Data Mapping of the Terms for Developing an Integrated Information System in Home and Visiting Healthcare Documents

Purpose: This study sought to determine the possibility of developing the data-sharing infrastructure of an integrated information system to improve the quality of home and visit-based healthcare services. Methods: The articles of study here were the forms used by a visiting healthcare agency, a home healthcare system of a home healthcare agency, and those used in long-term care insurance for elderly. We visited a visit-based healthcare agency and a home healthcare agency to survey their forms and interviewed relevant practitioners, and we searched for forms associated with long-term care insurance for the elderly on the Internet. We then organized the terms in each form and mapped them among the form after analyzing the concepts as a whole to inquiry into the possibility of integration. Results: The mapping procedure divided the terms into those related to personal information, problems and interventions. Mapping between the standard system (Omaha system) and the type of form was also done. Conclusion: In this study, we found that programs were configured differently depending on the objectives of the service. It is necessary to develop the program with an integrated information system by comparing the three services in terms of their distinct advantages, after which such a service should be utilized. The results of this study can serve as a database for the creation of a new integrated system.OAIID:oai:osos.snu.ac.kr:snu2011-01/102/0000028528/5SEQ:5PERF_CD:SNU2011-01EVAL_ITEM_CD:102USER_ID:0000028528ADJUST_YN:NEMP_ID:A076124DEPT_CD:811CITE_RATE:0FILENAME:재가·방문 건강관리 통합정보시스템 구축을 위한.pdfDEPT_NM:간호학과EMAIL:[email protected]_YN:NCONFIRM:

An Methodology Research of Performance Appraisal Tool of Oncology Advanced Practice Nurse

Purpose: The purpose of this study was to develop the tool that can be used for measuring and appraising the performance of Oncology Advanced Practice Nurse(APN). Method: On the basis of some articles about roles of oncology APN, the researcher made a temporary tool and verified both content validity and face validity. Also the reliability and construct validity were verified. Result: The reliability of this tool was measured by internal consistency. Cronbachs' was .92. The method of verification of construct validity was used known group technique because of small numbers of Oncology APN. Conclusions: This performance appraisal tool of Oncology APN was verified by both the reliability and construct validity. In future, this tool will be able to be used for appraisal and verifying of nursing care of Oncology APN

A Study on Behavioral and Psychological Symptom of Dementia(BPSD) among Dementia Elderly in an Institutional Setting

본 연구는 시설에 거주하는 알츠하이머 혹은 혈관성 여성 치매노인 100명의 행동심리증상(BPSD) 발생빈도와 BPSD에 대한 간호제공자의 힘든 정도를 파악하고, 이에 영향을 미치는 요인을 파악하여 행동심리증상에 대한 중재 프로그램 개발의 기초 자료로 활용하고자 시도하였다. 시설거주 치매노인의 90%가 한 가지 이상의 BPSD 증상을 가지고 있었으며, 시설 간호제공자의 88%가 한 가지 이상의 BPSD에 대해 힘들다고 호소하였다. BPSD의 세부영역 중에, 공격성과 간호에의 저항 영역에서 발생 빈도와 시설종사자의 힘든 정도가 높았다. BPSD에 영향을 미치는 요인에 대한 다중회귀분석결과, BPSD의 발생빈도와 간호제공자의 힘든 정도에 영향을 미치는 요인은 우울이었다. 따라서 치매초기부터 BPSD를 모니터링하고 우울관리 프로그램을 시행하는 것이 치매노인의 BPSD 발생과 간호제공자의 부담을 줄이는 전략이다. The purpose of this study is to find out Behavioral and Psychological Symptom of Dementia(BPSD) and its associated factors among dementia elderly in an institutional setting. Data were collected through the structured questionnaire survey and medical record review from 100 dementia elderly in a long term care facility. The prevalence on the frequency of BPSD was 90% and the prevalence on the carsgivers distress of BPSD was 88%. Among domains of BPSD, aggression and resistance on nursing care were highly scored. The factor effecting on both the frequency of BPSD and the caregiver distress of BPSD by the logistic regression was depression. We conclude that BPSD monitoring and depression intervention from early dementia are important strategies to decrease the frequency of BPSD among dementia elderly and reduce the burden of their caregivers

