J Korean Clin Nurs Res.
2023 Apr;29(1):42-55. 10.22650/JKCNR.2023.29.1.42.
Updates of Evidence-Based Nursing Practice Guidelines for Central Venous Infusion Therapy
- Affiliations
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- 1Professor, College of Nursing, Sungshin Women’s University, Seoul, Korea
- 2Professor, Department of Clinical Nursing, University of Ulsan Graduate School of Industry, Ulsan, Korea
- 3Team Leader, Department of Nursing, Samsung Medical Center ․ Professor, Graduate School of Clinical Nursing Science, Sungkyunkwan University, Seoul, Korea
- 4Unit Manager, Department of Nursing, Asan Medical Center, Seoul, korea
- 5Head Nurse, Department of Nursing, Seoul National University Bundang Hospital, Bundang, Korea
- 6Unit Manager, Department of Nursing, Seoul St. Mary’s Hospital, Seoul, Korea
- 7Team Leader, Department of Nursing, Ajou University Hospital, Suwon, Korea
- 8Associate Professor, College of Nursing, Eulji University Seongnam Campus, Seongnam, Korea
- KMID: 2549581
- DOI: http://doi.org/10.22650/JKCNR.2023.29.1.42
Abstract
- Purpose
This study was conducted to update nursing practice guidelines for intravenous infusion published in 2017.
Methods
The guideline update process was carried out using 22 steps developed by NICE and SIGN. It was agreed to update domains related to central venous infusion therapy. Contents related to peripheral infusion would be updated later.
Results
Updated guidelines for central venous infusion therapy consisted of 6 domains and 195 recommendations. The number of recommendations by domain was 11 for general instruction, 14 for central vascular access devices (CVAD) and add-on devices, 13 for nursing management before insertion of CVAD, 30 for management during insertion of CVAD, 51 for management after insertion of CVAD, and 76 for complications. A grade was 29 (14.9%), B grade was 87 (44.6%), and C grade was 79 (40.5%) in the strength of recommendations. A total of 37 (19.0%) recommendations were newly developed and 23 (12.3%) previous recommendations have been modified. The newly developed recommendations were mainly related to the infection control methods.
Conclusion
The updated guideline is focused on safe maintenance of central venous infusion therapy. Through this guideline, it is hoped to minimize the occurrence of complications and improve the standardization and efficiency of nursing practice.
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