환자간호의 질평가를 위한 전산 프로그램 개발 - 위장관계 수술 환자간호를 중심으로 -

Abstract

This study was done to develope a computer program for the evaluation of quality of nurisng care. Because the professional nursing care should be evaluated consistantly, computer program for the measurement of quality of nursing care is necessary for the effective and efficient management of nursing quality. In this study, a computer program for gastrointestinal surgery patients was developed as a module. Visual basic 4.0 was used as a basic program for the development of this program, and Access 7.0 was used for the data base construction of the program.

The systems of evaluation criteria were hierarc hical. and the titles of the hierarchical criteria were evaluation area-evaluation item-indicator. Each evaluation area contained several items and each evaluation item contained several indicators. The numbers of the evaluation criteria for gastrointestinal surgery patients were 7 evaluation areas, 32 evaluation items, and 71 indicators. Content validity of the evaluation criteria(in this case, 32 evaluation items) was .95. Scoring could be possible with the evaluation items. For the scoring types of this program were two, norm-referenced type (option 1) and criterion-referenced type(option 2), the user can choose the type according to the purpose of the evaluation.

With this computer program, accurate and con-sistant evaluation of the quality of nursing care could be expected. Also, by the rapid feedback to nursing care practice, quality of nursing practice could be improved rapidly, and the systems of the evaluation criteria developed in this study could be used for the development of other moduls for various kinds of patient groups. Because this computer program was developed only for the purpose of research, it is necessary to be refined commercially to be used in real nursing situation.

key concepts : computer program, quality of nursing care