근거기반 유치도뇨간호 실무지침 개정 = Updates of Nursing Evidence-Based Practice Guideline for Indwelling Urinary Catheterization

다국어 초록 (Multilingual Abstract)

Purpose: This study was conducted to update the existing evidence-based nursing clinical practice guideline for
indwelling urinary catheterization (IUC). Methods: The guideline have been revised in 22 steps based on
international standards. The quality of the practice guidelines to be used for revision was evaluated using the
Appraisal of Guidelines for Research and Evaluation II. The evaluation of the content appropriateness and
applicability of the draft recommendations of the revised practice guidelines was performed using the
RAND/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 consisted
of 9 domains and 134 recommendations. The numbers of recommendations in each domain were: 4
Assessment, 20 Equipment, 11 Catheter insertion, 52 Catheter maintenance, 4 Catheter and drainage bag
change, 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 was
done 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 an
evidence-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.