[논문]한국형 환자분류체계의 단축형 개발과 간호요구 유형 분류

이지윤; 조성현; 홍경진; 윤효정; 심원희; 김문숙; 김영주

doi:10.22650/jkcnr.2022.28.2.198

한국형 환자분류체계의 단축형 개발과 간호요구 유형 분류
Shortening of Korean Patient Classification System-1 and Classification of Nursing Care Needs 원문보기

임상간호연구 = Journal of Korean Clinical Nursing Research, v.28 no.2, 2022년, pp.198 - 209

이지윤 (강원대학교 간호대학) , 조성현 (서울대학교 간호대학.간호과학연구소) , 홍경진 (강원대학교 간호대학) , 윤효정 (영남이공대학교 간호학과) , 심원희 (서울대학교병원) , 김문숙 (서울대학교병원) , 김영주 (강원대학교 경영대학)

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Purpose: The purpose of the study was to shorten the KPCS-1 (Korean Patient Classification System-1) for predicting nursing care need level and to explore whether the patients can be clustered by their acuity and dependency. Methods: The participants were inpatients in two surgical wards and two internal medicine wards at a teritory hospital during 14 days investigations. The KPCS-1 was evaluated once a day for all inpatients and 2,082 cases of data from a total of 411 patients were analyzed. Results: The items were reducted from 50 items to 26 items by partial least squares analysis and expert review. Through factor analysis, it was confirmed that hygiene, diet, elimination, and exercise were categorized as dependence factors. Patients were clustered with low acuity/low dependency (average score: 7.68±2.81/1.05±1.33), high acuity/low dependency (average score: 17.20±4.15/1.94±2.40), medium acuity/high dependency (average score: 13.56±5.30/9.66±2.64) through cluster analysis. The total score of the three groups for their nursing care needs was 8.73±3.36, 19.14±5.74, and 23.24±6.31 in order, and the results showed a statistically significant difference (F=1712.12, p<.001). Conclusion: The shortening of the KPCS-1 and the new criteria for categorizing patients according to acuity and dependence will increase clinical utility and be useful for manpower assignment criteria in detail.

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표/그림 (6)

표 Table 1. Frequency, Importance for Score and Selection of Item to be Deleted (N=2,082)
표 Table 1. Frequency, Importance for Score and Selection of Item to be Deleted (Continued) (N=2,082)
표 Table 2. High Correlated Items (r>.60) among the 50 Items (N=2,082)
표 Table 3. Factor Analysis of Selected Domains (N=2,082)
표 Table 4. Average Score of Patient Groups Clustered by Acuity and Dependency (N=2,082)
표 Table 5. Comparison of Patient Classification between of KPCS-1 and Shortened Version (N=2,082)

참고문헌 (15)

American Nurses Association. Defining staffing: Workforce management, patient classification and acuity system: The request for proposal process. [Internet]. Silver Spring(MD); American Nurses Association; 2017 [cited 2021 Dec 1]. Available from: https://www.nursingworld.org/~497e37/globalassets/practiceandpolicy/work-environment/nurse-staffing/website-staffing-and-acuity-systems-pdf-final_2017.pdf.
Song KJ, Kim EH, Yoo CS, Park HA, Song MS, Park KO. Verification of reliability and validity of KPCS-1 and estimation of nursing time conversion index. Journal of Korean Clinical Nursing Research. 2010;16(2):127-140.
Song KJ, Choi WH, Choi EH, Cho SH, Yu M, Park MM, et al. Study for revision of the Korean Patient Classification System. Journal of Korean Clinical Nursing Research. 2018;24(1):113-126. https://doi.org/10.22650/JKCNR.2018.24.1.113

원문보기 상세보기
Lee KH, Shin SJ. Validity of instrument development research in Korean nursing research. Journal of Korean Academy Nursing. 2013;43(6):697-703. https://doi.org/10.4040/jkan.2013.43.6.697

원문보기 상세보기
Hurst K, Patterson DK. Health and social care workforce planning and development-An overview. International Journal of Health Care Quality Assurance. 2014;27(7):562-572. https://doi.org/10.1108/ijhcqa-05-2014-0062

상세보기
National Institute for Health and Care Excellence (GB). Safe staffing for nursing in adult inpatient words in acute hospitals. Safe staffing guideline: SG1 [Internet]. London: National Institute for Health and Care Excellence; 2014 July 15. [cited 2021 Dec 1]. Available from: https://www.nice.org.uk/guidance/sg1.
National Health Insurance Service. 2019 Standard guidelines for comprehensive nursing care service [Internet]. Wonju: National Health Insurance Service; 2019 Jan 1 [cited 2021 Dec 1]. Available from: https://www.nhis.or.kr/nhis/together/wbhaea01000m01.do?modeview&articleNo128196.
Kim JH, Kim SJ, Park JH, Park ET, Jeong SY, Lee EH. Adequacy of nurse staffing level in integrated nursing care. Journal of Korean Academy of Nursing Administration. 2018;24(4):288-297. https://doi.org/10.11111/jkana.2018.24.4.288

상세보기
Jung EH, Cho SH, Lee SL, Choi MJ, Kim SS, Choi EK, et al. Nursing hours and nurse staffing according to Korean Triage Acuity Scale and patient dependency. Journal of Korean Clinical Nursing Research. 2020;26(3):395-406. https://doi.org/10.22650/JKCNR.2020.26.3.395

원문보기 상세보기
Brennan CW, Daly BJ. Patient acuity: A concept analysis. Journal of Advanced Nursing. 2009;65(5):1114-1126. https://doi.org/10.1111/j.1365-2648.2008.04920.x

상세보기
Boggatz T, Dijkstra A, Lohrmann C, Dassen T. The meaning of care dependency as shared by care givers and care recipients: A concept analysis. Journal of Advanced Nursing. 2007;60(5):561-569. https://doi.org/10.1111/j.1365-2648.2007.04456.x

상세보기
Cho SH, Lee JY, Hong KJ, Yoon H-J, Sim W-H, Kim MS, et al. Determining nurse staffing by classifying patients based on their nursing care needs. Journal of Korean Academy Nurisng Administration. 2020;26(1):42-54. https://doi.org/10.11111/jkana.2020.26.1.42

상세보기
Cho SH, Chang SJ, Ryu HG, Yu SJ, Lee JY, Hong KJ, et al. Evaluation system of adequacy of nurse staffing of comprehensive nursing care service. Wonju: National Health Insurance Service; 2019. Report No.: 2018-2-0014.
Weston MJ, Brewer KC, Peterson CA. ANA principles: The framework for nurse staffing to positively impact outcomes. Nursing Economic$. 2012;30(5):247-252.

상세보기
Hoi SY, Ismail N, Ong LC, Kang J. Determining nurse staffing needs: The workload intensity measurement system. Journal of Nursing Management. 2010;18(1):44-53. https://doi.org/10.1111/j.1365-2834.2009.01045.x

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한국형 환자분류체계의 단축형 개발과 간호요구 유형 분류
Shortening of Korean Patient Classification System-1 and Classification of Nursing Care Needs 원문보기

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한국형 환자분류체계의 단축형 개발과 간호요구 유형 분류 Shortening of Korean Patient Classification System-1 and Classification of Nursing Care Needs 원문보기

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한국형 환자분류체계의 단축형 개발과 간호요구 유형 분류
Shortening of Korean Patient Classification System-1 and Classification of Nursing Care Needs 원문보기

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