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KMID : 1004620120180020251
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Clinical Nursing Research
2012 Volume.18 No. 2 p.251 ~ p.263
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A Study on Identifying Nursing Activities and Standard Nursing Practice Time for Developing a Neonatal Patient Classification System in Neonatal Intensive Care Unit
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Ko Bum-Ja
Yu Mi
Kang Jin-Sun
Kim Dong-Yeun
Bog Jeong-Hee
Jang Eun-Kyung
Park Sun-Ja
Oh Sun-Ja
Choi Yun-Jin
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Abstract
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Purpose: It was necessary for developing a neonatal classification system based on nursing needs and direct care time. This study was, thus, aimed at identifying nursing activities and measuring the standard nursing practice time for developing a neonatal patient classification system in Neonatal Intensive Care Unit (NICU).
Methods: The study was taken place in 8 general hospitals located in Seoul and Kyungi province, South Korea from Dec, 2009 to Jan, 2010. By using ’the modified Workload Management System for critical care Nurses’ (WMSN), nursing categories, activities, standard time, and task frequencies were measured with direct observation. The data were analyzed by using descriptive statistics.
Results: Neonatal nursing activities were categorized into 8 areas: vital signs (manual), monitoring, activity of daily living (ADL), feeding, medication, treatment and procedure, respiratory therapy, and education-emotional support. The most frequent and time-consuming area was an ADL, unlike that of adult patients.
Conclusion: The findings of the study provide a foundation for developing a neonatal patient classification system in NICU. Further research is warranted to verify the reliability and validity of the instrument.
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KEYWORD
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Classification, Intensive care, Neonatal, Nursing
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