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Knowledge and Adherence to Evidence Based Practice Guidelines for Hemodialysis among Nurses in Dialysis Units

혈액투석실 간호사의 근거중심 혈액투석간호에 대한 지식과 수행도

  • Chu, Hyesuk (College of Nursing, Chungnam National University) ;
  • Park, Myonghwa (College of Nursing, Chungnam National University)
  • Received : 2018.04.30
  • Accepted : 2018.07.20
  • Published : 2018.07.28

Abstract

This study was to investigate the level of knowledge and adherence to EBP guidelines for hemodialysis among nurses in dialysis units. Self-administered questionnaire was used that data were collected. The sample consisted of 173 nurses who worked in hemodialysis units located in three different district areas in Korea. Using SPSS/WIN 20.0, t-test, ANOVA and Scheff's analysis were performed. About 98.8% of nurses in dialysis units had received education mostly from dialysis conferences or symposium. The knowledge score for EBP was 15.77 (out of 23) on average. Subjects with more than 8 years of work experience, master degree and those working in tertiary hospital showed significantly higher scores. Despite that there are internationally acknowledge evidence based guidelines for hemodialysis, the actual adherence to guidelines varies by experience, education level and types of hospital. The findings of this study can be baseline data for further research into development of strategies to enhance knowledge of hemodialysis nurses and utilization of EBP guidelines.

본 연구는 투석실에서 간호사들 사이의 혈액 투석에 대한 실무 지침에 근거한 지식 수준과 수행도를 조사하는 서술연구로서 자기기입식 설문지를 사용하여 데이터를 수집했다. 표본은 한국의 3개 지역에 위치한 혈액 투석실의 간호사 173명으로 구성되었다. 자료 분석은 SPSS / WIN 20.0 으로 t-test, ANOVA 및 Scheff's 분석을 수행했다. 투석실 간호사의 약 98.8 %는 주로 투석회의나 심포지움에서 교육을 받았다. 근거중심실무에 대한 지식 점수는 평균 15.77 (23 개 중)로 나타났으며, 8년 이상의 경력자, 석사 학위 및 3차병원에서 일하는 간호사들이 유의하게 높은 점수를 보였다. 혈액 투석에 대한 국제적으로 인정되는 근거중심실무지침이 있음에도 불구하고 지침에 대한 실제 준수는 경험, 교육 수준 및 병원 유형에 따라 다르게 보였다. 이 연구의 결과는 혈액 투석 간호사에 대한 지식 향상 및 근거중심실무지침 활용을 위한 전략 개발에 대한 추가 연구를 위한 기본 데이터가 될 수 있다.

Keywords

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