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"Guideline"

Original Articles
Development of Guidelines for the Delegation of Nursing Tasks in Integrated Nursing Care Service
Yeojin Yi, Haena Lim, Ji-Mee Kim, Jung-Hee Song
J Korean Acad Nurs Adm 2024;30(2):114-129.   Published online March 31, 2024
DOI: https://doi.org/10.11111/jkana.2024.30.2.114
Purpose
The aim was to develop guidelines for delegating nursing tasks among nurses in integrated nursing care wards.
Methods
This was a methodological approach. Literature reviews were conducted on delegation policies and practices for nurses in Korea and other countries to explore the area of nursing delegation. Focus group interviews were performed with nurses to identify the strength and weakness of the delegation of nursing tasks in clinical practice, and qualitative content analysis was conducted based on the interview. Ten areas and 115 items were derived through these steps, and their validity was confirmed using the Delphi technique.
Results
The delegation guidelines of nursing tasks consisted of nine domains, 21 sub-categories, and 101 items, including Nurses and nursing assistants' duties, the necessity of delegation, definition of terms, scope of delegation, considerations for delegation, procedure, characteristics, and principles of delegation, and educational content for delegation.
Conclusion
These guidelines can help nurses to make decisions about delegating nursing tasks according to the delegation procedure. Education on the delegation of nursing tasks is necessary for both nurses and nursing assistants. The guidelines developed in this study can serve as a standard for delegating nursing tasks to ensure patient safety.

Citations

Citations to this article as recorded by  
  • Effects of a mobile simulation program for nursing delegation: A randomised controlled trial
    Haena Lim, Yeojin Yi
    Nurse Education in Practice.2025; 83: 104283.     CrossRef
  • Effects of Shared Leadership and Communication Competence on Nursing Team Effectiveness in Comprehensive Nursing Service Units: Focusing on the Team Nursing System
    Hye Jin Kim, Eunjoo Lee
    Journal of Korean Academy of Nursing Administration.2025; 31(2): 143.     CrossRef
  • 381 View
  • 7 Download
  • 2 Crossref
Adaptation and Effects of the Evidence-based IPC Nursing Protocol on Prevention of Postoperative Venous Thromboembolism
Nam Yong Kim, Eun A Kim, Jae Yeun Sim, Soon Hee Jung, Hye Young Kim, Eun Hee Jang, Jee Hye Shin
J Korean Acad Nurs Adm 2017;23(1):63-75.   Published online January 31, 2017
DOI: https://doi.org/10.11111/jkana.2017.23.1.63
PURPOSE
This study was conducted to adapt the standardized evidence-based nursing protocol using the IPC (intermittent pneumatic compression) intervention to prevent venous thromboembolism in surgical patients. Further, an investigation was done to measure knowledge on prevention of venous thromboembolism, surrogate incidence of venous thromboembolism and to assess IPC compliance in the study patients compared with those in surgical patients who underwent IPC intervention due to previous clinical experience.
METHODS
An analysis was done of the nine modules suggested by National Evidence-based Healthcare Collaborating Agency (NECA) in the adaptation manual of the clinical practice guideline for protocol adaptation. A nonequivalent control group post test design as a quasi-experiment was used to verify the effect of the IPC protocol.
RESULTS
There was a significant difference in knowledge of prevention of venous thromboembolism, IPC application time after intervention and the number of IPC applications between the experimental group (n=50) using the IPC nursing protocol and the control group (n=49). However, the symptoms of deep vein thrombosis and pulmonary thromboembolism were not observed in either the experimental group or the control group after the intervention.
CONCLUSION
Results confirm that the standardized IPC nursing protocol provides effective intervention to prevent venous thromboembolism in surgical patients.

