신생아중환자실 간호사를 대상으로 한 Neonatal/Infant Braden Q Scale 사용교육이 측정자 간 일치도에 미치는 효과
The Effect of an Education Program on Inter-rater Reliability of Neonatal/Infant Braden Q Scale for Clinical Nurses
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연구목적: 본 연구는 일 신생아 중환자실에 근무하는 간호사를 대상으로 신생아/영아용 브라덴 큐 도구의 사용방법을 교육한 후 측정자간의 일치도를 평가하기 위하여 실시되었다. 연구방법: 이 연구는 단일군 전후 실험연구이다. 연구대상자는 2012년 12월부터 2013년 3월까지 신생아중환자실에 근무하는 간호사 12명과 입원 신생아 128명이었다. 간호사는 4팀으로 구분되었는데 3-5년 근무경력 2팀과 1년 미만 근무경력 2팀이며, 각 팀은 3명의 간호사로 구성되었다. 중재는 상처장루실금간호사와 5년 이상 경력간호사가 신생아/영아용 브라덴 큐 도구의 각 하부항목의 정의, 사정방법, 점수기준에 대한 교육하고, 질의응답하는 과정으로 1시간씩 2회에 걸쳐 진행되었다. 측정자간 일치도는 급내상관계수로 분석하였다. 연구결과: 도구의 총점에 대한 측정자간 일치도는 중재 전 .87(.80-.92)에서 중재 후 .94(.91-.96)로 증가하였다. 습기와 영양상태를 제외한 모든 하부항목에서 중재후에 일치도가 향상되었다. 결론: Neonatal/Infant Braden Q scale 에 대한 교육은 간호사의 측정자간 일치도를 향상시키는데 효과적이므로 간호현장에서 Neonatal/Infant Braden Q scale를 사용하기에 앞서 교육을 실시하기를 권장한다.
Abstract
Purpose: This study was aimed to investigate the effect of an education program on inter-rater agreement of Neonatal/Infant Braden Q Scale for clinical nurses working at a neonatal intensive care unit (NICU). Methods: This was single-arm pre and post experimental study. The participants were 12 nurses and 128 hospitalized neonates at a NICU from December, 2012 to March, 2013. Twelve nurses were divided into four different groups; for two groups were assigned nurses with 3 to 5 years of clinical experiences, and for the others with less than 1 year of clinical experience. The interventions were given by one wound ostomy specialist and two NICU nurses with over 5 years of clinical experiences for 1 hour twice. The inter-rater agreement was measured by intraclass-correlation coefficient. Results: Overall inter-rater agreement was improved from .87(95% CI: .80~.92) at the pre-test to .94(.91~.96) at post-test. Each inter-rater agreement except moisture and nutrition was also improved. Conclusion: The developed education program on scoring for Neonatal/Infant Braden Q scale was effective to improve the inter-rater agreement among clinical nurses. We suggest to privide an education for NICU nurse before using the Neonatal/Infant Braden Q scale in clinical settings.
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