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The Effect of Using a Nursing Standards on the Quality of Nursing Care in Musculoskeletal Disorder Patients

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KMID : 0614820030090010089
ÃÖ¼ø¿Á ( Chio Soon-Ok ) - ÀÌÈ­¿©ÀÚ´ëÇб³ °£È£°úÇдëÇÐ

Abstract

Purpose: This study was to examine the effect of using a nursing standards for the quality of nursing care in musculo-skeletal patients.

Method: The approach to nursing quality assurance evaluation was selected process-outcome framework. The subjects were 100 case of musculo-skeletal patients in orthopedic surgery nursing care unit of E. unviersity hospital in seoul. The data of a control group were collected from 23 December 2001 to 20 March 2002 and an experimental group were collected from 1 June to 25 August 2002. The instruments used for this study were a nursing care standards in musculo-skeletal disroder patients developed by the investigator and an evaluation tool for the quality of nursing care in orthopedic surgery patients developed by soon-ook Choi in 1995. It¢¥s reliability is Cronbach alpha=.8628. The data were analyzed by means of X©÷-test, t-test, ANOVA with SPSS program.

Results: This study are as follows : 1. Scores of the quality of nursing care in standard 1 in the experimental group were higher than those of the control group with no significant difference(t=-8.793, p=.000), scores of the quality of nursing care in standard 2 in the experimental group were higher than those of the control group with significant difference(t=-8.793, p=.000) and standard 3 in the experimental group were higher than those of the control group with significant difference(t=-10.550, p=.000). Scores of the quality of nursing care in standare 4 in the experimental group were higher than those of the control group with significant difference(t=-8.793, p=.000). Scores of the quality of nursing care in standare 4 in the experimental group were higher than those of thte control group with no significant difference(t=-1.833, p=.070). 2. Scores of the quality of nursing care in criteria 28 of 33 criteria in the experimental group were higher than those of the control group with significant difference in 12 criteria(p<.05). 3. Scores of the quality of nursing care in standard 1 to standard 4(process evaluation); the experimental group were higher than those of the control group with significant difference(t=-10.704, p=.000). Scores of the quality of nursing care in standard 5(outcome evaluation); the experimental group were higher than those of the control group. But no significant difference(t=-1.833, p=.070). 4. Scores of the quality of nursing care in experimental group were higher than those of the control group with significant difference(t=-10.794, p=.000).

Conclusion: Through this study, I¢¥m sure than using a nursing care standards in musculo-skeletal disorder patients improve quality of nursing care and nursing care standards are effective nursing care.
KeyWords
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musculo-skeletal disorder patients, nursing standards, quality of nursing care,
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