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KMID : 1004620160220020238
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Clinical Nursing Research
2016 Volume.22 No. 2 p.238 ~ p.247
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Development of a Practice Guideline for Catheter Dysfunction in Hemodialysis Patients
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Lee Kyung-Mi
Kim Mi-Yeon
Hong Jin-Young
Cho Yong-Ae
Yang Won-Ji
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Abstract
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Purpose: This study was done to develop an evidence-based practice guideline for catheter dysfunction in hemodialysis patients.
Methods: Development of the guideline process was done according to the De Novo development version 1.0 by NECA which consists of 12 steps.
Results: The developed guideline consisted of 5 domains and 14 recommendations. The number of recommendations for each domain were: 3 on catheter dysfunction assessment, 1 on conservative management of catheter dysfunction, 7 on drug management of catheter dysfunction, 1 on catheter function test and 2 onmaintenancemanagement. Of the recommendations, 7.15% were marked as A grade, 52.85% of B grade, and 50% of C grade.
Conclusion: Findings in this study indicate that this guideline can be added to the evidence-based practice guidelines for fundamentals of practice and that this guideline can be disseminated to nurses nationwide in order to improve the care of hemodialysis patients with catheter dysfunction.
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KEYWORD
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Dysfunction, Catheter, Renal Dialysis, Guideline, Evidence-Based Practice
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