J Chin Med 18(3,4): 129-146, 2007 129 1,3 2 2 2 4 4 4 1 2 3 4 96 10 5 96 11 7 Delphi Method Content Validity Index, CVI0.81 2 3 1 2 123 03-3196200 3302 E-mail p22128@cgmh.org.tw
130 3 4 5 6,7 8,9 10,11 (1) (2) (3)
131 inter-rater reliabillity 90.6% Content Validity Index,CVI0.8 30 (1) (2) (3) 90% :(1) :
132 A B O AB 1 1 1
133 / //mmhg
134
135 1. 2. 3. 4. 5.
136 (2) (3) (4) 90% Content Validity Index,CVI0.8 1 2 3 4 5 6 7 8 9 10 11 5 4 4 5 3 5 5 5 5 4 5 4.55 1 5 5 4 5 3 5 4 5 5 4 4 4.45 4 5 5 5 4 5 3 5 5 3 3 4.00 2 3 5 4 5 5 3 5 3 5 5 4 2 4.18 5 5 5 5 5 5 5 5 5 5 5 5.00 5 5 5 5 5 5 5 5 5 5 5 5.00 4 4 4 5 5 5 5 5 5 4 3 4.45 5 4 4 5 5 5 5 4 5 4 3 4.45 5 4 4 5 5 5 5 5 5 4 5 4.73 5 4 4 5 5 5 5 5 5 4 5 4.73 5 4 4 5 5 5 5 5 5 4 5 4.73 5 4 4 5 5 5 5 4 5 4 5 4.64
137 1 2 3 4 5 6 7 8 9 10 11 5 3 3 5 5 5 5 5 5 4 5 4.55 4 5 3 3 5 5 5 5 5 5 3 5 4.45 5 3 3 5 5 5 5 5 5 3 4 4.36 5 3 3 5 5 5 5 4 5 3 4 4.27 5 4 4 5 5 5 5 4 5 5 5 4.73 5 5 4 4 5 5 5 5 5 5 5 5 4.82 5 4 4 5 4 5 5 5 5 5 4 4.64 5 4 4 5 4 5 5 4 5 5 4 4.55 5 5 5 5 5 5 5 5 5 5 5 5.00 6 5 5 5 5 4 5 5 4 5 5 5 4.82 5 5 5 5 4 5 5 4 3 5 5 4.64 7 8 5 5 5 5 4 5 5 4 5 5 3 4.64 5 4 4 5 5 5 5 5 5 1 5 4.45 5 5 5 5 5 5 5 5 5 1 5 4.64 5 4 4 4 4 5 5 5 3 1 5 4.09 5 5 5 5 5 5 5 5 5 1 4 4.55 5 5 5 5 5 5 5 5 5 4 5 4.91 5 5 5 5 5 5 5 5 5 4 5 4.91 5 5 5 5 5 5 5 5 3 4 5 4.73 5 5 5 5 5 5 5 5 5 4 5 4.91 5 4 4 5 5 5 5 5 5 4 5 4.73 9 5 4 4 5 5 5 5 5 5 4 5 4.73 5 4 4 5 5 5 5 5 5 3 4 4.55 5 4 4 5 5 5 5 5 5 4 4 4.64 5 4 4 5 5 5 5 5 5 3 5 4.64 10 5 4 4 5 5 5 5 5 5 3 5 4.64 5 4 4 5 5 5 5 5 5 3 4 4.55 5 4 4 5 5 5 5 4 5 3 4 4.45 5 4 4 5 5 5 5 5 5 4 5 4.73 11 5 4 4 5 5 5 5 5 5 4 5 4.73 5 4 4 5 5 5 5 5 4 4 4 4.55 5 4 4 5 5 5 5 5 4 4 4 4.55
