Development and evaluation of an evidence-based nursing protocol for fever management in adult patients

Yong Soon Shin, Sung Reul Kim, Sung Hee Yoo, Sun Hwa Kim, Jeoung Hee Kim, Hyun Jung Kim, Na-Ra, Jee Sun Chae, Hye Jin Lee, Young Hee An, Kyoung Ok Kim

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3 Citations (Scopus)

Abstract

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.

Original languageEnglish
Pages (from-to)250-262
Number of pages13
JournalKorean Journal of Adult Nursing
Volume25
Issue number3
DOIs
Publication statusPublished - 2013
Externally publishedYes

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Keywords

  • Adult
  • Evidence-based practice
  • Fever
  • Nursing protocol

ASJC Scopus subject areas

  • Nursing(all)

Cite this

Shin, Y. S., Kim, S. R., Yoo, S. H., Kim, S. H., Kim, J. H., Kim, H. J., Na-Ra, Chae, J. S., Lee, H. J., An, Y. H., & Kim, K. O. (2013). Development and evaluation of an evidence-based nursing protocol for fever management in adult patients. Korean Journal of Adult Nursing, 25(3), 250-262. https://doi.org/10.7475/kjan.2013.25.3.250