The purpose of this study was to determine which nursing activities are performed
for patients in each of the nine KDRGs and to examine common nursing activities
between patients with the nine KDRGs and special nursing activities which were not
common to patients with the nine KDRGs. The study will provide basic data for
estimation of nursing fees. The nine KDRGs in model project are Lens procedures.
tonsillectomy, &/or adenoidectomy, appendectomy &/or not complicated principal
diagnosis. vaginal delivery. cesarean section. anal & stomal procedures. inguinal &
femoral hernia. uterine & adneza procedure for non-malignancy, and simple pneumonia
& pleurisy.
To determine the nursing activities for each of the nine KDRG, checklists of nursing
activities in each nine KDRG were developed from the literature and a total of 115
records of patients who were diagnosed and discharged between January and April. 1999
from a tertiary medical center Nursing activities for each of the nine KDRG were
verified through two consecutive content analyses.
The results of study are followed as:
1. The checklists of nursing activities developed included direct and indirect nursing
activities, for a total of 241 nursing activities. Direct nursing consisted of physical,
educational, emotional-socioeconomic-spiritual nursing in 17 areas. Indirect nursing had
four areas.
2. Through the two consecutive content analyses, 197 nursing activities were selected.
having item CVIs of. 83 or more. Those included 81 nursing activities for Lens
procedures, 95 for Tonsillectomy &/or Adenoidectomy. 93 in Appendectomy &/or not
complicated principal diagnosis, 155 for vaginal delivery 172 for cesarean section. 89 for
anal & stomal procedures. 93 for inguinal & femoral hernia, 108 for uterine & adneza
procedures for non-malignancy and 68 for simple pneumonia & pleurisy.
3. Nursing activites for each of the nine KDRG were compared. Activities with 80%
or higher commonality within the nine KDRGs consisted of 86 of 197 nursing actiivities
for the total designated common nursing activities, 30 common nursing activites for
patients in the operation group, 45 common activities for Patients in the delivery Group.
Special nursing activities not common within the nine KDRGs were : 3 for Lens
procedures. 1 for Tonsillectomy &/or Adenoidectomy. 2 for Appendectomy &/or not
complicated principal diagnosis. 27 for vaginal delivery. 21 for Cesarean section. 6 for
anal & stomal procedures. 3 for inguinal & femoral hernia. 16 for uterine & adneza
procedure for non-malignancy. 8 for simple pneumonia & pleurisy.
In this study, nursing activities for each of the nine KDRGs verified through two
consecutive content analyses are those that are performed in the hospital. And. nursing
activities for each of the nine KDRGs included all nursing activities from hospital
admission to discharge. So. the checklists consisted of nursing activities that allow for
an estimation of nursing fees under PPS. The classification of nursing activities in the
study will provide a reference for the development of a nursing activity classification.
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