and management, 15 on monitoring enteral tube feeding administration, 10 on prevention of error, 5 on medication administration, and 2 on documentation and report. There were 16.1% of the recommendations marked as A grade, 17.8% of B grade, and 66.1% of C grade.
Conclusion: The adapted enteral tube feeding nursing practice guideline is to be added to the evidence-based practice guidelines for fundamentals of nursing practice. The guideline is hoped to be disseminated to nurses nationwide in order to improve the efficiency of enteral tube feeding practice.
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KEYWORD
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Enteral nutrition, Practice guideline, Evidence-based nursing, Adaptation
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