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KMID : 1004620230290030211
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Clinical Nursing Research
2023 Volume.29 No. 3 p.211 ~ p.222
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Updates of Nursing Evidence-Based Practice Guideline for Indwelling Urinary Catheterization
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Park Kyung-Hee
Choo Hee-Jung
Seo Hyun-Ju
Hong Hae-Kyung
Lee Joo-Hyun
Lim Kyung-Choon
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Abstract
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Purpose: This study was conducted to update the existing evidence-based nursing clinical practice guideline forindwelling urinary catheterization (IUC).
Methods: The guideline have been revised in 22 steps based oninternational standards. The quality of the practice guidelines to be used for revision was evaluated using theAppraisal of Guidelines for Research and Evaluation II. The evaluation of the content appropriateness andapplicability of the draft recommendations of the revised practice guidelines was performed using theRAND/UCLA Appropriateness Method, a decision-making method developed by the RAND Corporation. Four guidelines were used for the revision.
Results: The updated nursing practice guideline for IUC consistedof 9 domains and 134 recommendations. The numbers of recommendations in each domain were: 4Assessment, 20 Equipment, 11 Catheter insertion, 52 Catheter maintenance, 4 Catheter and drainage bagchange, 9 Catheter removal, 22 Complications management, 5 Education and consult, and 7 Hospital support. The recommended grade was 8.2% for A, 38.1% for B, and 53.7% for C. Among these, the major revision wasdone in 11 recommendations (8.2%). A total of 29 recommendations (21.6%) were newly added. 30 (22.4%)recommendations had minor revisions such as changes or addition for some words or sentences, and 13 (9.7%)recommendations were deleted.
Conclusion: Revised nursing practice guideline is expected to serve as anevidence-based practice guideline for IUC in Korea. This guideline will provide health care providers, patients,and caregivers with information to help manage IUC, leading to improved patient outcomes.
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KEYWORD
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Catheters, Indwelling, Practice Guideline, Evidence-Based Nursing
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