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노인 낙상 예방을 위한 국외 가이드라인의 국내 적용 가능성 평가
박명화(Myonghwa Park),신영희(Younghee Shin),이병숙(Byungsook Lee),구윤정(Yoonjung Goo) 계명대학교 간호과학연구소 2011 계명간호과학 Vol.15 No.1
Purpose: The purpose of this study was to evaluate the applicability of the internationally developed evidence based guideline for fall prevention for use in Korea based on the experts’ opinions. Method: The target expert group consisted of 8 registered nurses, 4 physicians, and 5 nursing professors who are experts in fall problem. This study used questionnaire survey. The appropriateness, applicability, and the present application of each recommendation in the guideline were analyzed with descriptive statistics using the SPSS program and content analysis for the experts’ opinions. Result: The scores on the appropriateness of each recommendation showed the relatively high scores among nurses, physicians, and nursing professors. It was notable that some recommendations were scored lower for applicability compared with appropriateness. The reasons for lower scores for applicability by expert group included the lack of clinicians’ knowledge of assessment and management, and the lack of resources in clinical settings in Korea. Conclusion: This study will augment the understanding of the actual fall prevention practice in Korean clinical settings and can be used as the baseline data for a further study of tailoring the international guidelines into local and national clinical settings.
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이병숙,박정호,조현 한국의료QA학회 1997 한국의료질향상학회지 Vol.4 No.2
Background : Quality of professional nursing care is the most essential factor for survival and growth of nursing profession. Then, nursing professionals have responsibility for the evaluation of quality of professional nursing care. The purpose of this study was to develope an evaluation tool of nursing care for patients received gastrointestinal surgery with general anesthesia. This study was a primary work for the developement of a computer program for the evaluation of nursing care. Methods : This study was done through some consecutive steps. They were (1) Developement of items for the tool (2) Developernent of an evaluation too nursing care quality for the G-I surgery patient (3) Test of reliability and validity of the tool Two groups of experts and expert pannels who had much experience of the QA and the care of G-I surgery patients participated for developement of the items. 85 nursing records were used for the test of reliability and validity of the developed tool. The evaluation tools were developed with two types of scoring, norm-referenced tool and criterion-referenced tool. Results The system of items for the too was evaluation area evaluation item-indicator. There were 7evaluation areas which contained 32evaluation items which contained 7lindicators. Evaluation areas 1, 2, 3, 4 were for the evaluation of process and 5, 6, 7 were for the evaluation of outcome of nursing care for G-I surgery patient. For the test of interrator reliability, correlation coefficients of each scores of items and intragroup correlation coefficients were calculated. The average correlation coefficients between two rators were 0.65, 0.54 and the intragroup correlation coefficient were 0.99 and 1.00 by the types of scoring. The Cronbach alpha coefficients of the tools were 0.54 and 0.46 by the types of scoring. The average content validity index of the items was 0.95 from 4 pairs of experts. Because there were significant differances between some scores of quality of nursing care of 3 general hospitals regardless of the types of scoring, the tools could be thought to have some construct validity. And also, there were significant correlations between some scores of quality of nursing care and admission days and admission days after surgery regardless of the types of scoring, the tools could be thought to have predictive validity. Conclusion In this study, the evaluation tool of nursing care was developed for the very specified group of patient, G-I surgery patient. And the items were developed and tested by the experts of nursing practice. Because of these reasons, it was supposed that the tool could be used effectively in nursing pratice. And the procedures for the developement and the test of the evaluation tool of nursing care in this study were supposed to be used for the developement of other tools.
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