Development of Evidence Based Clinical Practice Guideline to Improve Quality of Critical Care Nursing

Park, Myong-Hwa

Journal of Korean Critical Care Nursing 2009;2(2):68-78.
Published online December 31, 2009.

중환자 간호실무 질 향상을 위한 근거중심 임상실무지침서의 개발

박명화

계명대학교 간호대학

Development of Evidence Based Clinical Practice Guideline to Improve Quality of Critical Care Nursing

Myong-Hwa Park

College of Nursing, Keimyung University

Abstract

Evidence based clinical practice guideline are designed to help healthcare practitioners evaluate and implement the increasing amount of evidence on best practice. Critical care area is one of the clinical sites where evidence based clinical practice guideline is needed most. This paper reviewed the definition of evidence based clinical practice guidelines, the development method of evidence based clinical practice guideline, and the current trends in guideline developing. Traditional method of guideline development is consensus based but it moves into evidence based development. Evidence based guideline is based on best available evidence and uses the strongest method to determine its effect on clinical outcomes. The current trends in guidelines is to develop the guideline at regional/national level and do subsequent modification to suit local circumstances. There is an urgent need of exploring the method of guideline development and adaptation which are appropriate for Korean clinical setting.

Key Words: Critical Care, Nursing, Quality Improvement, Evidence Based, Practice Guideline