It is the responsibility and duty of nursing profession that the patient would be provided with high quality of nursing care. For this, we need continuing effort for improving of nursing care quality through an effective evaluation tool.
For evaluation of nursing care quality, we need the tool that can evaluate objective measuring of nursing care. Evaluation tool for nursing care quality have to include evaluated nursing process, patient outcome and patient satisfaction of nursing care.
The purpose of this study was to develop an evaluation tool for the quality of nursing care in stroke patients. The approach method of nursing quality evaluation was used the process-outcome framework in this study.
The subjects of the development process were two nursing expert groups. The reliability and validity verification process were used 57 samples of three university hospitals in Taegu. The patients were previously admitted stroke victims, currently in discharge status.
Data for the study was collected from August 6 to November 18, 1996.
The processes used in this study were :
1) A preliminary list of the fact was compiled by the nursing expert group. This was accomplished by a brain storming session.
2) Develop standards, criteria and indicators of the tool by the nursing expert panel. This was based on the preliminary list of the items.
3) Calculate content validity of standards, criteria and indicators by nursing expert panel of judges.
4) Finalize an evaluation tool for the quality of nursing care in stroke patients.
5) Verify reliability and validity of the tool.
The results of this study were as follows :
1) The evaluation tool of this study developed 9 standards, 42 criteria and 96 indicators.
2) The standards included two dimensions. One was the process dimension which contained 4 standards(27 criteria). The other was the outcome dimension which contained 5 standards(15 criteria).
3) Average CVI of the tool was .96 at standards, .92 at criteria, and .86 at indicators.
4) Interrater reliability of the tool is r=.8870.
5) Scores of stroke patients in this study were 73.33 at total mean score, 69.23 at process mean score and 77.78 at outcome mean score.
6) Scores of the process and the outcome dimensions showed significant correlation(r=.5398, p=.000).
7) There were not significant differences in total scores among the hospitals by ANOVA. Construct validity of the tool was not verified by ANOVA.
The developed tool of this study seems to be useful to evaluate quality of nursing care and to improve quality of nursing care in stroke patient. I suggest the development of an evaluation tool to ensure quality of nursing care, more specific nursing diagnosis of patient classification.
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