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[Interrater reliability of the Braden scale]
Jan Kottner1, Antje Tannen, Theo Dassen
1Charité Universitätsmedizin Berlin Zentrum für Human- und Gesundheitswissenschaften Institut für Medizin-/Pflegepädagogik und Pflegewissenschaft, Berlin, Germany. jan.kottner@charite.de
Pflege
|July 16, 2008
Summary
The Braden scale shows high interrater reliability for pressure ulcer risk assessment in German nursing homes, particularly for "friction and shear" and "activity" items. However, "nutrition" assessment showed lower agreement among nurses.
Area of Science:
- Nursing research
- Clinical assessment tools
- Patient safety
Context:
- Pressure ulcer risk assessment scales are crucial for nursing practice.
- The Braden scale is widely used in Germany, but its psychometric properties require validation.
- Previous studies have evaluated the Braden scale's interrater reliability with varying methodologies.
Purpose:
- To determine the interrater reliability of the Braden scale in a German nursing home setting.
- To compare findings with existing international literature on the Braden scale's reliability.
- To identify specific items within the Braden scale that demonstrate high or low interrater agreement.
Summary:
- A literature review of 20 studies on Braden scale interrater reliability was conducted.
- A German nursing home study assessed interrater reliability using independent nurse ratings of residents.
- The Braden scale demonstrated high overall interrater reliability (Intraclass Correlation Coefficient 0.88-0.91), with notable variation in agreement for specific items like "nutrition".
Impact:
- Findings support the use of the Braden scale for pressure ulcer risk assessment in German nursing settings.
- Identifies areas for targeted nurse training to improve consistency in risk assessment, particularly for the "nutrition" item.
- Contributes to the evidence base for the psychometric properties of the Braden scale in a non-US context.
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