Journal of Korean Clinical Nursing Research (임상간호연구)

Hospital Nurses Association (병원간호사회)
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Utilization of Evidence-Based Clinical Nursing Practice Guidelines in Tertiary Hospitals and General Hospitals

상급종합병원과 종합병원의 근거기반 임상간호실무지침의 활용도

  • Eun, Young (College of Nursing, Institute of Health Science, Gyeongsang National University) ;
  • Jeon, Mi Yang (College of Nursing, Institute of Health Science, Gyeongsang National University) ;
  • Gu, Mee Ock (College of Nursing, Institute of Health Science, Gyeongsang National University) ;
  • Cho, Young Ae (Red Cross College of Nursing, Chung-Ang University) ;
  • Kim, Jung Yeon (Division of Nursing, Severance Hospital) ;
  • Kwon, Jeong Soon (Department of Nursing, Asan Medical Center) ;
  • Kim, Kyeong Sug (Department of Nursing, Samsung Medical Center)
  • 은영 (경상국립대학교 간호대학.건강과학연구원) ;
  • 전미양 (경상국립대학교 간호대학.건강과학연구원) ;
  • 구미옥 (경상국립대학교 간호대학.건강과학연구원) ;
  • 조용애 (중앙대학교 적십자간호대학) ;
  • 김정연 (세브란스병원) ;
  • 권정순 (서울아산병원) ;
  • 김경숙 (삼성서울병원)
  • Received : 2021.09.30
  • Accepted : 2021.10.21
  • Published : 2021.12.31
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Abstract

Purpose: The purpose of this study was to investigate the actual utilization of clinical practice guidelines developed by Hospital Nurses Association. Methods: The subjects were 70 nurses who were in charge of guideline distributions in 70 advanced general hospital and general hospitals with 500 beds or more nationwide. Data were collected between June and August, 2020 by mail (return rate: 88.6%). Data were analyzed using descriptive statistics, t-test, and ANOVA with SPSS/WIN 24.0. Results: Among the clinical practice guidelines developed by Hospital Nurses Association, 72.9~90.1% were placed with book and electronic file in nursing department and 24.3~35.8% were placed with book and electronic file in each nursing unit at hospital. The average number of utilized clinical practice guidelines were 3.96±3.88, and average score of guideline utilization was score 2.85±0.79 which means 'use sometimes'. Conclusion: To improve the distribution and utilization of the clinical practice guidelines, it is necessary to enhance the recognition of values of evidence based nursing practice targeting head of nursing department and to stimulate the distribution and utilization of the clinical practice guidelines using diverse education programs for staff nurses.

Keywords

Acknowledgement

본 연구는 2019년 병원간호사회에서 연구비를 지원받아 진행한 연구의 일부임.

References

  1. Eun Y, Gu MO, Cho YA, Kim SM, Jeong JS, Kwon JS, et al. Attitudes to and diffusion of intravenous infusion nursing practice guideline of advanced general hospital and general hospital in Korea. Evidence and Nursing. 2014;2(1):5-12.
  2. Field MJ, Lohr KN. Clinical practice guidelines: Directions for a new program. Washington(DC): National Academy Press; 1990. p. 1-3.
  3. Grimshaw J, Eccles M, Thomas R, MacLennan G, Ramsay C, Fraser C, et al. Toward evidence-based quality improvement: Evidence(and its limitations) of the effectiveness of guideline dissemination and implementation strategies 1966-1998. Journal of General Internal Medicine. 2006;21(S2):S14-S20. https://doi.org/10.1111/j.1525-1497.2006.00357.x
  4. Fransen J, Laan RF, Van Der Laar MA, Huizinga TW, Van Riel PL. Influence of guideline adherence on outcome in a randomised controlled trial on the efficacy of methotrexate with folate supplementation in rheumatoid arthritis. Annals of the Rheumatic Disease. 2004;63(10):1222-1226. https://doi.org/10.1136/ard.2003.018861
  5. Gu MO, Cho MS, Cho YA, Eun Y, Jeong JS, Jeong IS, et al. Adoption of evidence-based clinical nursing practice guidelines and standardization of acceptance adaptation of nursing practice guidelines [Internet]. Seoul: Hospital Nurses Association; 2011 Mar [cited 2020 Aug. 1]. Available from: https://khna.or.kr/home/pds/practiceGuidelines.php#practiceStudy.
  6. Eun Y, Gu MO, Cho YA, Jeong JS, Kwon JS, Yoo CS, et al. Extent of diffusion of intravenous infusion nursing practice guideline among nurses in advanced general hospital and general hospital in Korea. Evidence and Nursing. 2015;3(1): 4-17.
  7. Laing L. The gap between evidence and practice. Health Affairs. 2007;26(Suppl 1):w119-w121. https://doi.org/10.1377/hlthaff.26.2.w119
  8. Rogers EM. Diffusion of innovations. 3rd ed. New York: Free Press; 1983. p. 162-203.
  9. Brett JL. Use of nursing research findings. Nursing Research. 1987;36(6):344-349.
  10. Gu MO, Cho YA, Eun Y, Jeong IS, Lee SH, Seo HJ. Introduction to evidence-based nursing. Seoul: Fornursebook; 2016. p. 228-235.
  11. Cho HS, Shin IS, Oh MK, Lee YK, Kim JG, Jang JE, et al. A strategy for dissemination and implementation of clinical practice guidelines in Korea. Seoul: National Evidence-based Healthcare Collaborating Agency; 2014. Apr. NECA Report No.: 978-89-6834-103-8.
  12. Lee EK. Implementation statues of asthma management guideline in Korea. Health and Welfare Policy Forum. 2004; 96:45-55.
  13. Hwang IY. A study on knowledge, attitude, and implementation of clinical nursing practice guideline for fall prevention among hospital nurses working in the small and medium sized hospitals [master's thesis]. Jinju: Gyeongsang National University; 2011. p. 1-75.
  14. Melynk BM, Fineout-Overholt E, Fischbeck Feinstein N, Li H, Small L, Wilcox L, et al. Nurses' perceived knowledge, beliefs, skills and needs regarding evidence-based practice: Implication for accelerating the paradigm shift. Worldviews on Evidence-Based Nursing. 2004;1(3):185-193. https://doi.org/10.1111/j.1524-475x.2004.04024.x
  15. Melynk BM, Fineout-Overholt E. Evidence-based practice in nursing & healthcare: A guide to best practice. 3rd ed. Philadelphia: Wolters Kluwer Health; 2015. p. 316-329.
  16. Park YS. The development and effects of evidence-based nursing practice guideline for the nursing of delirium in cancer patients [dissertation]. Jinju: Gyeongsang National University; 2011. p. 1-173.
  17. Mclnerney P, Suleman F. Exploring knowledge, attitudes, and barriers toward the use of evidence-based practice amongst academic health care practitioners in their teaching in a South African university: A pilot study. Worldviews on Evidence-Based Nursing. 2010;7(2):90-97. https://doi.org/10.1111/j.1741-6787.2009.00180.x