2.50
Hdl Handle:
http://hdl.handle.net/10755/155785
Type:
Presentation
Title:
A Development of Nursing Outcome Indicators for Stroke Patients
Abstract:
A Development of Nursing Outcome Indicators for Stroke Patients
Conference Sponsor:Sigma Theta Tau International
Conference Year:2002
Conference Date:July, 2002
Author:Kwon, Boeun
P.I. Institution Name:Seoul Nursing Junior College
Title:Professor
Objectives: This study was conducted to develop nursing outcome indicators based on nursing activities for stroke patients in Korea. l Design This study was designed by methodological approach to develop nursing outcome indicators for stroke patients in Korea. l Population To identify Nursing Diagnosis, Nursing Intervention, Nursing activities for stroke patients who were in acute and subacute stages, literature review, interview with 12 stroke patients and primary caregivers, and review of 63 patients' medical records were performed at the General hospital in Seoul. Concepts or Variables: This research was conducted using 4 main concepts: Nursing Diagnosis, Nursing Intervention, Nursing Outcome and Nursing outcome indicators. Method: The methods of this study were focus group meeting and Delphi technique, which were consisted of clinical nurse experts who have more than 5 years of clinical experience in stroke patients care, neurologist, and professors in college of nursing. Nursing Diagnoses and Nursing interventions were selected from NANDA nursing diagnosis and Nursing Interventions Classification, but Nursing Outcomes were developed based on literature. To test the validity of nursing outcome indicators, content validity was tested by using CVI (Index of Content Validity) and user validity test was performed by nurses in neurology ward and intensive care unit. l Findings The results of this study were as follows: 1. 12 nursing diagnoses were identified for stroke patients based on literature review and interviews. They were Decreased intracranial adaptive capacity, Hyperthermia, Impaired physical mobility, Ineffective airway clearance, Impaired skin integrity, Constipation, Diarrhea, Incontinence, Risk for aspiration, Risk for injury, Self-care deficit, and Knowledge deficit. 2. 29 nursing interventions and nursing outcomes were identified. The former were from Nursing Interventions Classification (NIC) and the latter were developed from literature according to nursing interventions. They were verified by experts in focus group. 3. Nursing activities were identified through review of patients' medical records, literature review and interview. 199 nursing activities were identified, which were proper to clinical and cultural situation in Korea. 4. Based on nursing activities, 133 nursing outcome indicators were developed. In content validity, 6 indicators were deleted because of under 80% agreement. In user validity, usefulness and usability were tested. Score range of usefulness of nursing outcome indicators was 3.73 to 3.88 in 4-point Likert scale. Conclusion: This systemic approach of measuring nursing outcomes verified nurses' positive effects in changing patients health status and nursing contributions in health care system as a profession. Nursing as a professional discipline is not invisible one any more. Implications: 1. This results provide critical thinking and effective decision making for nurses to perform advanced nursing practice which are different from minimal nursing practice in Korea. 2. This results can be implied to measure nursing outcomes using objective nursing outcome indicators which are based on patients°¯ physiologic, emotional, and social aspects in Korea. This creative approach plays a role to identify invisible nursing practice to profession in Korea. 3. This results stimulate nurses°¯ motivation to improve quality of care and make them reassure nursing is a profession and can be a health care member in multidisciplinary team in Korea. 4. This research extends the scope of nursing practice theory to provide evidence-based nursing.

Repository Posting Date:
26-Oct-2011
Date of Publication:
Jul-2002
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleA Development of Nursing Outcome Indicators for Stroke Patientsen_GB
dc.identifier.urihttp://hdl.handle.net/10755/155785-
dc.description.abstract<table><tr><td colspan="2" class="item-title">A Development of Nursing Outcome Indicators for Stroke Patients</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2002</td></tr><tr class="item-conference-date"><td class="label">Conference Date:</td><td class="value">July, 2002</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Kwon, Boeun</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Seoul Nursing Junior College</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Professor</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">bekwon@lycos.co.kr</td></tr><tr><td colspan="2" class="item-abstract">Objectives: This study was conducted to develop nursing outcome indicators based on nursing activities for stroke patients in Korea. l Design This study was designed by methodological approach to develop nursing outcome indicators for stroke patients in Korea. l Population To identify Nursing Diagnosis, Nursing Intervention, Nursing activities for stroke patients who were in acute and subacute stages, literature review, interview with 12 stroke patients and primary caregivers, and review of 63 patients' medical records were performed at the General hospital in Seoul. Concepts or Variables: This research was conducted using 4 main concepts: Nursing Diagnosis, Nursing Intervention, Nursing Outcome and Nursing outcome indicators. Method: The methods of this study were focus group meeting and Delphi technique, which were consisted of clinical nurse experts who have more than 5 years of clinical experience in stroke patients care, neurologist, and professors in college of nursing. Nursing Diagnoses and Nursing interventions were selected from NANDA nursing diagnosis and Nursing Interventions Classification, but Nursing Outcomes were developed based on literature. To test the validity of nursing outcome indicators, content validity was tested by using CVI (Index of Content Validity) and user validity test was performed by nurses in neurology ward and intensive care unit. l Findings The results of this study were as follows: 1. 12 nursing diagnoses were identified for stroke patients based on literature review and interviews. They were Decreased intracranial adaptive capacity, Hyperthermia, Impaired physical mobility, Ineffective airway clearance, Impaired skin integrity, Constipation, Diarrhea, Incontinence, Risk for aspiration, Risk for injury, Self-care deficit, and Knowledge deficit. 2. 29 nursing interventions and nursing outcomes were identified. The former were from Nursing Interventions Classification (NIC) and the latter were developed from literature according to nursing interventions. They were verified by experts in focus group. 3. Nursing activities were identified through review of patients' medical records, literature review and interview. 199 nursing activities were identified, which were proper to clinical and cultural situation in Korea. 4. Based on nursing activities, 133 nursing outcome indicators were developed. In content validity, 6 indicators were deleted because of under 80% agreement. In user validity, usefulness and usability were tested. Score range of usefulness of nursing outcome indicators was 3.73 to 3.88 in 4-point Likert scale. Conclusion: This systemic approach of measuring nursing outcomes verified nurses' positive effects in changing patients health status and nursing contributions in health care system as a profession. Nursing as a professional discipline is not invisible one any more. Implications: 1. This results provide critical thinking and effective decision making for nurses to perform advanced nursing practice which are different from minimal nursing practice in Korea. 2. This results can be implied to measure nursing outcomes using objective nursing outcome indicators which are based on patients&deg;&macr; physiologic, emotional, and social aspects in Korea. This creative approach plays a role to identify invisible nursing practice to profession in Korea. 3. This results stimulate nurses&deg;&macr; motivation to improve quality of care and make them reassure nursing is a profession and can be a health care member in multidisciplinary team in Korea. 4. This research extends the scope of nursing practice theory to provide evidence-based nursing.<br/><br/></td></tr></table>en_GB
dc.date.available2011-10-26T14:10:19Z-
dc.date.issued2002-07en_GB
dc.date.accessioned2011-10-26T14:10:19Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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