PURPOSE
The aim of this study was to identify demographic, clinical, physical, and psychosocial factors affecting discharge delay in lumbar spinal surgery patients who were treated according to a critical pathway.
METHODS
A sample of 170 patients with lumbar spinal surgery agreed to participate in the study, between April 1, 2014 and August 30, 2015. Data were analyzed by mean, standard deviation, t-test, χ2-test, ANCOVA, and logistic regression analysis using SPSS 22.0 program.
RESULTS
Approximately fifty-nine percent of the participants was delayed discharge. On logistic regression analysis, female gender (OR=2.63, 95% CI=1.40~4.94), age (OR=1.03, 95% CI=1.01~1.05), spondylolisthesis (OR=4.49, 95% CI=1.90~10.61), and spinal fusion operation (OR=4.14, 95% CI=1.89~9.05) were significant factors predicting discharge delay of the participants. However, discharge delay was not related with pain, physical function, depression, or family support.
CONCLUSION
An analysis of discharge delay may assist in evaluating and revising critical pathway for optimal care. In addition, nurses need to understand the factors affecting discharge delay of the given population who were treated according to a critical pathway.

Citations

• Evaluation of the Critical Pathway for Laparoscopic Cholecystectomy from the Perspective of Pain Course
  Seon Hwa Kim, Jin Hong Lim, Hyung Sun Kim
  Quality Improvement in Health Care.2024; 30(2): 50.     CrossRef
• Discharge Transition Experience for Lumbar Fusion Patients: A Qualitative Study
  Jeoung Hee Kim, Yong Soon Shin
  Journal of Neuroscience Nursing.2021; 53(6): 228.     CrossRef
• Effects of Functions of Daily Living, Depression, and Anxiety on Catastrophizing Pain among Patients Undergoing Lumbar Spinal Surgery
  Jeong Eun Yoon, Ok-Hee Cho
  Journal of Korean Academy of Fundamentals of Nursing.2020; 27(3): 289.     CrossRef
• Development and Effects of Early Exercise Program for Lumbar Spine Surgery Patients
  Geun Jin Kim, Hye Young Kim
  Korean Journal of Adult Nursing.2018; 30(3): 245.     CrossRef

PURPOSE
This study was designed to develop, to implement and evaluate a fever management nursing protocol for adult patients.
METHODS
This study was conducted through seven steps following both the guideline development procedures of the Scottish Intercollegiate Guidelines Network and the Model of the Asan Medical Center Evidence-Based Practice, as follows: 1) identifying the clinical needs and composition of the protocol development group; 2) identifying and evaluating the evidence; 3) assessing the level of evidence and grading recommendations; 4) forming a protocol; 5) evaluating the protocol using an expert group validity test and identifying barriers to its implementation; 6) protocol development; and 7) evaluation of practical improvement measures following implementation of the protocol.
RESULTS
The evidence-based protocol for fever management in adult patients was completed and includes five domains and 15 items. The protocol had good content validity (CVI=.90) and nursing practice could be improved after implementation of the protocol.
CONCLUSION
This nursing protocol can be used as a guide for nursing in febrile adult patients. We recommend that further guidelines be updated in an interdisciplinary manner in order to foster local adaptation of the best clinical practices.

Citations

• Comparison of Clinical Outcomes between Rebound Hyperthermia and Non-Rebound Hypertherma Groups in Postcardiac Arrest Syndrome Patients Undergoing Targeted Temperature Management
  Ha Na Rhee, Jeong Yun Park
  Journal of Korean Critical Care Nursing.2023; 16(3): 99.     CrossRef
• Development and Effectiveness of Practice Application Program of Intravenous Infusion Evidence-Based Nursing Practice Guideline - for Small and Medium Sized Hospitals
  Inhwa Hong, Young Eun
  Journal of Korean Academy of Nursing.2020; 50(6): 863.     CrossRef
• Performance and Influencing Factors of Evidence‐Based Pressure Ulcer Care Among Acute Care Hospital Nurses
  Ji‐Kyo Kim, Sung‐Hee Yoo, Ju‐Hee Nho, Jae‐Kyun Ju
  Worldviews on Evidence-Based Nursing.2019; 16(1): 29.     CrossRef
• Critical Review I to Standardize the Textbooks of Fundamentals of Nursing: Vital Sign Assessment, Body Temperature Regulation, Oxygenation
  YunHee Shin, Seung Kyo Chaung, Hyun-Ju Kim
  Journal of Korean Academy of Fundamentals of Nursing.2019; 26(4): 282.     CrossRef
• Tepid massage for febrile children: A systematic review and meta‐analysis
  Junghee Lim, Juyoung Kim, Bora Moon, Gaeun Kim
  International Journal of Nursing Practice.2018;[Epub]     CrossRef
• Schools’ Response to MERS(MERS-CoV) Outbreak: Schools’ Discretionary Response in Absence of Control Tower
  In Sook Lee, Jae Hee Yoon, Eun Joo Hong, Chae Yoon Kim
  Journal of the Korean Society of School Health.2015; 28(3): 188.     CrossRef