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Challenges and Issues in Adult Intensive Care Nursing | OMICS International | Abstract
ISSN: 2167-1168

Journal of Nursing & Care
Open Access

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Review Article

Challenges and Issues in Adult Intensive Care Nursing

Lise St-Pierre1*, Alderson M2 and Saint-Jean M3
1Directrice de la qualité et des soins infirmiers, Centre de santé et services sociaux de Memphrémagog, principal investigator, Canada
2Co-Investigator, Faculté des Sciences Infirmières, Université de Montréal, principal investigator, Canada
3Co-Investigator, Faculté de médecine, Université de Montréal, co-investigator
Corresponding Author : Lise St-Pierre
Directrice de la qualité et des soins infirmiers
Centre de santé et services sociaux de Memphrémagog
principal investigator, Canada
E-mail: [email protected]
Received October 27, 2011; Accepted November 10, 2011; Published November 16, 2011
Citation: St-Pierre L, Alderson M, Saint-Jean M (2011) Challenges and Issues in Adult Intensive Care Nursing. J Nursing Care 1:101. doi:10.4172/2167-1168.1000101
Copyright: © 2011 St-Pierre L, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.


The purpose of this study was to develop and test a standardized primary health assessment instrument (SPHAI) that can be used to assess the health problems and care needs of home-bound clients at the primary level. For this, the preeminent experts in the field were identified and, after an intensive literature review, a preliminary instrument was established. The 25 panelists then participated in a three-round Delphi survey method to identify those items that had a content validity index of 0.8 and over. This led to an instrument composed of 5domains, 19 components, and 43items. This instrument was then reviewed from 316 homecare nurses working for three types of home health care programs in Korea. The nurses assessed the tool in terms of item variation and redundancy, and to determine its internal consistency and reliability. The responses suggested that the SPHAI is suitable for use in all three programs in terms of identifying homebound clients, developing guidelines for evidence-based care, and improving documentation. However, the present study should be regarded as an exploratory study: the feasibility of the SPHAI should be tested by nation-wide empirical studies that are funded by the Korean government.

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