Journal of Korean Clinical Nursing Research (임상간호연구)

Hospital Nurses Association (병원간호사회)
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Development of Korean Patient Classification System for Neonatal Care Nurses

한국형 신생아중환자간호 분류도구 개발

  • Yu, Mi (College of Nursing, Institute of Health Sciences, Gyeongsang National University) ;
  • Kim, Dong Yeon (Department of Nursing, Seoul St. Mary's Hospital of the Catholic University) ;
  • Yoo, Cheong Suk (Department of Nursing, Seoul National University Hospital)
  • 유미 (경상대학교 간호대학) ;
  • 김동연 (가톨릭대학교 서울성모병원) ;
  • 유정숙 (서울대학교병원 간호팀)
  • Received : 2016.05.31
  • Accepted : 2016.06.24
  • Published : 2016.08.31
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Abstract

Purpose: This study was performed to develop a valid and reliable Korean Patient Classification System for Neonatal care nurses (KPCSN). Methods: The study was conducted in tertiary and general hospitals with 1~2 grade according to nursing fee differentiation policy for NICU (neonatal intensive care unit) nurse staffing. The reliability was evaluated for the classification of 218 patients by 10 nurse managers and 56 staff nurses working in NICUs from 10 hospitals. To verify construct validity, 208 patients were classified and compared for the type of stay, gestational age, birth weight, and current body weight. Nursing time was measured by nurses, nurse managers, and nurse aids. For the calculation of conversion index (total nursing time divided by the KPCSN score), 426 patients were classified using the KPCSN. Data were collected from September 5 to October 28, 2015, and analyzed using t-test, ANOVA, intraclass correlation coefficient, and non-hierarchial cluster analysis. Results: The final KPCSN consisted of 11 nursing categories, 71 nursing activities and 111 criteria. The reliability of the KPCSN was r=.83 (p<.001). The construct validity was established. The KPCSN score was classified into four groups; group $1:{\leq}57points$, group 2: 58~80 points, group 3: 81~108 points, and group $4:{\geq}109points$ in the KPSCN score. The conversion index was calculated as 7.45 minutes/classification score. Conclusion: The KPCSN can be utilized to measure specific and complex nursing demands for infants receiving care in the NICUs.

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References

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