Journal of Korean Academy of Nursing

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

572 View
18 Download
2 Web of Science
3 Crossref

Opening Status of the Korea Midwifery Birthing Centers and Development of Midwifery Practice Guideline: Song, Ji Young , Park, Young-Joo; J Korean Acad Nurs 2020;50(4):583-598. Published online August 31, 2020; DOI: https://doi.org/10.4040/jkan.20032

Abstract PDF

Purpose
This study was to investigate the operational status of the midwifery birthing centers (MBCs) and midwives’ job status (Phase 1) and to develop midwifery practice guidelines (MPG) (Phase 2) in Korea.
Methods
In the first phase, the subjects were 15 midwives who operated 11 of 14 MBCs that were opened as of August 2018. The questionnaire consisted of items to measure the operational status of the MBC and midwives’ job status. In the second phase, the MPG was developed from literature review, interviews with five midwives opening their MBCs, surveys with 74 midwives, and a validity evaluation conducted by seven experts.
Results
The distribution of operating MBCs was five in Gyunggi-do, two each in Seoul and Incheon, one each in Busan, Chungcheongbuk-do, Gyeongsangbuk-do, Gyeongsangnam-do and Jeju-do. The mean age of midwives was 54.3 and all were female. In 2017, a total of 762 births including 81 homebirths were performed by midwives. The job performance was highest in the order of neonatal care 3.81, childbirth care 3.56, and postpartal care 3.53, respectively. The MPG included seven areas of prenatal care, childbirth care, postpartal care, neonatal care, primary health care, law/ ethics, and administration, with 56 tasks and 166 task elements.
Conclusion
This study provides the valid basic data for the operational status of the MBC and the midwives’ job status. The MPG describes the midwife’s job and may be used as basic data for preparing policies for the development of midwifery practice in Korea.

Citations

Citations to this article as recorded by

Preparation of the nursing workforce in the field of women’s health
Sukhee Ahn
Women's Health Nursing.2024; 30(2): 91. CrossRef
A Job analysis of Hospital Midwives: A DACUM Analysis
Yunmi Kim, Sunok Lee, Jummi Park, Sunhee Lee, Miyoung An, Buyoun Kim
Journal of The Korean Society of Maternal and Child Health.2023; 27(2): 119. CrossRef
A comparison of the perceived importance and performance of midwives’ roles between midwives and nurses in Korea: a cross-sectional study
Kyungwon Kim, Yunmi Kim, Jummi Park
Korean Journal of Women Health Nursing.2023; 29(4): 263. CrossRef
Expanding the role of midwives in Korea
Kyung Won Kim
Korean Journal of Women Health Nursing.2021; 27(3): 167. CrossRef
2020 Year of the nurse and the midwife: a call for strengthening midwifery in response to South Korea’s ultra-low birth rate
Yun Mi Kim
Korean Journal of Women Health Nursing.2020; 26(4): 255. CrossRef

347 View
3 Download
4 Web of Science
5 Crossref

Adaptation and Evaluation of the Incontinence Care Protocol: Kyung Hee Park, Heejung Choi; J Korean Acad Nurs 2015;45(3):357-366. Published online June 30, 2015; DOI: https://doi.org/10.4040/jkan.2015.45.3.357

Abstract PDF

Purpose

This study was done to develop an evidence-based incontinence care protocol through an adaptation process and to evaluate the effects of the protocol.

Methods

The protocol was developed according to the guideline of adaptation. A non-randomized controlled trial was used for testing the effects of the new Incontinence Care Protocol. A total of 120 patients having bowel incontinence with Bristol stool type 5, 6, and 7 and admitted to intensive care units were recruited to this study. The newly developed incontinence care protocol was used with patients in the experimental group and conventional skin care was given to patients in the control group. Outcome variables were incontinence-associated dermatitis (IAD) severity, pressure ulcer occurrence and severity.

Results

The experimental group had significantly less severe IAD (t=6.69, p<.001), lower occurrence of pressure ulcers (χ²=7.35, p=.007), and less severity of pressure ulcers (Mann-Whitney=86.00, p=.009) than the control group.

Conclusion

Use of this incontinence care protocol has the effects of preventing pressure ulcers and inhibiting worsening of IAD and pressure ulcers. Therefore, this incontinence care protocol is expected to contribute to managing IAD and pressure ulcers.

Citations

Citations to this article as recorded by

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
The Efficacy of a Viscoelastic Foam Overlay on Prevention of Pressure Injury in Acutely Ill Patients
Kyung Hee Park, Joohee Park
Journal of Wound, Ostomy & Continence Nursing.2017; 44(5): 440. CrossRef

235 View
8 Download
2 Crossref

Adaptation of Evidence-based Surgical Wound Care Algorithm: Jung Yeon Han, Smi Choi-Kwon; J Korean Acad Nurs 2011;41(6):768-779. Published online December 31, 2011; DOI: https://doi.org/10.4040/jkan.2011.41.6.768

Abstract PDF

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.