138 1 2 3 4 5 6 7 8 9 10 11 5 4 4 5 5 5 5 5 5 4 5 4.73 12 5 5 5 5 4 5 5 5 5 4 5 4.82 5 5 5 5 3 5 5 5 3 4 5 4.55 13 14 5 5 5 5 3 5 5 5 5 4 5 4.73 5 4 4 5 5 5 5 4 5 1 5 4.36 5 4 4 5 5 5 5 5 5 1 5 4.45 5 5 5 5 5 5 5 5 3 1 4 4.36 5 4 4 5 5 5 5 4 5 1 4 4.27 5 5 5 5 5 5 5 5 5 4 3 4.73 5 5 5 5 5 5 5 5 5 4 3 4.73 5 5 5 5 5 5 5 5 5 4 33 7.45 5 5 5 5 5 5 5 4 5 4 3 4.64 5 4 4 5 5 5 5 5 5 3 5 4.64 15 5 4 4 5 5 5 5 4 5 3 5 4.55 5 4 4 5 4 5 5 4 5 3 5 4.45 16 5 4 4 5 5 5 5 5 5 3 5 4.64 5 4 4 5 5 5 5 5 5 5 3 4.64 5 5 5 5 5 5 5 5 5 5 3 4.82 5 5 5 5 4 5 5 5 5 5 2 4.64 5 5 5 5 5 5 5 5 5 5 3 4.82 5 3 3 5 5 5 5 5 5 4 5 4.55 17 5 4 4 5 4 5 5 4 5 4 5 4.55 5 3 3 5 4 5 5 4 3 4 3 4.00 5 3 3 5 4 5 5 5 3 4 3 4.09 5 4 4 5 5 5 5 5 5 4 5 4.73 18 5 4 4 5 5 5 5 4 5 4 5 4.64 5 4 4 5 5 5 5 4 5 4 4 4.55 5 4 4 5 3 5 5 5 5 4 4 4.45 5 4 4 5 5 5 5 5 5 4 5 4.73 19 5 4 4 5 5 5 5 4 5 4 5 4.64 5 4 4 5 4 5 5 5 5 4 5 4.64 5 4 4 5 4 5 5 5 5 4 5 4.64
139 1 2 3 4 5 6 7 8 9 10 11 1 5 4 4 5 5 5 5 5 5 5 5 4.82 5 4 4 5 5 5 5 5 5 5 5 4.82 5 4 4 5 5 5 5 5 5 5 5 4.82 5 4 4 5 5 5 5 5 5 5 5 4.82 5 4 4 5 5 5 5 4 5 4 5 4.64 2 5 4 4 5 5 5 5 4 5 4 5 4.64 5 4 4 5 5 5 5 5 5 4 5 4.73 5 4 4 5 5 5 5 4 5 4 5 4.64 5 5 5 5 5 5 5 4 5 5 4 4.82 3 5 5 5 5 5 5 5 5 5 5 5 5.00 5 5 5 5 4 5 5 5 3 5 4 4.64 4 5 5 5 5 4 5 5 5 3 5 3 4.55 5 5 5 5 5 5 5 5 5 5 5.00 5 5 5 5 5 5 5 5 5 5 5.00 5 5 5 5 5 5 5 5 5 4 4.90 5 5 5 5 5 5 5 5 5 4 4.90 5 5 5 5 5 5 5 5 5 4 5 4.91 5 5 5 5 5 5 5 5 4 5 4 5 4.82 5 5 5 5 5 5 5 5 5 4 4 4.82 6 7 8 5 5 5 5 5 5 5 5 2 3 4 4.45 5 5 5 5 5 5 5 5 5 4 4 4.82 5 5 5 5 5 5 5 4 5 4 3 4.64 5 5 5 5 5 5 5 5 5 4 3 4.73 5 5 5 5 5 5 5 5 5 4 3 4.73 5 5 5 5 5 5 5 5 5 4 4 4.82 5 5 5 5 5 5 5 4 5 4 4 4.73 5 5 5 5 5 5 5 5 5 4 3 4.73 5 5 5 5 5 5 5 5 5 4 3 4.73 5 4 4 5 5 5 5 5 5 5 5 4.82 5 4 4 5 5 5 5 4 5 4 5 4.64 5 3 3 5 5 5 5 5 5 4 5 4.55 5 3 3 5 5 5 5 5 5 4 5 4.55
140 1 2 3 4 5 6 7 8 9 10 11 5 4 4 5 5 5 5 4 5 4 5 4.64 1 5 4 4 5 3 5 5 4 5 4 5 4.45 5 4 4 5 3 5 5 5 5 3 4 4.36 5 4 4 5 3 5 5 4 5 3 4 4.27 5 4 4 5 5 5 5 5 5 5 5 4.82 2 5 4 4 5 5 5 5 5 5 5 5 4.82 5 4 4 5 5 5 5 4 5 3 5 4.55 5 4 4 5 5 5 5 4 5 5 5 4.73 5 4 4 5 5 5 5 5 5 5 3 4.64 3 5 4 4 5 5 5 5 5 5 4 3 4.55 5 4 4 5 5 