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KMID : 1004620160220020118
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Clinical Nursing Research
2016 Volume.22 No. 2 p.118 ~ p.131
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Nursing Practice Guideline for Prevention of Venous Thromboembolism According to the Guideline Adaptation Process
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Cho Yong-Ae
Gu Mee-Ock
Eun Young
Kim Kyung-Sook
Lee Seon-Heui
Yoon Ji-Hyun
Hwang Jung-Hwa
Lee Kyeong-Yoon
Park Mi-Jeong
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Abstract
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Purpose: This study was conducted to develop a useful evidence-based guideline for preventing venous thromboembolism(VTE) in Korea adapting previously developed VTE guidelines.
Methods: The guideline adaptation process was performed using 24 steps according to the nursing practice guideline adaptation manual developed by Hospital Nurses Association in 2012.
Results: The newly developed VTE prevention guideline was consisted of 16 domains and 163 recommendations. The number of recommendations in each domain were: 4 general issues, 4 risk factors, 2 intervention at occurrence of VTE, 14 mechanical interventions, 30 pharmacological interventions, 19 VTE prevention for medical patient, 10 stroke patient, 16 cancer patient, 14 pregnancy, 6 for long distance traveller, 5 for abdominal surgery, 10 thoractic surgery, 10 orthopedic surgery, 5 neurosurgery, 4 other surgical patient, 2 urological surgery, 1 ENT surgery, 1 plastic surgery, 3 day surgery, 3
education of VTE prevention. Fourteen point three percent, 61.1%, and 24.6% of the recommendations were
graded A, B, and C, respectively.
Conclusion: The findings suggest that the new VTE prevention guideline can be more efficiently used to prevent VTE in hospital settings.
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KEYWORD
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Venous Thromboembolism, Practice Guideline, Evidence-Based Nursing' Adaptation
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