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송경자 ( Song Kyung-Ja ) - 서울대학교병원 간호부
김은혜 ( Kim Eun-Hye ) - 서울대학교병원 간호부
유정숙 ( Yoo Cheong-Suk ) - 서울대학교병원 간호부
박현애 ( Park Hyeoun-Ae ) - 서울대학교 간호대학
송말순 ( Song Mal-Soon ) - 강남세브란스병원
박광옥 ( Park Kwang-Ok ) - 서울아산병원
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Abstract
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Purpose: This study was performed to verify reliability and validity of Korean Patient Classification System for nurses(KPCS-1), to estimate nursing time conversion index, and to classify patients into groups according to KPCS-1 scores.
Methods: KPCS-1 was revised from KPCS by a professional review team. Interrater reliability and construct validity of KPCS-1 were verified by data from 433 patients. Direct and indirect nursing time of 204 patients were measured by stopwatch observation and self reports for 24 hours. Nursing time conversion index was calculated.
Results: KPCS-1 consisted of 12 area, 50 nursing activities, and 73 items. The interrater reliability was tested between two nurse group (r=.88, p<.001) and construct validity was verified according to medical department (F=10.97, p<.001) and patient pattern (F=5.54, p=.001). The correlation of nursing time and classification score was also statistically significant (r=.56, p<.001). The nursing time conversion index was 9.03 minutes per 1 classification score. The patients were classified into 4 groups by the classification scores.
Conclusion:KPCS-1 can be a useful factor type patient classification system for general ward. Further study is needed to evaluate validity and reliability for refining KPCS-1 and to develop ways connecting the scores with nursing outcomes.
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KeyWords
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간호요구 정도, 환자분류, 환산지수
Nursing care, Patient, Classification, Conversion, Index
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원문 및 링크아웃 정보
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등재저널 정보
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