A Nurse Charting Knowledge Scale : Focusing on Legal Aspects

Purpose: The purpose of this study was to develop an instrument to measure nurses knowledge about charting and charting principles. Methods: Twenty six key attributes of nurse charting were identified by concept analysis of relevant literatures as well as nurse manager definitions and served as the basis for the development of a 65-item survey instrument. The Nurse Charting Knowledge Scale(NCKS) was validated by a panel of experts for its content and pilot tested in 23 nurses. Then we administered the NCKS to a convenience sample of 252 nurses on a medical nursing units in a tertiary hospital in Seoul, Korea. Data were collected from July 11th to July 25th, 2006. This article describes the psychometrics and validity of the NCKS using data from the final sample of 250 nurses. Results: The 26 key attributes of nurse charting were divided into two categories of do's and don'ts through concept analysis. The dimension of do's included identity, timeliness, completeness, accuracy, objectiveness, specification, honesty, relevance, information producibility, evidence producibility, accessibility and intactability. The dimensions of dont's included recording staffing problems, recording staff conflicts, naming a second patient, charting casual conversations with colleagues, assuming that computer charting contains every information from the patient's written chart, subjectively labeling the patient's behavior, using a language that suggests a negative attitude toward the patient, using inappropriate comments, using inappropriate language, mentioning incident reports, using words associated with errors, using comments implying that the patient's complaints are groundless, implying negligence and concealing or overstating medical mishaps. The NCKS was found to have acceptable reliability(internal consistency, KR 20 coefficient = 0.73). Conclusion: The NCKS shows promise as a measure of nurses knowledge about charting. The instrument can be readily adapted as a tool to educate nurses about the importance of nurse charting and charting principles

A Development of Standardized Nurse Performance Appraisal Tool

Background: The objective and valid evaluation tool is essential for nurse performance appraisal. However, at nursing departments of hospitals, the tools were used for evaluating nurses' ability and competence, rather than nurses' performance. Purpose: This study aims at developing standardized appraisal tool that is objective and valid in order to evaluate nurse performance. Process: Preliminary survey was done to collect performance appraisal tools and job descriptions existed from nursing departments of exemplary hospitals. They were analyzed and used as the basis of performance appraisal tool. Throughout internal validity testing and content analysis, the draft of standardized nurse performance appraisal tool was developed. It consisted of performance evaluation dimension 41 items and competence evaluation dimension with 22 items. In order to examine reliability and validity of the draft, 590 nurses' performance appraisal were conducted by nurse managers of the hospitals participating in this research. Conclusion: Standardized nurse performance appraisal tool was obtained reliability with Cronbach's Alpha=0.985.본 연구는 병원간호사회 기획위원회 용역연구로 연구비를 지원받음

Development of Performance Evaluation Tool for Operating Room Nurses

Purpose: The purpose of this study was to develop a performance tool to evaluate operating room nurses. Method: In the first stage, 59 preliminary items were selected after two focus group meetings were carried out using as background a reference review. At this stage 59 items were developed. Next, the selected preliminary items were modified by an expert group of nurses with over 10 years experience, nurses holding doctoral degrees and professors in nursing. In the third and fourth stage, these items were analyzed by the expert group to determine validity and tested by hospital nurses with over 10 years experience to determine reliability Results: For the final tool, the 59 items, 47 items for the performance evaluation dimension and 12 items for the competence evaluation dimension were found to be valid and reliable. Cronbach's α was .9622, a promising alpha value for the total instrument. Conclusion: This tool is an efficient performance evaluation instrument providing meaningful feedback for operating room nurses.본 연구는 2007년도 병원간호사회 기획위원회에서 진행한 연구로 연구비를 지원받음