Reliability of nursing assistans` observations of functioning and clinical symptoms and signs : reliability of assistans`observations...
Anette Hylen Ranhoff
Bok Engelsk 1997
| Utgitt | 1997
|
|---|---|
| Omfang | 13 s.+ vedl.
|
| Opplysninger | Abstract: Simple methods for the early detection of function loss and disease in the elderly have been called upon. Such methods might be used by non-professional personael as case-finding tools for early intervention. Objective - To assess the reliability of functional and clinical data collected by non-professional nursing assistants. Subjects - Sixty elderly short-stay patients in a stable clinical situation, admitted for rehabilitation and relief in a nursing home. Methods - Scorings of Barthel ADL index items and clinical symptoms and signs were made by nursing assistants and nurses (the refernce method). Agreement of scoring was assessed by Cohen`s kappa statistics and test of marginal homogenity. Results - All the Barthel items and the clinical symptoms and signs had fair or better agreement (weighted kappa >0.40). For dressing, chair-to bed transfer, ambulation, bathing, paresis and oedema the agreement was strong (weighted kappa>0.75). The reliability of the Barthel sumscores was also acceptable. Conclusion - Observation of functioning and clinical symptoms and signs by non-professional nursing assistants is reliable.
|
| Emner |
