طراحی دستورالعمل های مراقبت پرستاری مبتنی بر شواهد در بیماران جراحی مغز و اعصاب بستری در بخش مراقبت ویژه

Aims: According to the latest evidences designing and applying nursing cares standards can lead to the best results in increasing quality of care", this study is done with the aim of "designing evidence-based nursing care Guidelines for neurosurgical patients in Intensive Care Unit". Methods This evidence-based developmental study was done in neurosurgical ICU of Baqiyatallah Hospital in 2014. At first the quality of six available nursing care Guidelines was evaluated via a standard check list in three levels: good, moderate and weak. Then, the new nursing care Guidelines were designed according to the settler model, evidence-based approach and nursing process. Then their quality was evaluated again. In order to assess content validity of the guidelines through Delphi method, opinions of ten faculty members of Baqiyatallah, Mazandaran, Artesh and Shahid Beheshti Universities had been considered in three refers. Applicability of the guidelines had been assessed by focused group discussion method with the presence of ten experienced experts of Intensive Care Units. Results Quality of all 6 available Guidelines was proven to be weak. At the end 26 new evidence-based Guidelines were designed with good quality for neurosurgical patients in ICU. Conclusions Considering results of quality evaluation of the available nursing care Guidelines, designing new high quality evidence-based Guidelines is important and necessary for improving quality of nursing care in other wards. Performing these guidelines is recommended in the next studies.