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송경자 ( Song Kyung-Ja ) - 서울대학교병원 간호부 행정팀
김은혜 ( Kim Eun-Hye ) - 서울대학교병원 간호부
유정숙 ( Yoo Cheong-Sook ) - 서울대학교병원
박혜옥 ( Park Hye-Ok ) - 인하대학교병원
박광옥 ( Park Kwang-Ok ) - 서울아산병원
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Abstract
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Purpose: This study was to develop a factor-type patient classification system for general nursing unit based on nursing needs (KPCS; Korean patient classification system for nurses).
Method: We reviewed workload management system for nurses(WMSN) of Walter Reed Medical Center, Korean patient classification system for ICU, and nursing activities in nursing records and developed the first version of KPCS. The final version KPCS was evaluated via validity and reliability verifications based on panel discussions and data from 800 patient classifications. Content validity was performed by Delphi method and concurrent validity was verified by the correlation of two tools (r=.71). Construct validity was also tested by medical department (p<.001), patient type (p<.001), and nurse intuition (p<.001). These verifications were performed from April to October, 2008.
Results: The KPCS has 75 items in classifying 50 nursing activities, and categorized into 12 different nursing area (measuring vital sign, monitoring, respiratory treatment, hygiene, diet, excretion, movement, examination, medication, treatment, special treatment, and education/emotional support).
Conclusion: The findings of the study showed sound reliability and validity of KPCS based on nursing needs. Further study is mandated to refine the system and to develop index score to estimate the necessary number of nurses for
adequate care.
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KeyWords
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간호요구 정도, 환자분류
Nursing care, Patient, Classification
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원문 및 링크아웃 정보
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등재저널 정보
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