2.50
Hdl Handle:
http://hdl.handle.net/10755/158983
Type:
Presentation
Title:
Newborn Scale of Sepsis (SOS): Instrument Development and Testing
Abstract:
Newborn Scale of Sepsis (SOS): Instrument Development and Testing
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2007
Author:Rubarth, Lori, PhD
P.I. Institution Name:Creighton University
Contact Address:School of Nursing, Omaha, NE, 68130, USA
Sepsis is a devastating, life-threatening disease and a major problem for many newborns; it develops rapidly and requires expertise to identify the early, subtle signs to prevent death or disability. The Newborn Scale of Sepsis (SOS) was developed to aid nurses with the interpretation of clinical signs and intuition about newborn sepsis. The instrument scores clinical observations and laboratory data. Nurses experienced in the assessment and diagnosis of neonatal sepsis are able to discern early-onset sepsis. The purpose of this research was to test the psychometric properties of the Newborn Scale of Sepsis (SOS) as a diagnostic or assessment tool. The conceptual framework for assessment of newborn sepsis was based on Rogers' Science of Unitary Human Beings (1980, 1992) conceptual system and the developmental perspective of human-environment patterning. Knowledge about patterns and their manifestations are known to be acquired through the assessment of human indicators. The human indicators are those seen as the signs or markers of sepsis in the newborn. This study employed a prospective, correlational design with a convenience sample of 62 newborns. The 13-item Newborn Scale of Sepsis (SOS) was completed on infants admitted to the Neonatal Intensive Care Unit (NICU) or transition nursery with signs of sepsis. Descriptive, psychometric, and correlational analyses were applied to the research questions. Psychometric properties of the Newborn SOS indicated that, while its sensitivity was very good (93%), its low specificity (47%) limited its usefulness as a diagnostic tool. Its internal consistency was slightly low for a new instrument (alpha = .65), yet its interrater reliability was 96.3%. It was concluded that the Newborn SOS can be used to assist novice nurses in developing pattern recognition of newborn sepsis. Therefore, the Newborn SOS can be used as an assessment tool rather than a diagnostic tool.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Midwest Nursing Research Society

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleNewborn Scale of Sepsis (SOS): Instrument Development and Testingen_GB
dc.identifier.urihttp://hdl.handle.net/10755/158983-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Newborn Scale of Sepsis (SOS): Instrument Development and Testing</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Midwest Nursing Research Society</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2007</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Rubarth, Lori, PhD</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Creighton University</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">School of Nursing, Omaha, NE, 68130, USA</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">lorirubarth@creighton.edu</td></tr><tr><td colspan="2" class="item-abstract">Sepsis is a devastating, life-threatening disease and a major problem for many newborns; it develops rapidly and requires expertise to identify the early, subtle signs to prevent death or disability. The Newborn Scale of Sepsis (SOS) was developed to aid nurses with the interpretation of clinical signs and intuition about newborn sepsis. The instrument scores clinical observations and laboratory data. Nurses experienced in the assessment and diagnosis of neonatal sepsis are able to discern early-onset sepsis. The purpose of this research was to test the psychometric properties of the Newborn Scale of Sepsis (SOS) as a diagnostic or assessment tool. The conceptual framework for assessment of newborn sepsis was based on Rogers' Science of Unitary Human Beings (1980, 1992) conceptual system and the developmental perspective of human-environment patterning. Knowledge about patterns and their manifestations are known to be acquired through the assessment of human indicators. The human indicators are those seen as the signs or markers of sepsis in the newborn. This study employed a prospective, correlational design with a convenience sample of 62 newborns. The 13-item Newborn Scale of Sepsis (SOS) was completed on infants admitted to the Neonatal Intensive Care Unit (NICU) or transition nursery with signs of sepsis. Descriptive, psychometric, and correlational analyses were applied to the research questions. Psychometric properties of the Newborn SOS indicated that, while its sensitivity was very good (93%), its low specificity (47%) limited its usefulness as a diagnostic tool. Its internal consistency was slightly low for a new instrument (alpha = .65), yet its interrater reliability was 96.3%. It was concluded that the Newborn SOS can be used to assist novice nurses in developing pattern recognition of newborn sepsis. Therefore, the Newborn SOS can be used as an assessment tool rather than a diagnostic tool.</td></tr></table>en_GB
dc.date.available2011-10-26T21:35:18Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T21:35:18Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.