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KMID : 1004620100160020127
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Clinical Nursing Research
2010 Volume.16 No. 2 p.127 ~ p.140
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Verification of Reliability and Validity of KPCS-1 and Estimation of Nursing Time Conversion Index
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Song Kyung-Ja
Kim Eun-Hye
Yoo Cheong-Suk
Park Hyeoun-Ae
Song Mal-Soon
Park Kwang-Ok
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Abstract
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Purpose: This study was performed to verify reliability and validity of Korean Patient Classification System for nurses(KPCS-1), to estimate nursing time conversion index, and to classify patients into groups according to KPCS-1 scores.
Methods: KPCS-1 was revised from KPCS by a professional review team. Interrater reliability and construct validity of KPCS-1 were verified by data from 433 patients. Direct and indirect nursing time of 204 patients were measured by stopwatch observation and self reports for 24 hours. Nursing time conversion index was calculated.
Results: KPCS-1 consisted of 12 area, 50 nursing activities, and 73 items. The interrater reliability was tested between two nurse group (r=.88, p<.001) and construct validity was verified according to medical department (F=10.97, p<.001) and patient pattern (F=5.54, p=.001). The correlation of nursing time and classification score was also statistically significant (r=.56, p<.001). The nursing time conversion index was 9.03 minutes per 1 classification score. The patients were classified into 4 groups by the classification scores.
Conclusion:KPCS-1 can be a useful factor type patient classification system for general ward. Further study is needed to evaluate validity and reliability for refining KPCS-1 and to develop ways connecting the scores with nursing outcomes.
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KEYWORD
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Nursing care, Patient, Classification, Conversion, Index
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