Citations

Citations to this article as recorded by  
  • Comparison of Internal Marketing, Job Satisfaction and Customer Orientation of Nurses by Size of Medical Care Institution; Small-medium Hospitals and General Hospitals
    Eun Su Do, Mi Ye Kim
    Journal of Korean Academy of Nursing Administration.2012; 18(1): 56.     CrossRef
  • 82 View
  • 1 Download
  • 1 Crossref
Systematic Search for Guidelines to Prevent Catheter-associated Urinary Tract Infections-Part II: Using the Ovid MEDLINE
Hyunyoung Park, Keum Seong Jang, Ja Yun Choi, Yun Hee Kim
J Korean Acad Nurs Adm 2015;21(1):64-76.   Published online January 31, 2015
DOI: https://doi.org/10.11111/jkana.2015.21.1.64
PURPOSE
To implement evidence-based nursing, it is important to know where and how to find the best available evidence. This study was conducted to identify the results of a search from Ovid MEDLINE and to compare the results from Ovid MEDLINE with those from PubMed MEDLINE.
METHODS
Four different approaches via Ovid MEDLINE were used to search for guidelines on preventing catheter-associated urinary tract infections. Outcomes of this study were the number of records and relevant literature, and the sensitivity and precision of the search methods via Ovid MEDLINE.
RESULTS
The number of retrieved items ranged 23 to 6,005 and that of relevant studies, 5 to 8 of 8. Simple searches resulted in the highest sensitivity of 100.0%. When using MeSH terms and limits feature, the precision was highest (21.7%) among four approaches for literature searches. Simple searches in Ovid had higher sensitivity and lower precision than those in PubMed.
CONCLUSION
Simple searches in Ovid may be inefficient for busy clinicians compared to PubMed. However, to ensure a comprehensive and systematic literature search, using Ovid MEDLINE in addition to PubMed is recommended.

Citations

Citations to this article as recorded by  
  • A Systematic Review of Home based Pulmonary Rehabilitation in COPD Patients: Randomized Controlled Trials
    Min Hee Ahn, Ja Yun Choi, Yun Hee Kim
    The Korean Journal of Rehabilitation Nursing.2016; 19(2): 82.     CrossRef
  • 101 View
  • 0 Download
  • 1 Crossref
An Example of Systematic Searching for Guidelines to Prevent Catheter-associated Urinary Tract Infections - Part I: Using the PubMed Database
Yun Hee Kim, Keum Seong Jang, Kyung Hee Chung, Ja Yun Choi, Se Ang Ryu, Hyunyoung Park
J Korean Acad Nurs Adm 2014;20(1):128-143.   Published online January 31, 2014
DOI: https://doi.org/10.11111/jkana.2014.20.1.128
PURPOSE
Effective literature searching is essential to support evidence-based nursing. The aim of this study was to present our recent systematic search experience to identify guidelines in PubMed for prevention of catheter-associated urinary tract infections.
METHODS
Five approaches to the literature search via PubMed were employed. The searches were restricted to items published from 1980 to 2010, for patients admitted to hospital, and in the English language. The search results were compared using the number of records and relevant items, and the sensitivity and precision of each search strategy.
RESULTS
The individual approaches retrieved 19-141 of records and 3-6 of relevant items. Sensitivity ranged from 37.5% to 75.0% with the highest values for simple searches and a search combining MeSH terms and free textwords with a methodological search filter. Precision varied from 4.3% to 21.7% and the highest precision was found for MeSH terms with limits feature.
CONCLUSION
The simple search in PubMed is an appropriate way for nurses in a busy clinical practice to search the literature for evidence. However, several approaches using MeSH terms, free textwords, limits feature or methodological search filters are also required to have more efficient and better informed search results.

