Development of Telephone Consultation Algorithm for Patient Discharged with Ophthalmic Disease

Hyun Jung Lee; Hyeoun-Ae Park

doi:10.11111/jkana.2011.17.3.336

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Lee and Park: Development of Telephone Consultation Algorithm for Patient Discharged with Ophthalmic Disease

Original Article

Journal of Korean Academy of Nursing Administration

Journal of Korean Academy of Nursing Administration 2011; 17(3): 336-348.

Published online: 30 September 2011

DOI: https://doi.org/10.11111/jkana.2011.17.3.336

Development of Telephone Consultation Algorithm for Patient Discharged with Ophthalmic Disease

Hyun Jung Lee¹, Hyeoun-Ae Park²

¹Full-time Instructor, Department of Nursing, Kyundong University, Korea.

²Professor, College of Nursing, Seoul National University, Korea.

Correspondence: Lee, Hyun Jung. Department of Nursing, Kyundong University, San 91-1, Bongpo-ri, Toseong-myeon, Goseong-gun, Gangwon-do 219-705, Korea. Tel: 82-33-639-0235, Fax: 82-33-639-0239, hjlee@k1.ac.kr

Received 13 June 2011 Revised 1 August 2011 Accepted 9 September 2011

Abstract

Purpose

This methodological study was done to develop a telephone consultation algorithms and practice guidelines for patient discharged with ophthalmic diseases.

Methods

The ophthalmic problems of the patients were identified and expert knowledge on managing the problems was acquired. Algorithms and practice guidelines were developed based on the expert knowledge. The content validity of algorithms and practice guidelines was evaluated by the experts.

Results

The preliminary algorithms and practice guidelines were developed from 60 detailed signs and symptoms and 45 nursing interventions. The experts agreed that 57 detailed signs and symptoms linked with nursing interventions were valid, with the content validity index over 80%. Meeting with nurse experts and ophthalmologists was convened to review the rest of the 3 detailed signs and symptoms linked with nursing interventions. Finally, 60 detailed signs and symptoms and 46 nursing interventions were confirmed.

Conclusion

This study suggests that the algorithms and practice guidelines are effective decision-making tools and utilization of these algorithms and practice guidelines is expected to improve the quality of clinical nursing and patient satisfaction.

Keywords: Telenursing, Algorithms, Practice guideline

Figures and Tables

Figure 1

Study procedures

Figure 2

Telephone consultation process of ophthalmological patients

Figure 3

Flow diagram of nursing intervention algorithms for eye pain

Table 1

Reference lists for items of interventions with ophthalmological patients

Table 2

Modified recommendations for he practice guidelines after expert validation

Table 3

Nursing interventions for eye pain

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