J Korean Acad Adult Nurs.  2009 Oct;21(5):489-503.

Criterion-Related Validity of the Critical Patients' Severity Classification System Developed by the Hospital Nurses' Association

• Oh HS
• Seo WS
• Park JS
• Bae EK
• Lee SJ
• Chung YY
• Choi YE
• Choi HJ

Abstract

PURPOSE
This study was conducted to test criterion-related validity of the Critical Patients' Severity Classification System (CPSCS) developed by the Hospital Nurses' Association by examining relationships with brain injury severity measured by Glasgow Coma Scale (GCS), recovery state measured by Glasgow Outcome Scale (GOS), and days of stay in ICU of brain injury patients.
METHODS
Prospective correlational research design was adopted by including 194 brain injury patients admitted to ICU of one university hospital.
RESULTS
The score of CPSCS appeared to significantly discriminate the severity of brain injury. Among nursing activities in CPSCS, Respiratory therapy, IV Infusion and Medication, Monitoring, Activities of Daily Living (ADL), Treatment and Procedure were significant to discriminate the severity of brain injury. Respiratory therapy, Vital Signs, and Monitoring appeared to significantly discriminate the recovery states of 1- and 3-months. Nursing activities significantly contributed to predict the days of ICU stay were Respiratory therapy, ADL, and Teaching and Emotional Support.
CONCLUSION
CPSCS developed by the Hospital Nurses Association appeared to be valid to discriminate or predict brain injury severity, recovery states, and days of stay in ICU for brain injury patients.

Keyword

Criterion-related validity; Severity classification; Brain injury

MeSH Terms

Activities of Daily Living
Brain Injuries
Glasgow Coma Scale
Glasgow Outcome Scale
Humans
Prospective Studies
Research Design
Respiratory Therapy
Vital Signs