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Journal of Korean Academy of Child Health Nursing 2007;13(2):136-146.
Development of a Tool to Identify Severity of Illness Index in High Risk Newborns.
Shin Jeong Kim, Sun Young Moon, Sung Hee Kim, Songyong Sim
1Department of Nursing, Hallym University, Korea.
2Department of Nursing, ShinHeung College, Korea.
3Arizona State University, USA.
4Department of Statistics, Hallym University, Korea. sysim@hallym.ac.kr
PURPOSE: The purpose of this study was to develop a tool to assess the severity of illness in high risk newborns. METHOD: The research design was a methodological study. The tool was developed in 4 stages: first, preliminary items were developed based on a questionnaire about the severity of illness index that was given to 8 health professionals in Neonatal Intensity Care Units (NICU) second, a panel of specialists reduced the preliminary items using 3 validity tests; third, final items were selected from the results of a pre-test. Finally, from July 2005 to May 2006, reliability and validity were tested with a sample of 160 high risk newborns admitted to the NICU. RESULTS: The final tool to identify the severity of illness index in high risk newborns consisted 39 items and Cronbach's alpha coefficient for internal consistency was .922. Using factor analysis, 4 factors were extracted and these factors explained 54.451% of the total variance. CONCLUSION: The instrument for assessing the severity of illness in high risk newborns developed in this study was identified as a tool with a high degree of reliability and validity. In this sense, this tool can be effectively utilized for assessing and implementing care for high risk newborns.
Key words: High risk; Newborn; Severity of illness index
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