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http://dx.doi.org/10.22650/JKCNR.2022.28.2.198

Shortening of Korean Patient Classification System-1 and Classification of Nursing Care Needs  

Lee, Ji Yun (College of Nursing, Kangwon National University)
Cho, Sung-Hyun (College of Nursing.Research Institute of Nursing Science, Seoul National University)
Hong, Kyung Jin (College of Nursing, Kangwon National University)
Yoon, Hyo-Jeong (Department of Nursing, Yeungnam University College)
Sim, Won-Hee (Department of Nursing, Seoul National University Hospital)
Kim, Moon-Sook (Department of Nursing, Seoul National University Hospital)
Kim, Young-Ju (College of Business Administration, Kangwon National University)
Publication Information
Journal of Korean Clinical Nursing Research / v.28, no.2, 2022 , pp. 198-209 More about this Journal
Abstract
Purpose: The purpose of the study was to shorten the KPCS-1 (Korean Patient Classification System-1) for predicting nursing care need level and to explore whether the patients can be clustered by their acuity and dependency. Methods: The participants were inpatients in two surgical wards and two internal medicine wards at a teritory hospital during 14 days investigations. The KPCS-1 was evaluated once a day for all inpatients and 2,082 cases of data from a total of 411 patients were analyzed. Results: The items were reducted from 50 items to 26 items by partial least squares analysis and expert review. Through factor analysis, it was confirmed that hygiene, diet, elimination, and exercise were categorized as dependence factors. Patients were clustered with low acuity/low dependency (average score: 7.68±2.81/1.05±1.33), high acuity/low dependency (average score: 17.20±4.15/1.94±2.40), medium acuity/high dependency (average score: 13.56±5.30/9.66±2.64) through cluster analysis. The total score of the three groups for their nursing care needs was 8.73±3.36, 19.14±5.74, and 23.24±6.31 in order, and the results showed a statistically significant difference (F=1712.12, p<.001). Conclusion: The shortening of the KPCS-1 and the new criteria for categorizing patients according to acuity and dependence will increase clinical utility and be useful for manpower assignment criteria in detail.
Keywords
Patients; Classification; Nursing; Dependency; Acuity;
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Times Cited By KSCI : 4  (Citation Analysis)
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