경장영양 간호실무지침 개정|RISS 상세보기

다국어 초록 (Multilingual Abstract)

Purpose: The purpose of this study was to update the previously developed nursing practice guideline for
enteral nutrition (EN). Methods: The guideline update was done in 22 steps using standardized methodology
for nursing practice guidelines. Results: The updated EN guideline consisted of 16 domains and 228 recommendations.
The domains and number of recommendations in each domain were for IDSA (Infectious
Diseases Society of America): 8 on general instruction, 9 on general instruction for special nutrition, 9 on general
instruction for EN, 3 on assessment of EN, 10 on access to EN, 18 on EN device insertion, 16 on selection and
preparation of nutritional supplements, 46 on administration and stopping EN, 22 on maintenance and
management of EN, 9 on monitoring EN, 16 on prevention and management of complications of EN, 18 on
medication administration, 20 on EN in various situations, 20 on prevention of errors, 1 on nursing education,
and 3 on nursing documentation. For the levels of evidence, there were 9.7% for level I, 13.1% for level II, 62.5%
for level III and 1.1% for GRADE (Grading of Recommendations Assessment, Development and Evaluation):
3.3% for low, 0.8% for moderate, 9.3% for very low. A total of 133 recommendations were newly developed
and 10 previous recommendations were modified. Conclusion: This updated EN nursing practice guideline can
be used to enhance evidence-based practice in fundamentals of nursing practice and it should be disseminated
to nurses nationwide in order to improve the efficiency of EN practice.

번역하기

참고문헌 (Reference)

1 구미옥, "정맥주입요법 간호실무지침 개정" 병원간호사회 23 (23): 361-375, 2017

2 박예현, "영양집중치료팀의 구성과 역할" 대한소화기학회 65 (65): 342-345, 2015

3 조용애, "간호분야 실무지침의 수용개작 방법론에 따른 경장영양 실무지침의 개발" 병원간호사회 20 (20): 147-161, 2014

4 은영, "간호 분야 실무지침의 수용개작 방법론에 따른 통증간호 실무지침의 개발" 병원간호사회 25 (25): 1-14, 2019

5 Shekelle PG, "Validity of the Agency for Healthcare Research and Quality clinical practice guidelines: How quickly do guidelines become outdated?" 286 (286): 1461-1467, 2001

6 National Institute for Health and Clinical Excellence, "The guidelines manual" National Institute for Health and Clinical Excellence

7 Scottish Intercollegiate Guidelines Network, "SIGN 50: A guideline developer's handbook" SIGN

8 Choi BR, "RAM(RAND/UCLA Appropriateness Method) applied to decision making method" 4 (4): 58-62, 2010

9 Gurgueira GL, "Outcomes in a pediatric intensive care unit before and after the implementation of a nutrition support team" 29 (29): 176-185, 2005

10 National Collaborating Centre for Acute Care, "Nutrition support for adults oral nutrition support, enteral tube feeding and parenteral nutrition" National Collaborating Centre for Acute Care