[Inter-rater concordance of the "Nursing Activities Score" in intensive care]
Josefa Valls-Matarín1, Maria Salamero-Amorós1, Carmen Roldán-Gil1
1Unidad de Cuidados Intensivos, Hospital Universitari Mútua Terrassa, Terrassa, Barcelona, España.
Objective:
To evaluate inter-rater concordance in the valuation of the "Nursing Activities Score".
Method:
Cross-sectional descriptive study conducted from December 2012 until June 2013 in a general intensive care unit with twelve beds. Three evaluator nurses, simultaneously and independently, through the patient daily charts, scored the nursing workload using Nursing Activities Score scale in all patients admitted over 18 years old.
Results:
Three hundreds and thirty-nine records were collected. The intra-class correlation coefficient (ICC) between evaluators was 0.92 (0.89-0.94). A perfect concordance was obtained in 39.1% of the items, with 52.2% having a high, and 8.7% having lower concordance, corresponding to two of the items with multiple scoring options. Significant differences between two of the evaluators (P=.049) were found.
Conclusions:
Although the inter-rater concordance was high, more accurate records are needed to reduce the variability of the items with multiple options and to allow more accuracy in the interpretation and measurement of the data regarding nursing workload.
Related Concept Videos
01:15Nursing Evaluation
01:29SBAR I: Understanding the Concept
Standardized methods of communication have been developed to ensure that information is...
01:30Guidelines for Nursing Documentation I
Factual:
The following points emphasize the significance of upholding accurate and unbiased documentation in healthcare.
01:29Nursing Interventions II: Selecting and Classifying the Nursing Interventions
01:27Nursing Clinical Information System
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
01:20Assessment of Ventilation I: Respiratory Rate
A Ventilation assessment is critical for monitoring a patient's health status. Respiration, one of the most accessible vital signs, provides insights into the function of numerous body systems and can indicate serious health issues, such as brainstem injuries from head trauma.
Critical Guidelines for Assessing Ventilation: