2.50
Hdl Handle:
http://hdl.handle.net/10755/161070
Type:
Presentation
Title:
The Reliability of the NDNQI Pressure Ulcer Indicator: A Triangulation Approach
Abstract:
The Reliability of the NDNQI Pressure Ulcer Indicator: A Triangulation Approach
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2006
Author:Bergquist-Beringer, Sandra, RN, PhD, CWCN
P.I. Institution Name:University of Kansas
Title:Associate Professor
Contact Address:School of Nursing, 3901 Rainbow Blvd, Kansas City, KS, 66160, USA
Contact Telephone:913-588-1609
Co-Authors:Nancy Dunton, PhD, Associate Professor; Byron Gajewski, PhD, Assistant Professor; Susan Klaus, RN, MSN, Research Coordinator; and Sara Hart, RN, PhD, Post Doctoral Fellow
The National Database for Nursing Quality Indicators (NDNQI) was established by the American Nurses Association to monitor outcome indicators in the acute care setting including nosocomial pressure ulcer rates. The purpose of this study was to investigate the reliability of the Pressure Ulcer Indicator among NDNQI hospitals. Specific aims were to: 1) determine the reliability of pressure ulcer staging from bedside evaluation of pressure ulcers, 2) determine the reliability of pressure ulcer staging from web-based photographs, and 3) examine the association between bedside and web-based reliability assessments.

A sample of NDNQI hospitals, selected for size and location, were invited to participate in the study. Individuals within each sampled facility who assess and stage pressure ulcers for the NDNQI quarterly report were asked to classify all prevalent pressure ulcers then complete a web-based, criterion-referenced test on pressure ulcer staging. Up to nine pressure ulcer team members could participate in addition to the agency identified wound care expert. The web-based test contained 17 high quality digital photographs of pressure ulcers for staging. Individual participants were randomized to take one of two test versions. The first test version included a short narrative description of the wound in each pressure ulcer picture. The second test version excluded the wound descriptors and was created to obtain a range of results for assessments from two-dimensional photography.

Demographic characteristics of participating hospitals and individuals will be reported. Cohen's kappa statistics will be used to calculate the reliability of pressure ulcer staging from bedside evaluation of pressure ulcers and the web-based test. Hierarchical linear modeling of hospital and rater characteristics relative to kappa outcomes will be conducted. Intraclass correlation coefficients also will be reported. Findings will provide evidence for the overall quality of the NDNQI pressure ulcer indicator for decision making and accuracy of comparison between participating hospitals. [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.titleThe Reliability of the NDNQI Pressure Ulcer Indicator: A Triangulation Approachen_GB
dc.identifier.urihttp://hdl.handle.net/10755/161070-
dc.description.abstract<table><tr><td colspan="2" class="item-title">The Reliability of the NDNQI Pressure Ulcer Indicator: A Triangulation Approach</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">Bergquist-Beringer, Sandra, RN, PhD, CWCN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Kansas</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Associate Professor</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">School of Nursing, 3901 Rainbow Blvd, Kansas City, KS, 66160, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">913-588-1609</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">sbergquist-beringer@kumc.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Nancy Dunton, PhD, Associate Professor; Byron Gajewski, PhD, Assistant Professor; Susan Klaus, RN, MSN, Research Coordinator; and Sara Hart, RN, PhD, Post Doctoral Fellow</td></tr><tr><td colspan="2" class="item-abstract">The National Database for Nursing Quality Indicators (NDNQI) was established by the American Nurses Association to monitor outcome indicators in the acute care setting including nosocomial pressure ulcer rates. The purpose of this study was to investigate the reliability of the Pressure Ulcer Indicator among NDNQI hospitals. Specific aims were to: 1) determine the reliability of pressure ulcer staging from bedside evaluation of pressure ulcers, 2) determine the reliability of pressure ulcer staging from web-based photographs, and 3) examine the association between bedside and web-based reliability assessments. <br/><br/>A sample of NDNQI hospitals, selected for size and location, were invited to participate in the study. Individuals within each sampled facility who assess and stage pressure ulcers for the NDNQI quarterly report were asked to classify all prevalent pressure ulcers then complete a web-based, criterion-referenced test on pressure ulcer staging. Up to nine pressure ulcer team members could participate in addition to the agency identified wound care expert. The web-based test contained 17 high quality digital photographs of pressure ulcers for staging. Individual participants were randomized to take one of two test versions. The first test version included a short narrative description of the wound in each pressure ulcer picture. The second test version excluded the wound descriptors and was created to obtain a range of results for assessments from two-dimensional photography. <br/><br/>Demographic characteristics of participating hospitals and individuals will be reported. Cohen's kappa statistics will be used to calculate the reliability of pressure ulcer staging from bedside evaluation of pressure ulcers and the web-based test. Hierarchical linear modeling of hospital and rater characteristics relative to kappa outcomes will be conducted. Intraclass correlation coefficients also will be reported. Findings will provide evidence for the overall quality of the NDNQI pressure ulcer indicator for decision making and accuracy of comparison between participating hospitals. [Poster Presentation]</td></tr></table>en_GB
dc.date.available2011-10-26T23:15:25Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T23:15:25Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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