Journal of Korean Clinical Nursing Research (임상간호연구)

Hospital Nurses Association (병원간호사회)
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Development of Korean Patient Classification System for Critical Care Nurses

한국형 중환자간호 분류도구 개발

  • Yoo, Cheong Suk (Department of Nursing, Seoul National University Hospital) ;
  • Sim, Mi Young (Department of Nursing, Seoul National University Hospital) ;
  • Choi, Eun Ha (Department of Nursing, Seoul National University Hospital)
  • 유정숙 (서울대학교병원 간호행정팀) ;
  • 심미영 (서울대학교병원 특수간호과) ;
  • 최은하 (서울대학교병원 간호행정파트)
  • Received : 2015.08.07
  • Accepted : 2015.10.21
  • Published : 2015.12.31
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Abstract

Purpose: This study was performed to develop a valid and reliable Korean Patient Classification System for Critical Care Nurses (KPCSC). Methods: Tertiary and general hospitals with various levels of ICU nurse staffing were included. To verify interrater reliability, data collectors and staff nurses of 15 ICUs in 11 hospitals classified 262 patients. To verify construct validity, the staff nurses classified 457 patients according to KPCSC comparing difference by medical department and type of stay in ICU. For conversion index, 195 patients from 10 ICUs in 7 hospitals were classified and nursing time was measured by 174 nurses, 7 head nurses, 18 charge nurses, 37 nurse aids and 1 secretary. Results: The developed KPCSC has 11 categories, 82 nursing activities and 115 criterias. Reliability was found to have high agreement (r=.96). Construct validity was verified by comparing differences in medical department and type of stay in ICU. According to scores, four groups in the KPCSC were identified. One score on the KPCSC indicates 6.12 minutes of nursing time. Conclusion: The findings show that the KPCSC can be used to measure new and complex nursing demands including rehabilitation and the safety of ICU patients.

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