Journal of Korean Clinical Nursing Research (임상간호연구)

Hospital Nurses Association (병원간호사회)
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Development of KPCS(Korean Patient Classification System for Nurses) Based on Nursing Needs

간호요구 정도에 기초한 한국형 환자분류도구(KPCS)의 개발

  • Song, Kyung Ja (Department of Nursing, Seoul National University Hospital) ;
  • Kim, Eun Hye (Department of Nursing, Seoul National University Hospital) ;
  • Yoo, Cheong Suk (Department of Nursing, Seoul National University Hospital) ;
  • Park, Hae Ok (Nursing Department, Inha University Hospital) ;
  • Park, Kwang Ok (Children's Hospital Nursing Team, Asan Medical Center)
  • 송경자 (서울대학교병원 간호행정팀) ;
  • 김은혜 (서울대학교병원) ;
  • 유정숙 (서울대학교병원 특수간호과) ;
  • 박혜옥 (인하대학교병원 간호부) ;
  • 박광옥 (서울아산병원 소아청소년병원 간호부)
  • Received : 2009.01.30
  • Accepted : 2009.02.27
  • Published : 2009.04.30
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Abstract

Purpose: This study was to develop a factor-type patient classification system for general nursing unit based on nursing needs (KPCS; Korean patient classification system for nurses). Method: We reviewed workload management system for nurses(WMSN) of Walter Reed Medical Center, Korean patient classification system for ICU, and nursing activities in nursing records and developed the first version of KPCS. The final version KPCS was evaluated via validity and reliability verifications based on panel discussions and data from 800 patient classifications. Content validity was performed by Delphi method and concurrent validity was verified by the correlation of two tools (r=.71). Construct validity was also tested by medical department (p<.001), patient type (p<.001), and nurse intuition (p<.001). These verifications were performed from April to October, 2008. Results: The KPCS has 75 items in classifying 50 nursing activities, and categorized into 12 different nursing area (measuring vital sign, monitoring, respiratory treatment, hygiene, diet, excretion, movement, examination, medication, treatment, special treatment, and education/emotional support). Conclusion: The findings of the study showed sound reliability and validity of KPCS based on nursing needs. Further study is mandated to refine the system and to develop index score to estimate the necessary number of nurses for adequate care.

Keywords

References

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