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