Citations

Citations to this article as recorded by

Bioactive Dressing: A New Algorithm in Wound Healing
Gianmarco Polverino, Francesca Russo, Francesco D’Andrea
Journal of Clinical Medicine.2024; 13(9): 2488. CrossRef
Knowledge, attitude and practices towards surgical wound care and healing among the public in the Jazan Region, Saudi Arabia
Hassan Mashbari, Sulaiman Hamdi, Hussam Darraj, Mohammed Awaf, Shaden Zaalah, Faisal Hakami, Khalid M. Hakami, Essam Alhazmi, Layla Al khairat, Shatha A. Hakami, Amani Aburasain, Ibrahim Ali I. Hakami, Abdulaziz A. Arishi
Medicine.2023; 102(51): e36776. CrossRef
Surgical wound assessment tool: Construct validity and inter‐rater reliability of a tool designed for nurses
Hien Thi Thu Do, Helen Edwards, Kathleen Finlayson
Journal of Clinical Nursing.2023; 32(1-2): 83. CrossRef
Development of a surgical wound assessment tool to measure healing and risk factors for delayed wound healing in Vietnam: a Delphi process
Hien Thi Thu Do, Helen Edwards, Kathleen Finlayson
Journal of Wound Care.2022; 31(5): 446. CrossRef
Xây dựng và chuẩn hóa bộ công cụ đánh giá vết mổ
Huế Nguyễn Thị
Journal of Clinical Medicine- Hue Central Hospital.2022;[Epub] CrossRef
Exploring guideline adaptation strategy for Turkey: Is “ADAPTE” feasible or does it need adaptation as well?
Duygu Ayhan Baser, Rabia Kahveci, Aylin Baydar Artantas, İlknur Yasar, Hilal Aksoy, Esra Meltem Koc, İsmail Kasim, Ilkka Kunnamo, Adem Özkara
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
Deena Lala, Pamela Houghton, Paul Holyoke, Dalton Wolfe
Rehabilitation Process and Outcome.2017;[Epub] CrossRef

200 View
6 Download
7 Crossref

A Study on Participation in Clinical Decision Making by Home Healthcare Nurses: Se Young Kim; J Korean Acad Nurs 2010;40(6):892-902. Published online December 31, 2010; DOI: https://doi.org/10.4040/jkan.2010.40.6.892

Abstract PDF

Purpose

This study was done to identify participation by home healthcare nurses in clinical decision making and factors influencing clinical decision making.

Methods

A descriptive survey was used to collect data from 68 home healthcare nurses in 22 hospital-based home healthcare services in Korea. To investigate participation, the researcher developed 3 scenarios through interviews with 5 home healthcare nurses. A self-report questionnaire composed of tools for characteristics, factors of clinical decision making, and participation was used.

Results

Participation was relatively high, but significantly lower in the design phase (F=3.51, p=.032). Competency in clinical decision making (r=.45, p<.001), perception of the decision maker role (r=.47, p<.001), and perception of the utility of clinical practice guidelines (r=.25, p=.043) were significantly correlated with participation. Competency in clinical decision making (Odds ratio [OR]=41.79, p=.007) and perception of the decision maker role (OR=15.09, p=.007) were significant factors predicting participation in clinical decision making by home healthcare nurses.

Conclusion

In order to encourage participation in clinical decision making, education programs should be provided to home healthcare nurses. Official clinical practice guidelines should be used to support home healthcare nurses' participation in clinical decision making in cases where they can identify and solve the patient health problems.

Citations

Citations to this article as recorded by

Concept Analysis of Nursing Surveillance Using a Hybrid Model
Se Young Kim, Mi-Kyoung Cho
Healthcare.2023; 11(11): 1613. CrossRef
Path model on decision‐making ability of clinical nurses
Minsook Park, Minkyung Gu, Sohyune Sok
Journal of Clinical Nursing.2023; 32(7-8): 1343. CrossRef
Mediating Effects of Role Clarity between Clinical Decision-Making Abilities and Job Stress for Advanced Practice Nurses at Tertiary Hospitals
Min Young Kim, Jeong Hye Kim, Su Jung Choi
Journal of Korean Critical Care Nursing.2022; 15(2): 27. CrossRef
Difficulties and Coping Experienced by Advanced Practice Nurses in Home Health Nursing Field
Moon-Sook Hwang, Hak Young Park, Soo Jung Chang
Journal of Korean Academy of Community Health Nursing.2020; 31(2): 143. CrossRef
Structural Equation Modeling on Clinical Decision Making Ability of Nurses
Min Kyoung Park, Soukyoung Kim
Journal of Korean Academy of Nursing.2019; 49(5): 601. CrossRef

204 View
5 Download
5 Crossref

Search