Development of a Quality Evaluation Tool for Aneurysmal Subarachnoid Homorrhage Patient Care

뇌 동맥류성 지주막하출혈 환자간호의 질 평가 도구 개발

  • Bae, So-Hyun (Dept. of Neurosurgery, Seoul National University Bundang Hospital) ;
  • Shin, Sung-Rae (Dept. of Nursing, Sahmyook University)
  • 배소현 (분당서울대학교병원 신경외과) ;
  • 신성례 (삼육대학교 간호학과)
  • Received : 2003.07.23
  • Accepted : 2003.11.18
  • Published : 2003.12.30

Abstract

Purpose: The purpose of this study was to develope a evaluation tool of the quality of nursing care for aneurysmal subarachnoid hemorrhage patients at Hunt & Hess Grade I~III. Method: The data was gathered from April 15, 2002 to June 14, 2002. The tool proceeded in six steps according to Bloch's framework. Result: The results of this study are as follows: 1) The quality evaluation tool for neurosurgery ICU consisted of 25 standards and 138 criteria. The quality evaluation tool for ward consisted of 27 standards and 144 criteria.; 2) The content validities of the tools for neurosurgery ICU and ward were 0.96 and 0.98, respectively.; 3) The Pearson coefficients for evaluating the interrated reliability of the tools for neurosurgery ICU and ward were r=0.9106 (p<0.1) and r=0.8807 (p<0.1), respectively.; 4) The ranges of corrected item-total correlations for evaluating the construct validity of the tools for neurosurgery ICU and ward were 0.0279~0.9354 and 0.0174~0.9682, respectively.; And 5) The ranges of Cronbach's ${\alpha}$ reliabilities for evaluating the internal consistency reliability of the tools for neurosurgery ICU and ward were 0.6040~0.8554 and 0.6212~0.9584, respectively. Conclusion: The tools developed in this study seem useful in evaluating the quality of nursing care for aneurismal subarachnoid hemorrhage patients at Hunt & Hess Grade I-III.

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