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Adaptation of Evidence-based Surgical Wound Care Algorithm
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Jung Yeon Han, Smi Choi-Kwon
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J Korean Acad Nurs 2011;41(6):768-779. Published online December 31, 2011
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DOI: https://doi.org/10.4040/jkan.2011.41.6.768
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 Abstract
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Purpose
This study was designed to adapt a surgical wound care algorithm that is used to provide evidence-based surgical wound care in a critical care unit.
Methods
This study used, the 'ADAPTE process', an international clinical practice guideline development method. The -'Bonnie Sue wound care algorithm' - was used as a draft for the new algorithm. A content validity index (CVI) targeting 135 critical care nurses was conducted. A 5-point Likert scale was applied to the CVI test using a statistical criterion of .75.
Results
A surgical wound care algorithm comprised 9 components: wound assessment, infection control, necrotic tissue management, wound classification by exudates and depths, dressing selection, consideration of systemic factors, wound expected outcome, reevaluate non-healing wounds, and special treatment for non-healing wounds. All of the CVI tests were ≥.75. Compared to existing wound care guidelines, the new wound care algorithm provides precise wound assessment, reliabilities of wound care, expands applicability of wound care to critically ill patients, and provides evidence and strength of recommendations.
Conclusion
The new surgical wound care algorithm will contribute to the advancement of evidence-based nursing care, and its use is expected as a nursing intervention in critical care.
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Citations
Citations to this article as recorded by  - Bioactive Dressing: A New Algorithm in Wound Healing
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Journal of Evaluation in Clinical Practice.2018; 24(1): 97. CrossRef - Using a Modified ADAPTE Process to Enable Effective Implementation of Electrical Stimulation Therapy for Treating Pressure Ulcers in Persons With Spinal Cord Injury
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