[논문]근거기반 구강간호 실무지침 개정

조용애; 이선희; 김경숙; 임효민; 김태희; 최미영; 서현주; 박효선; 왕금현; 김찬희; 최희경

doi:10.22650/jkcnr.2020.26.2.141

근거기반 구강간호 실무지침 개정
Updates of Nursing Practice Guideline for Oral Care 원문보기

임상간호연구 = Journal of Korean Clinical Nursing Research, v.26 no.2, 2020년, pp.141 - 153

조용애 (중앙대학교 적십자간호대학) , 이선희 (가천대학교 간호대학) , 김경숙 (삼성서울병원 간호교육) , 임효민 (서울대학교병원) , 김태희 (용인세브란스병원 행정교육) , 최미영 (한국보건의료연구원) , 서현주 (충남대학교 간호대학) , 박효선 (가천대학교 간호대학) , 왕금현 (가천대 길병원) , 김찬희 (가천대학교 일반대학원 간호학) , 최희경 (가천대학교 일반대학원 간호학)

Abstract ▼ AI-Helper

Purpose: This study aimed to update the previously published nursing practice guideline for oral care. Methods: The guideline were updated according to the manuals developed by National Institute for Health and Care Excellence (NICE) and Scottish Intercollegiate Guidelines Network (SIGN), and a Handbook for Clinical Practice Guideline Developer Version 1.0. Results: Updated nursing practice guideline for oral care was consisted of 10 domains and 79 recommendations. The number of recommendations in each domain were: 5 general issues, 2 oral care indications, 9 oral assessment, 16 general oral care, 12 oral care for critically ill patients, 16 oral care for cancer patients, 12 oral care for cancer patients with oral complications, 5 oral care education, 1 oral care referral, and 1 documentation and report. In terms of grades for recommendations, 11.4% was grade A, 17.0% was grade B, and 68.2% was grade C. Twelve new recommendations were developed and 7 previous recommendations were deleted. Conclusion: Updated nursing practice guideline for oral care is expected to serve as an evidence-based practice guideline for oral care in South Korea. It is recommended that this guideline be spread to clinical nursing settings nationwide to improve the effectiveness of oral care practice.

주제어

표/그림 (5)

표 Table 1. Selected Guidelines for Update of Nursing Practice Guidelines for Oral Care
표 Table 2. Results of Quality Assessment using AGREE II
표 Table 3. Recommendations in the Updated Nursing Practice Guidelines for Oral Care
표 Table 4. Levels of Evidence and Strength of the Recommendation in the Updated Nursing Practice Guidelines for Oral Care (N=88)
표 Table 5. Changes of the Recommendations in the Updated Nursing Practice Guidelines for Oral Care (N=79)

질의응답

핵심어	질문	논문에서 추출한 답변
	국내에서 근거기반 임상간호 실무지침의 개발 및 확산이 필요한 이유는?	근거기반 임상간호 실무지침은 간호의 질을 높이고, 효율적인 중재를 수행하도록 촉진하는 도구이므로 국내에서 근거기반 임상간호 실무지침의 개발 및 확산이 필요하다. 근거기반 간호 활성화를 위한 노력으로 2012년 한국근거기반학회가 창립되었으며, 병원간호사회에서는 간호분야 실무지침 수용개작 방법론을 표준화하고, 2012년부터 순차적으로 간호 실무지침을 개발하고 있다.
	실무지침 관련 개별 검색어를 “and”로 조합해 검색한 기간은?	실무지침 검색 시에는 영문과 국문 검색어를 구분하고 구강간호 관련 개별 검색어와 실무지침 관련 개별 검색어를 “and”로 조합해 검색을 시행하였다. 검색 기간은 구강간호 실무지침 초판[1] 개발 시 2000년부터 2012년 11월까지였으므로, 그 이후인 2012년 12월부터 2019년 8월까지로 설정하였다. 방법론 전문가 4명이 웹사이트를 나누어 담당하여 검색하였으며, 검색사이트는 구강간호 실무지침 초판[1] 개발 시 사용했던 국가별 대표적 임상실무지침 개발 조직의 웹사이트 8개를 이용하였다.
	대상자의 경험과 지식을 바탕으로 권고안의 적절성을 평가하는 것은 무엇인가?	실무지침 개정판 초안에 대하여 RAND Corporation이 전문가 합의를 확인하기 위해 개발한 RAND/UCLA Apropriateness Method (RAM) 의사결정방법에 따라 1~9점 척도를 이용하여 권고안 내용에 대한 적절성과 적용 가능성을 평가하였다[16,17]. 권고안의 적절성은 대상자의 경험과 지식을 바탕으로 권고안의 적절성을 평가하는 것이며, 점수는 1점 ‘매우 부적절하다’, 5점 ‘중립이다’, 9점 ‘매우 적절하다’를 의미한다. 권고안의 적용 가능성은 임상현장에서 권고안의 적용가능성을 평가하는 것으로, 점수는 1점 ‘적용 가능성이 매우 낮다’, 5점 ‘중립이다’, 9점 ‘적용가능성이 매우 높다’를 의미한다.

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