Reliability of indicators of nursing care quality: testing interexaminer agreement and reliability
Dagmar Willamowius Vituri1, Yolanda Dora Martinez Évora2
1Escola de Enfermagem de Ribeirão Preto, Universidade de São Paulo, Londrina, PR, Brazil.
Objective:
this study sought to test the interexaminer agreement and reliability of 15 indicators of nursing care quality.
Methods:
this was a quantitative, methodological, experimental, and applied study conducted at a large, tertiary, public teaching hospital in the state of Paraná. For data analysis, the Kappa (k) statistic was applied to the categorical variables - indicators 1 to 11 and 15 - and the interclass correlation coefficient (ICC) to the continuous variables - indicators 12, 13, and 14, with the corresponding 95% confidence intervals. The categorical data were analyzed using the Lee software, elaborated by the Laboratory of Epidemiology and Statistics of Dante Pazzanese Institute of Cardiology - Brazil, and the continuous data were assessed using BioEstat 5.0.
Results:
the k-statistic results indicated excellent agreement, which was statistically significant, and the values of the ICC denoted excellent and statistically significant reproducibility/agreement relative to the investigated indicators.
Conclusion:
the investigated indicators exhibited excellent reliability and reproducibility, thus showing that it is possible to formulate valid and reliable assessment instruments for the management of nursing care.
Related Concept Videos
Guidelines For Measuring Vital Signs
Before taking a patient's vital signs, a nurse would consider and assess the patient's comfort level and ensure appropriate equipment is available.
Nursing Evaluation
Reliability and Validity
Kendall's Coefficient of Concordance
Nurses' Legal Responsibilities II
Communication between nurses and...
Ethical Standards I
The Code of Ethics provisions outline the nurse's duty to the patient, the healthcare team, the profession, and society. The Code's fundamental principles include advocacy,...


