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한국형 환자분류체계의 개정연구

Study for Revision of the Korean Patient Classification System

  • 송경자 (서울대학교병원.서울대학교 간호대학) ;
  • 최완희 (서울대학교병원 PI팀) ;
  • 최은하 (서울대학교병원 간호행정파트) ;
  • 조성현 (서울대학교 간호대학.간호과학연구소) ;
  • 유미 (경상대학교 간호대학) ;
  • 박미미 (아주대학교병원 간호본부) ;
  • 이중엽 (인하대학교 의학전문대학원.인하대학교병원 예방관리과)
  • Song, Kyung Ja (Nursing Division, Seoul National University Hospital, Colleage of Nursing, Seoul National University) ;
  • Choi, Woan Heui (Seoul National University Hospital) ;
  • Choi, Eun Ha (Department of Nursing, Seoul National University Hospital) ;
  • Cho, Sung-Hyun (College of Nursing.Research Institute of Nursing Science, Seoul National University) ;
  • Yu, Mi (College of Nursing, Gyeongsang National University) ;
  • Park, Mi Mi (Ajou University Hospital) ;
  • Lee, Joongyub (School of Medicine, Inha University, Department of Prevention and Management, Inha University Hospital)
  • 투고 : 2018.01.31
  • 심사 : 2018.02.20
  • 발행 : 2018.04.30

초록

Purpose: The purpose of this study was to revise the KPCS-1 and to standardize the three patient classification systems for general ward, ICU and NICU. The actual utilization of the KPCS-1 score and each nursing activity was evaluated and the relationships between KPCS-1 score and nursing related variables were reviewed. Methods: The 47,711 KPCS-1 scores of 6,931 patients who discharged from $1^{st}$ to $30^{th}$ April 2017 were analyzed and the statistical significance between KPCS-1 score and nursing related variables was reviewed by Generalized Estimating Equation. The revision of the KPCS-1 was carried out by Partial Least Square model. The 3 patient classification systems (KPCS-1,KPCSC and KPCSN) were standardized by professional reviews. Results: KPCS-1 was a valid instrument to express nursing condition adequately and was revised as a new version which has 34 nursing activity items. The names and terminologies of pre-existing 3 patient classification systems developed by KHNA were standardized as KPCS-GW, KPCS-ICU, KPCS-NICU. Conclusion: KPCS-1 was a valid instrument to represent diverse nursing conditions precisely and was revised as a 34-item KPCS-GW. The terminologies of the other patient classification systems by KHNA were standardized as KPCS-ICU and KPCS-NICU.

키워드

참고문헌

  1. Andersen MH, Lonning K, Bjornelv GM, Fagerstrom L. Nursing intensity and costs of nurse staffing demonstrated by RAFAELA system: Liver vs. kidney transplant recipients. Journal of Nursing Management. 2016;24(6):798-805. https://doi.org/10.1111/jonm.12384
  2. Person SD, Allison JJ, Kiefe CI, Weaver MT, Williams OD, Centor RM, et al. Nurse staffing and mortality for medicare patients with acute myocardial infarction. Medical Care. 2004; 42(1):4-12. https://doi.org/10.1097/01.mlr.0000102369.67404.b0
  3. Kane RL, Shamliyan TA, Mueller C, Duval S, Wilt TJ. The association of registered nurse staffing levels and patient outcomes. Medical Care. 2007;45(12):1195-1204. https://doi.org/10.1097/MLR.0b013e3181468ca3
  4. Kim Y, Cho SH, June KJ, Shin SA, Kim J. Effects of hospital nurse staffing on in-hospital mortality, pneumonia, sepsis, and urinary tract infection in surgical patients. Journal of Korean Academy of Nursing. 2012;42(5):719-729. https://doi.org/10.4040/jkan.2012.42.5.719
  5. Kim Y, Lee JY, Kang H. Impact of nurse, nurses' aid staffing and turnover rate on inpatient health outcomes in long term care hospitals. Journal of Korean Academy of Nursing. 2014; 44(1):21-30. https://doi.org/10.4040/jkan.2014.44.1.21
  6. Malloch K, Conovaloff A. Patient classification systems, Part I: The third generation. The Journal of Nursing Administration. 1999;29(7-8):49-56. https://doi.org/10.1097/00005110-199907000-00013
  7. Harper K, McCully C. Acuity systems dialogue and patient classification system essentials. Nursing Administration Quarterly. 2007;31(4):284-299. https://doi.org/10.1097/01.NAQ.0000290426.41690.cb
  8. Upenieks VV, Kotlerman J, Akhavan J, Esser J, Ngo MJ. Assessing nursing staffing ratio: Variability in workload intensity. Policy, Politics & Nursing Practice. 2007;8(1):7-19. https://doi.org/10.1177/1527154407300999
  9. Iapichino G, Radrizzani D, Bertolini G, Ferla L, Pasetti G, Pezzi A, et al. Daily classification of the level of care. A method to describe clinical course of illness, use of resources and quality of intensive care assistance. Intensive Care Medicine. 2001;27(1):131-136. https://doi.org/10.1007/s001340000776
  10. Cho YA, Shin HJ, Cho JK, Jung MK, Lee BN, Song KJ. Development and application of the workload management system for critical care nurses (WMSCN) using WMSN. Clinical Nursing Research. 2005;11(1):71-84. https://doi.org/10.1177/105477380201100106
  11. Yoo CS, Sim MY, Choi EH. Development of Korean patient classification system for critical care nurses. Journal of Korean Clinical Nursing Research. 2015;21(3):401-411. https://doi.org/10.22650/JKCNR.2015.21.3.401
  12. Yu M, Kim DY, Yoo CS. Development of Korean patient classification system for neonatal care nurses. Journal of Korean Clinical Nursing Research. 2016;22(2):205-216. https://doi.org/10.22650/JKCNR.2016.22.2.205
  13. Song KJ, Kim EH, Yoo CS, Park HO, Park KO. Development of KPCS (Korean Patient Classification System for Nurses) based on nursing needs. Journal of Korean Clinical Nursing Research. 2009;15(1):5-17.
  14. Song KJ, Kim EH, Yoo CS, Park HA, Song MS, Park KO. Verification of reliability and validity of KPCS-1 and estimation of nursing time conversion index. Journal of Korean Clinical Nursing Research. 2010;16(2):127-143.
  15. Song KJ, Yoo CS, Kim EH, Kim JH, Kim MA. A descriptive study for nursing care cost according to the level of care requirement. Journal of Korean Clinical Nursing Research. 2012;18(2):183-195. https://doi.org/10.22650/JKCNR.2012.18.2.183
  16. Cho SH, Song KJ, Park IS, Kim YH, Kim MS, Gong DH, et al. Development of staffing levels for nursing personnel to provide inpatients with integrated nursing care. Journal of Korean Academy of Nursing Administration. 2017;23(2):211-222. https://doi.org/10.11111/jkana.2017.23.2.211
  17. McHugh ML, Dwyer VL. Measurement issues in patient acuity classification for prediction of hours in nursing care. Nursing Administration Quarterly. 1992;16(4):20-31. https://doi.org/10.1097/00006216-199201640-00006
  18. van de Waterbeemd H. Chemometric methods in molecular design. Weinheim: VCH; 1995.