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2020
중소병원 간호사의 Braden Scale을 이용한 욕창위험사정 및욕창분류체계의 측정자 간 일치도
The Interrater Agreement for the Assessment of Pressure Ulcer Risk Using the Braden Scale and the Classification of Pressure Ulcers by Nurses in A Medium-Sized Hospital
한국성인간호학회
유성희, 권영란, 안민정 외 1명
논문정보
- Publisher
- 성인간호학회지
- Issue Date
- 2020-02-28
- Keywords
- -
- Citation
- -
- Source
- -
- Journal Title
- -
- Volume
- 32
- Number
- 1
- Start Page
- 35
- End Page
- 45
- DOI
- ISSN
- 12254886
Abstract
Purpose: This methodological study was conducted to evaluate the interrater agreement in pressure ulcer riskassessment using the Braden scale, and in pressure ulcer classification, by nurses in a medium-sized hospital. Methods: Data were collected from a medium-sized hospital, located in Seoul, from December 18, 2017 to February28, 2018. The author (Rater 1) and 20 randomly sampled nurses (Rater 2) independently assessed 100 patients. The Braden scale for risk assessment and the six-stage pressure ulcer classification system were used. Theinterrater agreement was evaluated using the Intraclass Correlation Coefficient (ICC), the proportion of agreement(Po), and the Bland-Altman plots. Results: For the total score on the Braden scale, the ICC was .85 and the Powas .29. Among the scale items, ‘moisture’ had the lowest agreement (ICC=.55, Po=.46). The interrater agreementhad Po values of .84 and .69 for the presence and the classification of pressure ulcers, respectively. Conclusion:For nurses in medium-sized hospitals, interrater agreement for the Braden scale and for the classification ofpressure ulcers should be enhanced. In order to do this, overall institutional support is needed, including trainingin the accurate use of tools for pressure ulcer care.
- 전남대학교
- KCI
- 성인간호학회지
저자 정보
| 이름 | 소속 |
|---|---|
| 유성희 | 간호학과 |
| 권영란 | 간호학과 |
| 안민정 | 간호학과 |