2.50
Hdl Handle:
http://hdl.handle.net/10755/159038
Type:
Presentation
Title:
Inter-rater Reliability of Assessment for Neonatal Abstinence Syndrome
Abstract:
Inter-rater Reliability of Assessment for Neonatal Abstinence Syndrome
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2006
Author:Keller, Vicki, PhD, RN
P.I. Institution Name:Ball State University
Title:Assistant Professor
Contact Address:School of Nursing, 3400 Tillotson Ave., Muncie, IN, 47306-0265, USA
Contact Telephone:765-285-5569
Overview: Neonatal Abstinence Syndrome (NAS) is a term used to describe the complex of withdrawal symptoms that occur in infants of narcotic-addicted mothers. Lipsitz described a system for assessing infants' withdrawal symptoms and assigning them a numeric score. Signs assessed include tremors, irritability, reflexes, stools, muscle tone, skin abrasions, respiratory rate, repetitive sneezing, repetitive yawning, vomiting, and fever. This system is currently used clinically to assess infants and to guide treatment decisions. The original study appraised the validity of the scoring system but did not address reliability. No evidence has been presented, either in the initial report or subsequent publications, of the reliability of the instrument when used clinically by multiple observers. Purpose: The purpose of this study is to assess the inter-rater reliability of the Lipsitz scoring system when used clinically to assess for symptoms of neonatal abstinence syndrome. Theoretical Base: According to the Model of Symptom Management for Young Children, symptoms in preverbal and early verbal children can be assessed by the use of observable indicators. These include distress, physiological alterations, and alterations in affect and behaviors. Use of the Lipsitz scoring system is consistent with the principles of using observable indicators to assess symptoms and utilizing these findings in managing symptoms. Method: Infants will be assessed using the Lipsitz scale by two data collectors simultaneously but independently. Data collection will begin in the fall of 2005. Analysis: Statistical analysis will include percent agreement for the total score and for each item on the scale. The Kappa statistic will be calculated for each item on the scale. Results: Initial findings will be reported in this poster presentation. [Poster Presentation]
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.titleInter-rater Reliability of Assessment for Neonatal Abstinence Syndromeen_GB
dc.identifier.urihttp://hdl.handle.net/10755/159038-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Inter-rater Reliability of Assessment for Neonatal Abstinence Syndrome</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">2006</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Keller, Vicki, PhD, RN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Ball State University</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Assistant Professor</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">School of Nursing, 3400 Tillotson Ave., Muncie, IN, 47306-0265, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">765-285-5569</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">vekeller@bsu.edu</td></tr><tr><td colspan="2" class="item-abstract">Overview: Neonatal Abstinence Syndrome (NAS) is a term used to describe the complex of withdrawal symptoms that occur in infants of narcotic-addicted mothers. Lipsitz described a system for assessing infants' withdrawal symptoms and assigning them a numeric score. Signs assessed include tremors, irritability, reflexes, stools, muscle tone, skin abrasions, respiratory rate, repetitive sneezing, repetitive yawning, vomiting, and fever. This system is currently used clinically to assess infants and to guide treatment decisions. The original study appraised the validity of the scoring system but did not address reliability. No evidence has been presented, either in the initial report or subsequent publications, of the reliability of the instrument when used clinically by multiple observers. Purpose: The purpose of this study is to assess the inter-rater reliability of the Lipsitz scoring system when used clinically to assess for symptoms of neonatal abstinence syndrome. Theoretical Base: According to the Model of Symptom Management for Young Children, symptoms in preverbal and early verbal children can be assessed by the use of observable indicators. These include distress, physiological alterations, and alterations in affect and behaviors. Use of the Lipsitz scoring system is consistent with the principles of using observable indicators to assess symptoms and utilizing these findings in managing symptoms. Method: Infants will be assessed using the Lipsitz scale by two data collectors simultaneously but independently. Data collection will begin in the fall of 2005. Analysis: Statistical analysis will include percent agreement for the total score and for each item on the scale. The Kappa statistic will be calculated for each item on the scale. Results: Initial findings will be reported in this poster presentation. [Poster Presentation]</td></tr></table>en_GB
dc.date.available2011-10-26T21:38:33Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T21:38:33Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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