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KMID : 1004620230290010042
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Clinical Nursing Research
2023 Volume.29 No. 1 p.42 ~ p.55
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Updates of Evidence-Based Nursing Practice Guidelines for Central Venous Infusion Therapy
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Lim Kyung-Choon
Jeong Jae-Sim
Kim Kyeong-Sug
Kim Hyun-Lim
Kim Hyun-Jeong
Kim Dong-Yeon
Lee Mi-Jeong
Lee Joo-Hyun
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Abstract
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Purpose: This study was conducted to update nursing practice guidelines for intravenous infusion published in 2017.
Methods: The guideline update process was carried out using 22 steps developed by NICE and SIGN.
It was agreed to update domains related to central venous infusion therapy. Contents related to peripheral infusion would be updated later.
Results: Updated guidelines for central venous infusion therapy consisted of 6 domains and 195 recommendations. The number of recommendations by domain was 11 for general instruction, 14 for central vascular access devices (CVAD) and add-on devices, 13 for nursing management before insertion of CVAD, 30 for management during insertion of CVAD, 51 for management after insertionof CVAD, and 76 for complications. A grade was 29 (14.9%), B grade was 87 (44.6%), and C grade was 79 (40.5%) in the strength of recommendations. A total of 37 (19.0%) recommendations were newly developed and 23 (12.3%) previous recommendations have been modified. The newly developed recommendations were mainly related to the infection control methods.
Conclusion: The updated guideline is focused on safe maintenance of central venous infusion therapy. Through this guideline, it is hoped to minimize the occurrence of complications and improve the standardization and efficiency of nursing practice.
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KEYWORD
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Central Venous Catheters, Intravenous Infusions, Clinical Practice Guideline, Evidence-Based Nursing
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