Shortening of Korean Patient Classification System-1 and Classification of Nursing Care Needs
10.22650/JKCNR.2022.28.2.198
- Author:
Ji Yun LEE
1
;
Sung-Hyun CHO
;
Kyung Jin HONG
;
Hyo-Jeong YOON
;
Won-Hee SIM
;
Moon-Sook KIM
;
Young-Ju KIM
Author Information
1. Professor, College of Nursing, Kangwon National University, Korea.
- Publication Type:Original Article
- From:
Journal of Korean Clinical Nursing Research
2022;28(2):198-209
- CountryRepublic of Korea
- Language:English
-
Abstract:
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.
