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입원 환자 낙상관리 실무지침 개발: 실무지침 수용개작 방법론 적용

Evidence-based Clinical Nursing Practice Guideline for Management of Inpatient Falls: Adopting the Guideline Adaptation Process

기본간호학회지 2020년 27권 1호 p.40 ~ 51
조인숙 ( Cho In-Sook ) - 인하대학교 간호학과

박경희 ( Park Kyung-Hee ) - 수원대학교 간호학과
서민희 ( Suh Min-Hee ) - 인하대학교 간호학과
김은만 ( Kim Eun-Man ) - 선문대학교 간호학과

Abstract


Purpose: Despite research efforts, current fall rates are still higher than expected. To approach this problem, we developed guidelines on preventing falls in hospitals.

Methods: Four guidelines were selected by the K-AGREE II process. Recommendations from each guideline were retrieved and evaluated based on the quality of evidence and the strength of the recommendations. Recommendations followed the grading system of the Korean Hospital Nurses Association’s Guideline Adaptation Manual. In the external review, 13 practice nurses from 5 hospitals and 13 panel experts including doctors, nursing managers, and pharmacists participated.

Results: The final guideline consisted of 5 sections and 341 recommendations. The first two sections were composed of recommendations for institutional readiness for change process and management, and Section 3 was divided into assessment of risk factors, preventive intervention and post-fall management. The summary of falls risk factors included seven components. Multifaceted interventions were modeled into six strategies. The final sections consisted of recommendations for implementing fall improvement programs and for sustaining effective prevention programs.

Conclusion: Given that falls result from various combinations of risk factors, the present guideline contains multifaceted assessments and interventions including risk-targeted strategy. This guideline will contribute to decreasing fall rates in hospitals by stimulating compliance with evidence-based practice.

키워드

낙상; 실무지침; 근거기반 간호
Falls; Practice guideline; Evidence-based nursing
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