Journal of Korean Clinical Nursing Research (임상간호연구)

Hospital Nurses Association (병원간호사회)
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Verification of the Reliability and Validity of the Korean Pediatric Patient Classification System and Estimation of Nursing Time Conversion Index

한국형 소아 환자 분류도구의 신뢰도와 타당도 검증 및 간호시간 환산지수 산출 연구

  • Sim, Mi Young (Department of Nursing, Seoul National University Hospital) ;
  • Park, Ji Sun (Department of Nursing, Seoul National University Hospital) ;
  • Kwon, Mi Kyung (Department of Nursing, Seoul National University Hospital) ;
  • Song, Suk Hee (Department of Nursing, Seoul National University Hospital) ;
  • Kim, Ye Seul (Department of Nursing, Seoul National University Hospital) ;
  • Kang, Min Seo (Department of Nursing, Seoul National University Hospital) ;
  • Lee, Shin Ae (Department of Nursing, The Catholic University of Korea Seoul ST. Mary's Hospital) ;
  • Choi, Eun Seok (Department of Nursing, Asan Medical Center) ;
  • Ha, Eun Ju (Department of Nursing, Asan Medical Center)
  • Received : 2022.05.03
  • Accepted : 2022.06.24
  • Published : 2022.08.31
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Abstract

Purpose: This study was performed to verify reliability and validity of the Korean Pediatric Patient Classification System (KPPCS) and estimate nursing time conversion index. Methods: The study was conducted in 9 children's hospital which included various areas and size of bed settings. To verify intraclass correlation reliability and construct validity, staff nurses and nurse managers of 21 wards classified 575 patients according to KPPCS comparing differences by age, days of stay, type of stay and medical department. Direct and indirect nursing time of 575 patients were measured by 284 nursing staffs by stopwatch observation and self reports for 24 hours. Results: KPPCS has 12 categories, 55 nursing activities and 80 criterions. High agreement among nurses (r=.91, p<.001) suggested substantial reliability. Construct validity was verified by comparing differences in age, days of stay, type of stay and medical department (p<.05). The correlation of nursing time and classification score was also statistically significant (r=.59, p<.001). The nursing time conversion index was 10.78 minutes per 1 classification score. The entire patient group were classified to four groups using KPPCS. Conclusion: The findings suggest that KPPCS would be a useful tool for estimating nursing demands related to the complexity of pediatric patients.

Keywords

Acknowledgement

본 연구는 2021년 병원간호사회에서 연구비를 지원받아 진행한 연구임.

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