5 5 5 5 4 4 4.64 4 5 5 4 4 5 5 5 5 5 5 4 4 4.64 5 3 3 5 5 5 5 5 5 4 5 4.55 5 3 3 5 5 5 5 5 5 4 5 4.55 5 3 3 5 5 5 5 5 5 4 5 4.55 5 3 3 5 5 5 5 4 5 4 5 4.45 5 4 4 5 5 5 5 5 5 5 5 4.82 5 4 4 5 5 5 5 5 5 5 5 4.82 5 4 4 5 5 5 5 5 5 5 4 4.73 5 4 4 5 5 5 5 4 5 4 4 4.55 5 4 4 5 5 5 5 5 5 5 5 4.82 6 5 4 4 5 5 5 5 5 5 5 5 4.82 5 4 4 5 5 5 5 5 5 4 5 4.73 5 4 4 5 5 5 5 4 5 4 5 4.64 5 4 4 5 5 5 5 5 5 5 4 4.73 7 5 4 4 5 5 5 5 4 5 5 3 4.55 5 4 4 5 5 5 5 4 5 5 3 4.55 5 4 4 5 5 5 5 5 5 5 3 4.64 5 4 4 5 5 5 5 5 5 5 4 4.73 8 5 4 4 5 5 5 5 4 5 5 5 4.73 5 4 4 5 5 5 5 5 5 5 5 4.82 5 4 4 5 5 5 5 4 5 5 5 4.73
141 1 2 3 4 5 6 7 8 9 10 11 5 4 4 5 5 5 5 4 5 5 5 4.73 9 5 4 4 5 5 5 5 4 5 5 5 4.73 5 4 4 5 5 5 5 5 5 5 5 4.82 5 4 4 5 5 5 5 4 5 5 5 4.73 5 4 4 5 5 5 5 4 5 5 5 4.73 10 () 5 4 4 5 5 5 5 4 5 5 5 4.73 5 4 4 5 5 5 5 5 5 5 5 4.82 5 4 4 5 5 5 5 4 5 5 5 4.73 5 4 4 5 5 5 5 4 5 4 5 4.64 11 5 4 4 5 5 5 5 5 5 4 5 4.73 5 4 4 5 5 5 5 5 5 4 5 4.73 5 4 4 5 5 5 5 5 5 4 5 4.73 5 4 4 5 5 5 5 5 5 5 5 4.82 12 5 4 4 5 5 5 5 5 5 5 5 4.82 5 4 4 5 5 5 5 5 3 5 5 4.64 5 4 4 5 5 5 5 4 3 5 5 4.55 5 4 4 5 5 5 5 4 5 5 5 4.73 13 5 4 4 5 5 5 5 5 5 5 5 4.82 5 4 4 5 5 5 5 5 5 4 5 4.73 5 4 4 5 5 5 5 4 5 4 5 4.64 5 5 4 5 5 5 5 5 5 5 5 4.91 14 28~32 5 5 4 5 5 5 5 5 5 5 5 4.91 5 4 5 5 5 5 5 5 5 3 5 4.73 5 4 4 5 5 5 5 5 5 2 5 4.55 5 4 4 5 5 5 5 5 5 4 5 4.73 15 5 4 4 5 5 5 5 5 5 4 5 4.73 5 4 5 5 5 5 5 5 5 3 5 4.73 5 4 4 5 5 5 5 5 5 3 5 4.64
142 1 2 3 1 2 3 4 5 6 7 8 9 10 11 ()() () 5 6 4 5 5 5 5 4 5 5 5 4.91 5 4 4 5 5 5 5 4 5 5 5 4.73 5 4 4 5 5 5 5 5 5 4 4 4.64 5 4 4 5 5 5 5 4 5 5 4 4.64 5 4 4 5 5 5 5 5 5 5 5 4.82 5 4 4 5 5 5 5 5 5 5 5 4.82 5 4 4 5 5 5 5 4 5 5 4 4.64 5 4 4 5 5 5 5 4 5 5 4 4.64 5 4 4 5 5 5 5 4 5 5 5 4.73 5 4 4 5 5 5 5 5 5 5 5 4.82 5 4 4 5 5 5 5 5 5 4 4 4.64 5 4 4 5 5 5 5 4 5 4 4 4.55 92% 100% 92%
143 12 2003Charters 7 14 7 13 CCMP95-RD-030! 1. 2(3)193-2052001 2. 2004 3. 12(4) 317-3252001 4. 8(7)558-559 2002 5.
