[논문]Perception of Nurse Experts on the Contribution of Nursing Interventions to NOC Nursing Outcomes in General Hospitals in Korea

Lee Byoungsook

doi:10.4040/jkan.2005.35.4.649

Perception of Nurse Experts on the Contribution of Nursing Interventions to NOC Nursing Outcomes in General Hospitals in Korea 원문보기

대한간호학회지= Journal of Korean academy of nursing, v.35 no.4, 2005년, pp.649 - 655

Lee Byoungsook (College of Nursing, Keimyung University)

Abstract ▼ AI-Helper

The purpose of this study was to identify the perception of nurse experts on the contribution of nursing interventions to Nursing Outcomes Classification NOC nursing outcomes. A nursing outcome is a nursing-sensitive patient outcome primarily affected by nursing interventions. As one of the standardized language systems of nursing outcomes, the NOC must be examined for applicability before it is used in Korea. Data were collected in February and March 2003 using a 5-point Likert scale. For data collection, 230 quality improvement (QI) or quality assurance (QA) nurses from general hospitals in Korea were asked to rate the extent that nursing interventions contribute to each of the NOC nursing outcomes (2000) in their hospitals. Ninety-six nurses from 63 hospitals responded and the response rate was $41.7\%$. Mean scores for perception of contribution of nursing interventions to each of the NOC nursing outcomes ranged from 2.18 to 4.54. Vital Signs Status had the highest score (M = 4.54), and Abuse Recovery: Financial, the lowest score (M = 2.18). Of the seven NOC domains, the mean score was highest for Physiologic Health (M = 3.91) and lowest for Community Health (M = 2.92). Of the 29 NOC classes, the mean score for perceived contribution was highest for Metabolic Regulation (M = 4.32) and lowest for Community Well-Being (M = 2.92). Participants perceived that nursing interventions in general hospitals in Korea contributed, at least to a certain extent, to most of the NOC nursing outcomes. Based on these results, NOC should have relatively good applicability in Korea.

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문제 정의

For the nursing outcome studies, nursing interventions provided to patients to help solve their nursing problems must be considered because a nursing outcome is generally achieved by implementing several nursing interventions, not just one. So, this study was done to identify the contribution of nursing inter ventions to each NOC nursing outcome in general hospi tals in Korea by having nurse experts assess this contri bution.
The purpose of this study was to identify the extent to which nurse experts perceive nursing interventions as contributing to NOC nursing outcomes in general hospi tals in Korea. The mean scores of the perceived contribu tion ranged from 4.

제안 방법

The nursing outcomes were translated into Korean using as a base previous publications including one book and one study (Park, Kim, & Cho, 2000; Ybu, 2001). For eas ier and a more correct understanding, the translation was validated by ten nurses who had master's degrees and three or more years of nursing experience in tertiary hospitals. Appropriate changes were made.

대상 데이터

230 Quality Improvement (QI) or Quality Assurance (QA) nurses working in 130 general hospitals in Korea participated in this study. They were selected because they are the nurses mainly in charge of doing research on patient outcomes in Korea.
They were considered to have sufficient expertise and experience with nursing outcomes to make a definitive assessment. A list of the participants was made from the membership list of the Korean Quality Improvement Nurse Society. Of the 230 participants who were sent questionnaires by mail, 96 from 63 hospitals responded.
3% were middle nurse managers. Most of the participants (71.9%) worked in large general hospitals with 500 or more beds (Table 1).

성능/효과

In this study, four of the ten highest rated outcomes are found in the Self-Care class of the Functional Health domain, and three in the Health Knowledge class of Health Knowledge & Behavior. The remaining three out comes are found in Physiologic Health.
The ten lowest-rated nursing outcomes included four that involve abuse (Abuse Recovery: Financial, Abuse Cessation, Abuse Recovery: Sexual, and Abuse Protection), three related to sexuality (Abuse Recovery: Sexual, Sexual Identity: Acceptance, and Sexual Functioning), and four related to community and family. These results are not surprising because this study fo cused on nursing interventions in acute care hospitals.

후속연구

In all of the domains and classes, for which there were significant differences according to educational levels, participants with mas ters or doctoral degrees generally gave higher scores than participants with baccalaureate or master degrees. Because it is not easy to identify the reasons for these findings, further research is required. Participants from hospitals with fewer than 500 beds generally gave higher scores than participants from hospitals with 500 or more beds.
These re sults may also suggest, however, that nursing interven tions involving physical care of patients make a greater contribution to patient outcomes in hospitals than they do in community settings. Further research is necessary to explore the situation related to these results, in partic ular, when physical care is provided in community set tings.

참고문헌 (30)

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Perception of Nurse Experts on the Contribution of Nursing Interventions to NOC Nursing Outcomes in General Hospitals in Korea 원문보기

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Perception of Nurse Experts on the Contribution of Nursing Interventions to NOC Nursing Outcomes in General Hospitals in Korea 원문보기

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