Citations

Citations to this article as recorded by  
  • Trends in Evidence-based Nursing Research in South Korea
    Seang Ryu, Sun Weon Yun, Yun Sook Kim
    Journal of Korean Academy of Nursing Administration.2017; 23(4): 385.     CrossRef
  • Systematic Search for Guidelines to Prevent Catheter-associated Urinary Tract Infections-Part II: Using the Ovid MEDLINE
    Hyunyoung Park, Keum-Seong Jang, Ja-Yun Choi, Yun-Hee Kim
    Journal of Korean Academy of Nursing Administration.2015; 21(1): 64.     CrossRef
  • 92 View
  • 0 Download
  • 2 Crossref
Development of Nursing Practice Guidelines for Non-humidified Low Flow Oxygen Therapy by Nasal Cannula
Ae Ri Na Nam, Woo Hyun Bae, Mi Mi Park, Eun Jeong Ko, Byung Nam Park, Jeong Ok Park, Ji Yeoung Yim
J Korean Acad Nurs Adm 2013;19(1):87-94.   Published online January 31, 2013
DOI: https://doi.org/10.11111/jkana.2013.19.1.87
PURPOSE
The purpose of this study was to provide a basis for non-humidified low flow oxygen by nasal cannula and to provide a guide for consistent care in nursing practice.
METHODS
A methodological study on the development of guidelines with experts' opinions on collected items, framing PICO questions, evaluating and synthesizing texts which were searched with the key words (low flow oxygen, nasal cannula, humidification of oxygen, guideline) from web search engines.
RESULTS
Of the 45 researched texts on the web, 9 texts relevant to the theme were synthesized and evaluated. All patients with humidified or non-humidified oxygen therapy reported that they had no discomfort.
CONCLUSION
The results indicate that there are no tangible grounds for patients' perceived differences between the humidified and non-humidified oxygen under 4L/min supplied by nasal cannula. with oxygen. Therefore, non-humidification oxygen therapy is strongly advised when suppling under 4L/min oxygen by nasal cannula (recommended grade A).

Citations

Citations to this article as recorded by  
  • Humidification of Blow-By Oxygen During Recovery of Postoperative Pediatric Patients: One Unit's Journey
    Suzanne Donahue, Robert M. DiBlasi, Karen Thomas
    Journal of PeriAnesthesia Nursing.2018; 33(6): 964.     CrossRef
  • The nasal oxygen practice in intensive care units in China: A multi-centered survey
    Zunjia Wen, Junyu Chen, Lanzheng Bian, Ailing Xie, Mingqi Peng, Mei Li, Li Wei, Shane Patman
    PLOS ONE.2018; 13(8): e0203332.     CrossRef
  • 112 View
  • 2 Download
  • 2 Crossref
Development of Telephone Consultation Algorithm for Patient Discharged with Ophthalmic Disease
Hyun Jung Lee, Hyeoun Ae Park
J Korean Acad Nurs Adm 2011;17(3):336-348.   Published online September 30, 2011
DOI: https://doi.org/10.11111/jkana.2011.17.3.336
PURPOSE
This methodological study was done to develop a telephone consultation algorithms and practice guidelines for patient discharged with ophthalmic diseases.
METHODS
The ophthalmic problems of the patients were identified and expert knowledge on managing the problems was acquired. Algorithms and practice guidelines were developed based on the expert knowledge. The content validity of algorithms and practice guidelines was evaluated by the experts.
RESULTS
The preliminary algorithms and practice guidelines were developed from 60 detailed signs and symptoms and 45 nursing interventions. The experts agreed that 57 detailed signs and symptoms linked with nursing interventions were valid, with the content validity index over 80%. Meeting with nurse experts and ophthalmologists was convened to review the rest of the 3 detailed signs and symptoms linked with nursing interventions. Finally, 60 detailed signs and symptoms and 46 nursing interventions were confirmed.
CONCLUSION
This study suggests that the algorithms and practice guidelines are effective decision-making tools and utilization of these algorithms and practice guidelines is expected to improve the quality of clinical nursing and patient satisfaction.

Citations

Citations to this article as recorded by  
  • Does a preterm labor-assessment algorithm improve preterm labor-related knowledge, clinical practice confidence, and educational satisfaction?: a quasi-experimental study
    Hee-Young Choi, Jeung-Im Kim
    Korean Journal of Women Health Nursing.2023; 29(3): 219.     CrossRef
  • Effects of Display Curvature, Presbyopia, and Task Duration on Visual Fatigue, Task Performance, and User Satisfaction
    Donghee Choi, Gyouhyung Kyung, Kyunghyun Nam, Sungryul Park
    Human Factors: The Journal of the Human Factors and Ergonomics Society.2019; 61(2): 273.     CrossRef
  • A Development and Evaluation of Nursing KMS using QFD in Outpatient Departments
    Han Na Lee, Eun Kyoung Yun
    Journal of Korean Academy of Nursing.2014; 44(1): 64.     CrossRef
  • 77 View
  • 0 Download
  • 3 Crossref
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