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소구경 주사바늘을 사용한 적혈구 수혈 시 근거중심 알고리즘의 개발 및 적용
한민영(Minyoung Han),황정화(Jeonghwa Hwang),이현정(Hyunjung Lee),이진경(Jinkeong Lee),김지수(Jisu Kim),이미영(Miyoung Lee),김미라(Mira Kim),이곤(Gon Lee),신경민(Kyungmin Shin),정미애(Miae Jung),장연수(Yeonsoo Jang) 한국근거기반간호학회 2015 근거와 간호 Vol.3 No.1
Purpose: To develop and apply evidence-based algorithms associated with the needle size used when the blood transfusion is to improve nursing practice. Methods: A transfusion algorithm developed by the Clinical Guideline of Adaption Manual (version 2.0), after voluntarily underwent training to nurses and patient groups in the study, confirmed the hemolytic reaction and Nursing satisfaction. Data were analyzed by statistical methods such as t-test, χ2 square using SPSS 20.0 program. Results: The hemolysis reaction between test and control groups applying evidence-based algorithm with no statistically significant difference (p=.921), but the average number of times per 1Unit flushing frequency was increased in the experimental group (p=.029), speed is also significantly reduced (p=.037). Nurse satisfaction is also higher in the experimental group indicated an algorithm was a significant difference between the two groups (p=.004). Conclusion: Without hemolytic transfusion reactions are possible with 22G catheter, and evidence-based algorithms developed through a review of the literature will help to improve efficiency and increase satisfaction of Nursing nurse.
김은화(Eunhwa Kim),이미자(Mija Lee),조혜림(Hyerim Cho),이진영(Jinyeong Lee),양재숙(Jaesook Yang),송정은(Jeongeun Song),신은혜(Eunhye Shin),문영애(Yeongae Moon),정진아(Jina Jung),이은숙(Eunsook Lee),황정화(Jeonghwa Hwang),김명숙(Myungsoo 한국근거기반간호학회 2014 근거와 간호 Vol.2 No.1
Purpose: To evaluate the effects of blood culture’s clinical practice guideline on nurse’s knowledge, cognition, practice and false positive rates. Methods: Research instrument was developed to assess knowledge, cognition, practice of nurses regarding blood culture by investigators. It consists of 26 questions and verified validity. One hundred-two nurses participated in this study. A descriptive analysis was conducted to determine the subject’s characteristics and t-test, and Pearson’s correlation were conducted to evaluate the effects of guideline using SPSS 21.0. Results: After educating this guideline, nurse’s knowledge, cognition and practice of nurse significantly improved before education. The relations of correlation among knowledge and cognition, practice and knowledge, practice and cognition were statistically significant. In addition, although it was not statistically significant, false positive rate was decreased (pre-education 1.5%, post education 1%). Conclusion: The clinical practice guideline of blood culture may improve the nurse’s knowledge and nursing practice to decrease false positive rate in this study. The result of this research would provide the evidence-base practice in nursing as well as decline medical cost.