144 20(4)53-552003 6. Artinian, B.M., O'Connor, F.D., & Brock, R. Comparing past and present nursing productivity. Nursing Management, 15(10)50-53, 1984. 7. Charters, K. G.. Nursing informatics, outcomes, and quality improvement.aacn Clinical Issues, 14(3)282-294, 2003. 8. 1968-69 2001 9. 277-792007 10. 20(1)27-282007 1 1. 2 6 ( 1 2 ) 1398-13992005 12. 51(2) 19-222004 13. 2005 4(1)68-78 14. 10(3)243-2442004
145 J Chin Med 18(3,4): 129-146, 2007 THE STUDY OF NURSING RECORD STANDARDIZATION IN TRADITIONAL CHINESE MEDICINE OF INPATIENT CARE Hui-Ju Chung 1,3, Shuv-Chung Lin 2, Hsiu-Ju Lin 2, Tsae-Fen Lee 2, Yin-Ku Lin 4, Chein-Chung Yang 4, Sien-Hung Yang 4 1 Administrative Center, Chang-Gung Memorial Hospital 2 Nursing Department, Chang-Gung Memorial Hospital 3 Instructor of Chang Gung Institute of Technology 4 Center for Traditional Chinese Medicine, Chang-Gung Memorial Hospital Taoyuan, Taiwan ( Received 5 th October 2007, accepted 7 th November 2007 ) This study aims to establish nursing records of admission care after the dialectical assessment and nursing in traditional Chinese medicine of inpatient care as well as Nursing Records Rriting Guidelines and Standards, and investigate the efficacy of clinical traditional Chinese medicine nursing staff's performance after the establishment of Traditional Chinese Medicine Nursing Standards. Besides, this study is expected to improve the quality of traditional Chinese medicine nursing care and professional ability of traditional Chinese medicine nursing staff. The study collected previous standards and contents of traditional Chinese medicine nursing records and nursing care plans worldwide at first. Afterwards, we conducted expert content validity through Delphi Method, especially correcting the contents and guidance of raditional Chinese medicine nursing records?with expert opinion. After the authentication of expert validity, the results suggested the Content Validity Index (CVI) according the the expert opinion all reached 0.8. The complete nursing records in traditional Chinese medicine of inpatient care should comprise: (1) Patient's basic information, family history, the evaluation of 4 diagnostic methodologies, physical examination, the content and evaluation of nursing. (2) General records of dialectical nursing include a general examination from western medicine; signs of life (body temperature, pulse, breath and blood pressure); recording patients' pulse condition, tongue coating, mind, sweat, vomit and excretion through by 4 diagnostic methodologies of traditional Chinese medicine; patients' existing health and nursing problems; recording the nursing problems involved in doctor's advice, informing patients of record in important nursing problems. (3) Nursing records of severe patients: In addition to general nursing records, it should specifically record variation of patients' condition and specific measures. The study found out professional knowledge and ability in
146 traditional Chinese medicine nursing of nursing staff could influence their quality of documentation. In order to ensure patients' care quality, we suggested nursing staff in traditional Chinese medicine units taking 7-course basic nursing in traditional Chinese medicine training with 9 credits for ability certification. Key Words: Traditional Chinese Medicine of Inpatient care, Traditional Chinese Medicine Nursing, Traditional Chinese Medicine Nursing records *Corresponding authors: 123 03-3196200 3302E-mail p22128@cgmh.org.tw