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Validity and Reliability Tests of Neonatal Patient Classification System Based on Nursing Needs

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KMID : 1004620120180030354
°í¹üÀÚ ( Ko Bum-Ja ) - °Ç±¹´ëÇб³º´¿ø °£È£±³À°ÇàÁ¤ÆÀ

À¯¹Ì ( Yu Mi ) - ³²¼­¿ï´ëÇб³ °£È£Çаú
°­Áø¼± ( Kang Jin-Sun ) - °­µ¿°æÈñ´ëÇб³º´¿ø ½Å»ý¾ÆÁßȯÀÚ½Ç
±èµ¿¿¬ ( Kim Dong-Yeon ) - °¡Å縯´ëÇб³ ¼­¿ï¼º¸ðº´¿ø ½Å»ý¾ÆÁßȯÀÚ½Ç
º¹Á¤Èñ ( Bog Jeong-Hee ) - ºÐ´ç¼­¿ï´ëÇб³º´¿ø ½Å»ý¾ÆÁßȯÀÚ½Ç

Abstract

Purpose: This study was done to verify validity and reliability of a neonatal patient classification system (NeoPCS-1).

Methods: An expert group of 8 nurse managers and 40 nurses from 8 Neonatal Intensive Care Units in Korea, verified content validity of the measurement using item level content validity index (I-CVI). The participants were nurses caring for 469 neonates. Data were collected from November 11 to December 14, 2011 and analyzed using descriptive statistics, ANOVA, intraclass correlation coefficient, and K-cluster analysis with PASW 18.0 program.

Results: Nursing domains and activities included 8 items with 91 activities. I-CVI was above .80 in all areas. Interrater reliability was significant between two raters (r=.95, p<.001). Classification scores for participants according to patient types and nurses¡¯ intuition were significantly higher for the following patients; gestational age ( 29 weeks), body weight (<1,000 gm), and transfer from hospital. Six groups were classified using cluster analysis method based on nursing needs. Patient classification scores were significantly different for the groups.

Conclusion: These results show adequate validity and reliability for the NeoPCS-1 based on nursing needs. Study is needed to refine the measurement and develop index scores to estimate number of nurses needed for adequate neonatal care.
KeyWords
½Å»ý¾Æ, °£È£, ȯÀںзù, Ÿ´çµµ, ½Å·Úµµ
Neonatal, Nursing, Classification, Validity, Reliability
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