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KMID : 1004620150210030293
Clinical Nursing Research
2015 Volume.21 No. 3 p.293 ~ p.308
Development of Nursing Practice Standards of Hemodialysis Care According to Admission Types
Kim Min-Sun

Kim Moon-Sil
Kim Jung-A
Jeong Eun-Ju
Heo Eun-Hwa
Hong Hwa-Jeong
Shin Hye-Sun
Jeong Yeo-Won
Abstract
Purpose: This study aimed to develop nursing practice standards of hemodialysis care according to admission types.
Methods: The standards were developed in four phases. Phase 1: The preliminary standards of hemodialysis care were developed based on literature review and evaluation of professional experts. Phase 2: Content validity was evaluated by 34 professional experts and the standards were modified and revised. Phase 3: Clinical validity was evaluated by 212 hemodialysis nurses. Expert group validated and verified the final outcome. Phase 4: Final standards of hemodialysis care according to admission types were developed.

Results: The standard of hemodialysis care for out-patients included 5 standards, 9 contents, 43 nursing activities. The standard for in-patients included 6 standards, 10 contents, 50 nursing activities. The standards for critical patients included 4 standards, 10 contents, 43 nursing activities. There were differences in nursing activities according to admission type. Time required to meet the standards were different according to admission types.

Conclusion: The findings of this research demonstrated that the time required for hemodialysis care and appropriate number of nurse would be different according to admission types. Different nursing workload according to admission type of hemodialysis patients need to be considered in allocating nursing manpower.
KEYWORD
Hemodialysis, Nursing Practice, Standard
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