J Korean Clin Nurs Res.
2023 Apr;29(1):24-41. 10.22650/JKCNR.2023.29.1.24.
Updates of Evidence-Based Nursing Practice Guideline for Prevention of Venous Thromboembolism
- Affiliations
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- 1(ex.) Assistant Professor, Red Cross College of Nursing, Chung-Ang University, Seoul, Korea
- 2Professor, College of Nursing, Gerontological Health Research Center in Institute of Health Science, Gyeongsang National University, Jinju, Korea
- 3Professor, College of Nursing, Gachon University, Incheon, Korea
- 4Unit Manager, Department of Nursing, Bundang Seoul National University Hospital, Bundang, Korea
- 5Unit Manager, Department of Nursing, Severance Hospital, Seoul, Korea
- 6Advanced Practice Nurse, Department of Nursing, Samsung Medical Center, Seoul, Korea
- 7Advanced Practice Nurse, Department of Nursing, Asan Medical Center, Seoul, Korea
- KMID: 2549580
- DOI: http://doi.org/10.22650/JKCNR.2023.29.1.24
Abstract
- Purpose
This study aimed to update the previously published nursing practice guideline for prevention of venous thromboembolism (VTE).
Methods
The guideline was 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 10.
Results
The updated nursing practice guideline for prevention of VTE was consisted of 16 domains, 46 subdomains, and 216 recommendations. The recommendations in each domain were: 4 general issues, 8 assessment of risk and bleeding factors, 5 interventions for prevention of VTE, 18 mechanical interventions, 36 pharmacological interventions, 36 VTE prevention starategies for medical patients, 25 for cancer patients, 13 for pregnancy, 8 for surgical patients, 7 for thoractic and cardiac surgery, 16 for orthopedic surgery, 10 for cranial and spinal surgery, 5 for vascular surgery, 13 for other surgery, 3 educations and information, and 2 documentation and report. For these recommendations, the level of evidence was 32.1% for level I, 51.8% for level II, and 16.1% for level III according to the infectious diseases society of America (IDSA) rating system. A total of 112 new recommendations were developed and 49 previous recommendations were deleted.
Conclusion
The updated nursing practice guideline for prevention of VTE is expected to serve as an evidence-based practice guideline for prevention of VTE in South Korea. It is recommended that this guideline will disseminate to clinical nursing settings nationwide to improve the effectiveness of prevention of VTE practice.
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