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유정숙 ( Yoo Cheong-Sook ) - 서울대학교병원
김금순 ( Kim Keum-Soon ) - 서울대학교 간호대학
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Abstract
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Purpose: This study was done to develop a valid and reliable Classification System for Critical Care Nursing (CSCCN) to be used in Intensive Care Units (ICUs).
Methods: Head nurses and staff nurses of 17 ICUs in 6 hospitals classified 307 patients to verify interrater reliability. To verify construct validity, the staff nurses classified 404 patients according to CSCCN comparing difference in medical department and type of stay in ICU. For conversion index, 78 patients from 4 ICUs of ’S’ hospital were classified and nursing time was measured by 107 nurses and 18 nurse aids using stopwatches.
Results: The developed CSCCN has 11 categories, 76 nursing activities and 101 criteria. The reliability was verified as having high agreement (r=.946). The construct validity was verified comparing differences in medical department and type of stay in ICU. According to scores, four groups in the CSCCN classification were identified. According to the conversion index, one score on the CSCCN means 7.2 minutes of nursing time.
Conclusion: CSCCN can be used to measure diverse and complex nursing demands including psycho-social aspects of ICU patients and convert nursing demands to numbers.
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KeyWords
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중환자간호, 환자, 분류
Critical Care, Patient, Classification
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원문 및 링크아웃 정보
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등재저널 정보
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