Journal of Korean Academy of Nursing

Research Paper

Development and Effectiveness of Practice Application Program of Intravenous Infusion EvidenceBased Nursing Practice Guideline - for Small and Medium Sized Hospitals: Hong, Inhwa , Eun, Young; J Korean Acad Nurs 2020;50(6):863-875. Published online December 31, 2020; DOI: https://doi.org/10.4040/jkan.20196

Purpose
This study was conducted to develop and test the effects of a program for practice application of intravenous infusion evidence based nursing practice (EBP) guidelines in small and medium-sized hospitals.
Methods
A mixed method research design was used, combining non-equivalent control group pre-post test design with qualitative study analysis. The subjects consisted of 55 nurses. The practice application program was developed based on the Advancing Research and Clinical practice through close Collaboration (ARCC) model. Data were collected for analysis in the following areas: nurses’ EBP organizational culture and readiness, EBP beliefs, EBP implementation, importance about intravenous infusion, and performance about intravenous infusion, with data assessed using valid and reliable instruments. Patient outcomes were collected from the hospital’s medical records. Data were analyzed using t-test, χ² -test, and Shapiro-Wilk test, with qualitative content analysis used for interview data.
Results
Following the intervention, nurses’ EBP organizational culture and readiness, EBP beliefs, EBP implementation, and performance of intravenous infusion and perceptions of its importance showed significant improvement in the experimental group. Phlebitis rates decreased in the experimental group compared to the control group.
Conclusion
This program is effective to improve nurse’s perception and practice of evidence based nursing. Therefore we recommend to use this program at same levels of hospitals.

Citations

Citations to this article as recorded by

Developing and evaluating an evidence-based practice research competency enhancement program for clinical nurses in Korea: a pilot study
Suhyun Kim, Hye Won Jeong
BMC Nursing.2024;[Epub] CrossRef
Effects of nurse’s knowledge and self-efficacy on nursing performance in pediatric intravenous fluid management in South Korea: a descriptive study
Se-Won Kim, Mi-Young Choi
Child Health Nursing Research.2024; 30(4): 288. CrossRef
Development and Evaluation of Evidence-Based Nursing Protocol for Extracorporeal Membrane Oxygenation to Critically Ill Patients
Soomi Kim, Chul-Gyu Kim
Journal of Korean Academy of Nursing.2023; 53(3): 275. CrossRef

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2 Web of Science
3 Crossref

Original Article

Structural Model of Evidence-Based Practice Implementation among Clinical Nurses: Hyunyoung Park, Keum Seong Jang; J Korean Acad Nurs 2016;46(5):697-709. Published online October 31, 2016; DOI: https://doi.org/10.4040/jkan.2016.46.5.697

Abstract PDF

Purpose

This study was conducted to develop and test a structural model of evidence-based practice (EBP) implementation among clinical nurses. The model was based on Melnyk and Fineout-Overholt's Advancing Research and Clinical Practice through Close Collaboration model and Rogers' Diffusion of Innovations theory.

Methods

Participants were 410 nurses recruited from ten different tertiary hospitals in Korea. A structured self-report questionnaire was used to assess EBP knowledge/skills, EBP beliefs, EBP attitudes, organizational culture & readiness for EBP, dimensions of a learning organization and organizational innovativeness. Collected data were analyzed using SPSS/WINdows 20.0 and AMOS 20.0 program.

Results

The modified research model provided a reasonable fit to the data. Clinical nurses' EBP knowledge/skills, EBP beliefs, and the organizational culture & readiness for EBP had statistically significant positive effects on the implementation of EBP. The impact of EBP attitudes was not significant. The dimensions of the learning organization and organizational innovativeness showed statistically significant negative effects on EBP implementation. These variables explained 32.8% of the variance of EBP implementation among clinical nurses.

Conclusion

The findings suggest that not only individual nurses' knowledge/skills of and beliefs about EBP but organizational EBP culture should be strengthened to promote clinical nurses' EBP implementation.

