Updating cpan

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Since the BKAT is being used in a wide variety of clinical settings, which specific questions are essential to know for that setting is decided by the nurse administering the BKAT.

The MED-SURG BKAT is being provided at cost to nurses who work in Medical/Surgical units, as a service to nursing and to the ministry that nursing represents.

These items measure content related to the following areas of nursing practice: cardiovascular (19 items), endocrine (12 items), renal (10 items), neurology (7 items), gastrointestinal/ parenteral (7 items), pulmonary (7 items), skin/wounds (5 items), and an ‘other’ category (21 items).

The category ‘other’ includes pain control (4 items), safety/falls (4 items), infection control (3 items); communication, emotional/spiritual care, and drug calculation (2 items each), and one item each in the following: Advanced directives, blood transfusion, hypothermia, and obesity.

A payment of .00 is requested to cover photocopying, postage, handling, and continued updating and validity and reliability testing.

Permission to use the MED-SURG BKAT and to photocopy it can be obtained by writing to: The initial version of the BKAT (BKAT-1) was developed for use in the adult intensive care unit and was co-authored by Jean C Toth, RN, MSN, CNS, Ph D, BCCC, The Catholic University of America, Washington, DC, and Kathleen Ritchey, RN, MSN, CNS, formerly of the Veterans Administration Medical Center, Washington, DC.

The average score for 284 Medical-Surgical nurses, on whom reliability was tested, was 66.3 points (75.3% correct answers) with a standard deviation of 6.7 points.

Whether or not an average score is considered to be a passing grade depends upon which specific questions are missed; for example, being able to prevent falls is recognized as critical to know in any nursing unit.

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An additional 7 items were written by the author and added to the test.

was supported through suggestions from the 10 member Panel of Experts in Medical-Surgical nursing practice and education. During reliability testing, additional construct validation was conducted, using the MED-SURG BKAT as a pretest and a posttest for18 new graduate nurses in two different internship/residency programs from Delaware (n=15) and Tennessee (n=3).

In addition, 121 potential new items were suggested by the Panel of Experts; the most appropriate of these, 28 (23.1%) were used.

Many suggested items were similar among the Panelists.

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