Journal of Korean Clinical Nursing Research (임상간호연구)

Hospital Nurses Association (병원간호사회)
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Verification of Reliability and Validity of KPCS-1 and Estimation of Nursing Time Conversion Index

한국형 환자분류도구-1(KPCS-1)의 신뢰도와 타당도 검증 및 간호시간 환산지수 산출

  • 송경자 (서울대학교병원 간호행정팀) ;
  • 김은혜 (서울대학교병원) ;
  • 유정숙 (서울대학교병원 특수간호과) ;
  • 박현애 (서울대학교 간호대학) ;
  • 송말순 (강남 세브란스병원 간호국) ;
  • 박광옥 (서울아산병원 아카데미운영팀)
  • Received : 2010.05.31
  • Accepted : 2010.06.21
  • Published : 2010.08.31
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Abstract

Purpose: This study was performed to verify reliability and validity of Korean Patient Classification System for nurses(KPCS-1), to estimate nursing time conversion index, and to classify patients into groups according to KPCS-1 scores. Methods: KPCS-1 was revised from KPCS by a professional review team. Interrater reliability and construct validity of KPCS-1 were verified by data from 433 patients. Direct and indirect nursing time of 204 patients were measured by stopwatch observation and self reports for 24 hours. Nursing time conversion index was calculated. Results: KPCS-1 consisted of 12 area, 50 nursing activities, and 73 items. The interrater reliability was tested between two nurse group (r=.88, p<.001) and construct validity was verified according to medical department (F=10.97, p<.001) and patient pattern (F=5.54, p=.001). The correlation of nursing time and classification score was also statistically significant (r=.56, p<.001). The nursing time conversion index was 9.03 minutes per 1 classification score. The patients were classified into 4 groups by the classification scores. Conclusion: KPCS-1 can be a useful factor type patient classification system for general ward. Further study is needed to evaluate validity and reliability for refining KPCS-1 and to develop ways connecting the scores with nursing outcomes.

Keywords

Acknowledgement

Supported by : 병원간호사회

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