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Kim H.; Kim, N.; Cho, M. Y.; Kim, N. Y.; Kang, Y. R.; Hwang, I. H.
International Journal of Evidence-Based Healthcare: September 2014
doi: 10.1097/01.XEB.0000455178.81606.88
Abstracts of Oral Presentations: Evidence Transfer: PDF Only
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Background:

There are some differences in the guidelines on management of central venous-port among the units in this hospital. Therefore, we developed evidence-based guidelines to improve the efficiency of nursing practice and quality of patient care.

Objective:

This study was conducted to develop evidence-based nursing practice guidelines on central venous-port management in Korea.

Methods:

Guideline adaptation process was conducted according to the evidence-based intravenous infusion nursing practice guideline (Ku mi-Oak, 2012) which was conducted previously according to the guideline adaptation manual version 2.0 developed by NECA (Kim Su Young et al, 2011).

Results:

The adapted evidence-based nursing practice guidelines on central venous-port management consisted of 18 domains and 94 recommendations. Some of the recommendations included sub-domains which were supported by evidence and grades. The number of recommendations with levels of evidence and gradings were 104, and they were 11.5% of I, 29.8% of II, 58.7% of III. There were 22.1% of A, 30.8% of B, 47.1% of C in the recomended grades. The grade C recommendations of evidence accounted for 47.1% of all the recommendations, which means most of the recommendations did not have enough evidence.

Discussion:

There are not enough experimental studies to contribute quality evidence for the core questions of the central venous-port management, and furthermore most of the recommendations are mainly from descriptive studies and expert‘s opinions. We suggest to researchers to conduct futher studies on the evidence with grade C recommendations. We need well designed experimental study, especially on the central venous-port patency and heparin locking.

Conclusion:

The adapted evidence-based nursing practice guidelines on central venous-port management is recommended to be disseminated to nurses on a national scale to improve the efficiency of nursing practice and the quality of patient care.

International Journal of Evidence-Based Healthcare © 2014 The Joanna Briggs Institute

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