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KMID : 1033320120020020062
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Global Health & Nursing
2012 Volume.2 No. 2 p.62 ~ p.69
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Interrater Agreement Study of the Neonatal/Infant Braden Q Scale in a Neonatal Intensive Care Unit (NICU)
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Kim Kyoung-Ran
Park Soon-Mi
Lee Sang-Hee
Song Jeong-Hwa
Kim Myung-Hee
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Abstract
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Purpose: This study is a descriptive research to measure the interrater agreement of Neonatal/Infant Braden Q Scale ratings and its subscale assessed by nurses working in NICU.
Methods: The subject were 169 patients and 3 nurses at NICU of Children’s Hospital of P National University in Yangsan city during December, 2011 to February, 2012. The data were analyzed by intraclass correlation coefficient (ICC), and its confidence interval (CI).
Results: Overall interrater agreement of Braden Q Scale with ICC was .889 (95% CI: 0.85~0.92). For agreement of the Rater123 on subscale, general physical condition, nutrition, tissue perfusion and oxygenation showed very high with over .80 and mobility and activity showed high with over .60. Sensory perception and friction-shear showed low with over .40. There was no significance of agreement for moisture since nurses confirmed to give 1 point for all patients who are wearing diapers.
Conclusion: In order to use the scale for assessing pressure ulcer risk in NICU, efforts to increase agreement between nurses are required by conducting an education to assess subjective contents of each subscale.
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KEYWORD
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Agreement, Pressure ulcer, Risk assessment
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