|
KMID : 0614819980040010107
|
|
Journal of Korean Academy of Nursing Administration
1998 Volume.4 No. 1 p.107 ~ p.127
|
|
|
Development of an evaluation tool for the quality of nursing care in abdominal surgery patients
|
|
|
|
|
Abstract
|
|
|
The purpose of this study was to develop an evaluation tool for the quality of nursing care in abdominal surgery patient. The target subjects of the tool were adult patients having abdominal surgery under general anesthesia. Process-outcome framework was selected for the development of the tool in this study.
The results were as follows.
1. Nine standards, 40 criteria and 88 indicators were developed. A standard was summary statement of the ideal level of excellencein a dimension of quality of nursing care. which could be evaluated by criteria.
Several criteria indicated a specific standard and each criterion could be measured by observable and measurable indicators.
2. The standards were divided into two dimensions. One was process dimension which contained four standards(23 criteria). the other was outcome dimension which contatined five standards(17 criteria).
3. Average CVI vas .985 at 9 standards, .947 at 40 criteria. and .987 at 88 indicators.
4. Z´he evaluation tool for the quality of nursing care iri abdminal surgery patients was acriterionreferenced tool. And data collection methods of the tool wE~re investigation of patients record and interview(or questionnaire) with the patients.
5. Iiiterrater reliabilities of the tool were r= .7572 (agreement between two raters), and pI=.8487 (intraclass correlation between five raters who rated the 84 patients).
6. Internal consistency reliability a was .6194. which `Nas obtained from 32 criteria. Light criteria were missed in the analyzing process because of data omission.
7. Scores of the process and the outcome dimensions showed significant. but low correlation(r= .3759. p (.001).
8. T11ere were significant differences in total scores between the hospitals and the departments of surgery(F =15.233, p = .0001). There was also significant interaction effect between hospitals and departments to total score(F = 8.396, p = .00011. Construct validity of the t000l was verified by the known-group method, these kinds of difference were expected by the nursing experts participated in the study.
From these results, more specific patient classification i;s suggested for the development of evaluation t~~ol of the quallity of nursing care. And indicators to be used for objective measurement for the quality of nursing care must be developed.
|
|
|
KEYWORD
|
|
|
|
|
|
FullTexts / Linksout information
|
|
 
|
|
|
Listed journal information
|
|
 
|