성인 발열 환자를 위한 근거기반 간호 지침 개발 및 평가Development and Evaluation of an Evidence-Based Nursing Protocol for Fever Management in Adult Patients
- Other Titles
- Development and Evaluation of an Evidence-Based Nursing Protocol for Fever Management in Adult Patients
- Authors
- 신용순; 김성렬; 유성희; 김선화; 김정희; 김현정; 나라; 채지선; 이혜진; 안영희; 김경옥
- Issue Date
- Jun-2013
- Publisher
- 성인간호학회
- Keywords
- 간호지침; 근거중심실무; 발열; 성인; Adult; Fever; Evidence-Based Practice; Nursing protocol
- Citation
- 성인간호학회지, v.25, no.3, pp.250 - 262
- Indexed
- SCOPUS
KCI
- Journal Title
- 성인간호학회지
- Volume
- 25
- Number
- 3
- Start Page
- 250
- End Page
- 262
- URI
- https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/162518
- DOI
- 10.7475/kjan.2013.25.3.250
- ISSN
- 1225-4886
- Abstract
- Purpose: This study was designed to develop, to implement and evaluate a fever management nursing protocol for adult patients. Methods: This study was conducted through seven steps following both the guideline development procedures of the Scottish Intercollegiate Guidelines Network and the Model of the Asan Medical Center Evidence-Based Practice, as follows: 1) identifying the clinical needs and composition of the protocol development group; 2) identifying and evaluating the evidence; 3) assessing the level of evidence and grading recommendations;4) forming a protocol; 5) evaluating the protocol using an expert group validity test and identifying barriers to its implementation; 6) protocol development; and 7) evaluation of practical improvement measures following implementation of the protocol. Results: The evidence-based protocol for fever management in adult patients was completed and includes five domains and 15 items. The protocol had good content validity (CVI=.90)and nursing practice could be improved after implementation of the protocol. Conclusion: This nursing protocol can be used as a guide for nursing in febrile adult patients. We recommend that further guidelines be updated in an interdisciplinary manner in order to foster local adaptation of the best clinical practices.
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