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KMID : 1004620160220030294
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Clinical Nursing Research
2016 Volume.22 No. 3 p.294 ~ p.304
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Development of Nursing Practice Guideline for External Ventricular Drainage by Adaptation Process
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Jung Won-Kyung
Yi Young-Hee
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Abstract
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Purpose: This study was done to develop an evidence-based external ventricular drainage (EVD) nursing practice guideline in order to provide standardized nursing and prevent EVD related complications.
Methods: We used the standardized methodology for nursing practice guideline adaptation developed by Korean Hospital Nurses Association for the guideline adaptation process in this study.
Results: The newly developed EVD nursing practice guideline was adapted to the American Association of Neuroscience Nurses (AANN)’s clinical practice guideline which is 'Care of the patient undergoing intra-cranial pressure monitoring/external ventricular drainage of lumbar drainage.' There were 61 recommendations documented in the preliminary guideline all evaluated by 9 experts based on acceptability and applicability. The final practice guideline was composed of 3 domains with 57 recommendations. The three domains of nursing were the insertion, maintenance, and removal of the EVD. The number of recommendations in each domain was 8 in EVD insertions, 39 in EVD maintenance, and 10 in EVD removals. Of the 57 recommendations 3.5% were level 1, 31.5% were level 2,
and 65% were level 3.
Conclusion: The standardized practice guideline can improve nurses' performance and accuracy. It can also be used as the foundation for effective communication between all medical staff.
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KEYWORD
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Cerebral Ventricle, Drainage, Practice Guideline, Adaptation
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