Citations

Citations to this article as recorded by

Developing and evaluating an evidence-based practice research competency enhancement program for clinical nurses in Korea: a pilot study
Suhyun Kim, Hye Won Jeong
BMC Nursing.2024;[Epub] CrossRef
Evidence-Based Practice Among Psychiatric Nurses: Knowledge, Attitudes, Organizational Readiness, Levels of Implementation, and Barriers and Facilitators
Chinwe Florence Samantha Ezeruigbo
Journal of Psychosocial Nursing and Mental Health Services.2023; 61(9): 47. CrossRef
Development and Evaluation of Evidence-Based Nursing Protocol for Extracorporeal Membrane Oxygenation to Critically Ill Patients
Soomi Kim, Chul-Gyu Kim
Journal of Korean Academy of Nursing.2023; 53(3): 275. CrossRef
Evaluating the performance of an integrated evidence-based nursing knowledge management (I-EBNKM) platform in real-world clinical environments
Myonghwa Park, Insook Jang, Sung Lim Kim, Wonjae Lim, Ga Ae Kim, Gyeongho Bae, Yerin Kim
International Journal of Medical Informatics.2023; 179: 105239. CrossRef
Sociodemographic and Work-Related Variables Affecting Knowledge of, Attitudes toward, and Skills in EBNP of Nurses According to an EBPPQ
Katarzyna Młynarska, Elżbieta Grochans, Magdalena Sylwia Kamińska, Anna Maria Cybulska, Mariusz Panczyk, Ewa Kupcewicz
International Journal of Environmental Research and Public Health.2022; 19(14): 8548. CrossRef
Development and Effectiveness of Practice Application Program of Intravenous Infusion Evidence-Based Nursing Practice Guideline - for Small and Medium Sized Hospitals
Inhwa Hong, Young Eun
Journal of Korean Academy of Nursing.2020; 50(6): 863. CrossRef
Clinical nurses’ beliefs, knowledge, organizational readiness and level of implementation of evidence-based practice: The first step to creating an evidence-based practice culture
Jae Yong Yoo, Jin Hee Kim, Jin Sun Kim, Hyun Lye Kim, Jung Suk Ki, Tim Schultz
PLOS ONE.2019; 14(12): e0226742. CrossRef
Effects of an Evidence-Based Practice (EBP) Education Program on EBP Practice Readiness and EBP Decision Making in Clinical Nurses
Ae Ri Na Nam, Eun Ho Lee, Jeong Ok Park, Eun Jung Ki, Su Min Nam, Mi Mi Park
Journal of Korean Academy of Nursing Administration.2017; 23(3): 239. CrossRef
Factors Influencing Nurses' Implementation of Evidence-based Fall Management in Geriatric Hospitals
Hyun Jeong, Myonghwa Park
Journal of Korean Academy of Nursing Administration.2017; 23(3): 270. CrossRef
Factors Influencing Nurses’ Implementation of Evidence-based Restraint Use in Long-term Care Hospitals
Myonghwa Park, Mi Hwa Park
Journal of Korean Gerontological Nursing.2016; 18(3): 172. CrossRef

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10 Crossref

Special Article

Implementing Evidence into Practice for Best Dementia Care: Myonghwa Park; J Korean Acad Nurs 2015;45(4):495-500. Published online August 31, 2015; DOI: https://doi.org/10.4040/jkan.2015.45.4.495

Abstract PDF: Purpose
The purpose of this paper was to discuss the need for translation studies in dementia care and current translational endeavors, and to provide recommendations for evolving evidence-based dementia care.
Methods
A literature review yielded current evidence and translational efforts.
Results
Dementia care interventions need to be implemented at various service levels. Barriers to translation include evidence gaps, lack of the use of a conceptual framework to explain the implementation process, and unsupportive funding mechanisms for applying innovations.
Conclusion
There is clear evidence of the need for and benefits of evidence-based dementia care for patients with dementia, family caregivers, and care professionals. The urgent need now is finding ways to advance translational activities and facilitate future research into translation science.

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Original Article

Comparison of Standardized Peristomal Skin Care and Crusting Technique in Prevention of Peristomal Skin Problems in Ostomy Patients: Seungmi Park, Yun Jin Lee, Doo Nam Oh, Jiyun Kim; J Korean Acad Nurs 2011;41(6):814-820. Published online December 31, 2011; DOI: https://doi.org/10.4040/jkan.2011.41.6.814

Abstract PDF

Purpose

This study was performed to compare the effects of standardized peristomal skin care (SPSC) and crusting technique (CT) on the peristomal skin of ostomates. SPSC was developed by a consensus among the expert group based on a comprehensive review of the relevant literature and hospital protocols.

Methods

A randomized controlled pilot trial with 2 parallel arms was used. A total of 81 ostomates, who were recruited from a tertiary hospital, completed the baseline, 1-month, 2-month, and 3-month follow-up (SPSC group, n=45; CT group, n=36). SPSC consisted of water cleansing and direct application of ostomy appliances. CT involved crusting hydrocolloid powder and patting with water sponge or protective barrier liquid film. The outcomes of the study were assessed by skin problems, such as discoloration, erosion and tissue overgrowth; the domains of the evaluation tool used in examining the peristomal skin. A generalized estimating equation model was used to examine the effects according to time and group.

Results

In both SPSC and CT groups, the likelihood of occurrence of discoloration (OR, 1.99; 95% CI, 1.61-2.46), erosion (OR, 1.87; 95% CI, 1.55-2.25) and tissue enlargement (OR, 1.94; 95% CI, 1.36-2.77) increased with time. There was no significant difference in discoloration between the groups, whereas the probability of erosion (OR, 0.38; 95% CI, 0.16-0.89) and tissue overgrowth (OR, 0.09; 95% CI, 0.02-0.55) was lower in the SPSC group than in CT group.

Conclusion

SPSC was sufficient in preventing peristomal skin problems of ostomates compared to the CT.

Citations

Citations to this article as recorded by

Physicochemical Properties and Composition of Peristomal Skin Care Products: A Narrative Review
Agnieszka Kulawik-Pióro, Małgorzata Miastkowska, Katarzyna Bialik-Wąs, Piotr Zelga, Anna Piotrowska
Cosmetics.2025; 12(2): 74. CrossRef
Adapted Crusting Technique in Children with Peristomal Lesions: A Case Series
Ana Cristina Santos Monteiro, Maria Lucia Barbosa Maia dos Santos, Marcia Aparecida Souza, Juliana Caires de Oliveira Achili Ferreira
Advances in Skin & Wound Care.2020; 33(6): 329. CrossRef
Scientific and Clinical Abstracts From the WOCN® Society's 49th Annual Conference

Journal of Wound, Ostomy & Continence Nursing.2017; 44(Supplement): S1. CrossRef
Scientific and Clinical Abstracts From the WOCN® Society's 45th Annual Conference

Journal of Wound, Ostomy & Continence Nursing.2013; 40(Supplement): S1. CrossRef

245 View
6 Download
4 Crossref

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