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Updated: Aug 8, 2026

Qualitative and Quantitative Validation of Tools with Rating Scales Aimed at Assessing the Quality of University Service-Learning
Published on: August 29, 2025
The School Health Intensity Rating Scale: establishing reliability for practice
J K Klahn1, B J Hays, C J Iverson
1Box Butte General Hospital, Alliance, Nebraska, USA.
Abstract:
It is important for school nurses to identify health care needs and nursing resources necessary to achieve desired health outcomes for the school-age population. The purpose of this study was to determine interrater reliability for the School Health Intensity Rating Scale (SHIRS), a tool developed to assess intensity of health care needs of the school-age population. Four school nurses assessed 20 fictitious student records using SHIRS. The SHIRS produced moderate kappa coefficients for more than half of the 15 parameters with 2 additional parameters near the moderate kappa range.
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