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KMID : 0614820010070020285
Journal of Korean Academy of Nursing Administration
2001 Volume.7 No. 2 p.285 ~ p.300
Development of an evaluation tool for the quality of nursing care in neurosurgical intensive care unit patients
Kim Nam-Young

Jang Keum-Seong
Abstract
To meet standards for high quality of care and satisfied customers, an evaluation tool about nursing care is necessary. And, we need to evaluate our practice continuously for the improvement in quality and outcomes.
Thsi study was intended to develop an evaluation tool about nursing care in NSICU, and was progressed of 3 steps; development, content validity verification and reliablity verification. Data were obtained and analysed from Feb. To April, 2000.
Development process of the study was as follows
A preliminary list was made item by item on the basis of clinical experience, literature review and patients¡¯ record reveiw. Then the standards, criteria and indicators of preliminary evaluation tool were set by 5 clinical nursing panel, and their content validity was reviewed by 27 ICU nurses.
Finally, an evaluation tool was developed and verified the reliability at c-university hospital located in Kwang-Ju.
The resuls of this study was as follows
1) The evaluatin tool of this study developed 8 standards, 39 criterias and 106 indicators. The standards were divided into two dimensions. One was process dimension which contained 4 standards(26 criteria), The other was outcome dimension which contained 4 standards(13 criteria).
2) the average content validity of the tool was 3.39 at standards, 3.55 at criteria and 3.51 at indicators.
3) Interrater reliability of the tool is r=.7993(p<.001) & internal consistency reliability ¥á is .6031
4) Scores of NSICU patients who participated in this study were 57 at total mean score, 58 at process mean score and 56 at outcome mean socre

The evaluation tool developed in this study seems to be useful in evaluating nursing practice appropriately for the improvement of nursing care in NSICU. I hope that this evaluation tool can be used effectively in NSICU as an intervention for the improvement of quality control.
KEYWORD
evaluation tool of quality
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