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정인숙 ( Ihn Sook Jeong ),박경희 ( Kyung Hee Park ),송복례 ( Bok Rye Song ),심강희 ( Kang Hee Sim ),한은진 ( Eun Jin Han ),홍은영 ( Eun Young Hong ),정영선 ( Young Sun Jung ),이선희 ( Seon Heui Lee ),박동아 ( Dong Ah Park ),정재심 병원간호사회 2015 임상간호연구 Vol.21 No.2
This study was done to use a guideline adaptation process to develop a Korean evidence-based diabetic foot care clinical practice guideline for diabetic foot prevention and management. Methods: The guideline adaptation process was conducted according to the guideline adaptation manual developed by the National Evidence-Based Healthcare Collaborating Agency. The process consists of three main phases, with 9 modules including a total of 23 steps. Results: The newly developed diabetic foot care clinical practice guideline consisted of an introduction, description of diabetic foot, summary of recommendations, recommendations, references, appendices, and glossary. There were 165 recommendations in 4 sections (risk assessment for diabetic foot ulcers, prevention of diabetic foot ulcers, wound assessment of diabetic foot ulcers, and management of the diabetic foot). In grading by recommendations, for A there were 30 (18.2%), B, 8 (4.8%), C, 30 (18.2%) D, 97 (58.8%). Conclusion: This guideline can be used as educational material for healthcare workers and diabetic patients. It can also be utilized as a practice guideline for healthcare workers in the hospital and community setting.
간호분야 실무지침의 수용개작 방법론에 따른 구강간호 실무지침의 개발
조용애 ( Yong Ae Cho ),은영 ( Young Eun ),구미옥 ( Mee Ock Gu ),김경숙 ( Kyung Sook Kim ),곽미경 ( Mi Kyong Kwak ),김정혜 ( Jeong Hye Kim ),이선희 ( Seon Heui Lee ),박동아 ( Dong Ah Park ),노화경 ( Hwakyung Noh ) 병원간호사회 2015 임상간호연구 Vol.21 No.2
Purpose: This study aimed to adapt the previously developed, high-quality oral care guideline for the usage in clinical settings in Korea. Methods: Guideline adaptation process was undertaken according to the guideline adaptation manual version 2.0 developed by National Evidence-based Healthcare Collaborating Agency (Kim, et al., 2011) and the standardized methodology for nursing practice guideline adaptation (Gu, et al. 2012). Results: The adapted oral care guideline was consisted of 10 domains and 85 recommendations. The number of recommendations in each domain were: 4 general issues, 2 oral care indications, 10 oral assessment 16 general oral care, 15 oral care for critically ill, 15 oral care for cancer patients, 14 oral care for cancer patients withoral complications , 5 oral careeducation , 2 oral care referral, and 2 documentation and report. Ten point six percent of the recommendations were rated as grade A, 20.0% as grade B grade, and more than half (69.4%) were rated as grade C. Conclusion: The adapted oral care practice guideline is expected to included the evidence-based practice guidelines as fundamentalss of nursing practice. Dissemination of the developed guideline nationwide would contribute improving the efficiency of oral care practice.