Journal of Korean Academy of Fundamentals of Nursing (기본간호학회지)

Korean Academy of Fundamentals of Nursing (기본간호학회)
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Evaluation of Applications of Adaptation of the Evidence-Based Nursing Practice Guidelines Patients with Acute Stroke

급성 뇌졸중 환자 대상 근거중심 간호 가이드라인 수용개작의 적용 평가

  • Song, So-Lee (Department of Nursing, Samsung Medical Center) ;
  • Cho, Myoung-Sook (Department of Clinical Nursing Science, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Kim, Ji-Hyun (Department of Nursing, Samsung Medical Center) ;
  • Han, Yun-Kyang (Department of Nursing, Samsung Medical Center) ;
  • Yan, Hye-Min (Stroke Center, Samsung Medical Center)
  • 송소이 (삼성서울병원) ;
  • 조명숙 (성균관대학교 의과대학 삼성서울병원 임상간호학교실, 삼성서울병원 간호본부) ;
  • 김지현 (삼성서울병원) ;
  • 한윤경 (삼성서울병원) ;
  • 양혜민 (삼성서울병원 뇌졸중 센터)
  • Received : 2011.12.12
  • Accepted : 2012.02.10
  • Published : 2012.02.28
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Abstract

Purpose: This study was done to evaluate nursing guidelines for patients with acute stroke, developed by adapting the guidelines of Registered Nurses Association of Ontario, Canada to clinical settings on a large scale and evaluating the effectiveness as a research study. Method: The general characteristics of the 319 patients and the effectiveness of guideline application were evaluated in terms of structure, process, and outcome using questionnaires on the guidelines application with reference to the medical records of patients with acute stroke hospitalized on a ward of the stroke center of S General Hospital in Seoul. Results: Structures as a guidance system for assessment were consistent with the recommendations. With respect to the process of the guidelines, for items on nursing assessment, improved performance was found to be statistically significant. For outcomes of the guidelines, complications occurred in 8 patients (5.3%) prior to application of the guidelines and 11 patients (6.5%) after application of the guidelines, but this result was not statistically significant (p=.841). Conclusion: The results of the study indicate that for the effectiveness of the guidelines, accessibility to the guidelines and effectiveness of quality improvement need to be evaluated, in addition to complications of a stroke.

Keywords

References

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