Journal of Korean Clinical Nursing Research (임상간호연구)

Hospital Nurses Association (병원간호사회)
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Validity and Reliability Tests of Neonatal Patient Classification System Based on Nursing Needs

간호요구 정도에 의한 신생아중환자 분류도구의 타당도 및 신뢰도 검증

  • Ko, Bum Ja (Department of Nursing Executive & Education, Konkuk University Medical Center) ;
  • Yu, Mi (Department of Nursing, Namseoul University) ;
  • Kang, Jin Sun (NICU, Kyung Hee University Hospital at Gangdong) ;
  • Kim, Dong Yeon (NICU, The Catholic University of Korea, Seoul St. Mary's Hospital) ;
  • Bog, Jeong Hee (NICU, Seoul National University Bundang Hospital)
  • 고범자 (건국대학교병원 간호교육행정팀) ;
  • 유미 (남서울대학교 간호학과) ;
  • 강진선 (강동경희대병원 신생아중환자실) ;
  • 김동연 (가대 서울성모병원 신생아중환자실) ;
  • 복정희 (분당서울대학교병원 신생아중환자실)
  • Received : 2012.09.30
  • Accepted : 2012.10.22
  • Published : 2012.12.31
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Abstract

Purpose: This study was done to verify validity and reliability of a neonatal patient classification system (NeoPCS-1). Methods: An expert group of 8 nurse managers and 40 nurses from 8 Neonatal Intensive Care Units in Korea, verified content validity of the measurement using item level content validity index (I-CVI). The participants were nurses caring for 469 neonates. Data were collected from November 11 to December 14, 2011 and analyzed using descriptive statistics, ANOVA, intraclass correlation coefficient, and K-cluster analysis with PASW 18.0 program. Results: Nursing domains and activities included 8 items with 91 activities. I-CVI was above .80 in all areas. Interrater reliability was significant between two raters (r=.95, p<.001). Classification scores for participants according to patient types and nurses' intuition were significantly higher for the following patients; gestational age (${\leq}29$ weeks), body weight (<1,000 gm), and transfer from hospital. Six groups were classified using cluster analysis method based on nursing needs. Patient classification scores were significantly different for the groups. Conclusion: These results show adequate validity and reliability for the NeoPCS-1 based on nursing needs. Study is needed to refine the measurement and develop index scores to estimate number of nurses needed for adequate neonatal care.

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