Using Written Scenarios, Do Experienced Nurses Agree on the Triage Scores of Emergency Patients?

2.50
Hdl Handle:
http://hdl.handle.net/10755/162173
Category:
Abstract
Type:
Presentation
Title:
Using Written Scenarios, Do Experienced Nurses Agree on the Triage Scores of Emergency Patients?
Author(s):
Dallaire, Clemence; Poitras, Julien; Aubin, Karine
Author Details:
Clemence Dallaire, PhD, Professeure Agregee, Universite Laval, Quebec, Quebec, Canada, email: clemence.dallaire@fsi.ulaval.ca; Julien Poitras; Karine Aubin
Abstract:
Objectives: To measure the interrater agreement between experienced nurses triaging written case scenarios abstracting the presentation of Emergency Department (ED) patients. Methods: We used a prospective study design where five experienced ED nurses blindly assigned a CTAS score to triage scenarios. The agreement among nurses was measured using the Kappa statistic calculated with quadratic weights. Kappa were generated for each pair of nurses and a global Kappa was calculated to measure overall agreement. Results: Among five experienced nurses triaging 100 scenarios, overall interrater agreement was moderate with a global Kappa of 0.44 (CI 95% 0.40/0.48). However, pairwise Kappa were heterogeneous (p = 0.0013). Measured Kappa on paired nurses varied between 0.30 and 0.61. Conclusion: The moderate agreement observed in this study raises questions about the way the scale is applied and how its utilization by nurses evolves through years of practice.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2009
Conference Name:
CASN Nursing Research Conference
Conference Host:
Canadian Association of Schools of Nursing
Conference Location:
Moncton, New Brunswick, Canada
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleUsing Written Scenarios, Do Experienced Nurses Agree on the Triage Scores of Emergency Patients?en_GB
dc.contributor.authorDallaire, Clemenceen_US
dc.contributor.authorPoitras, Julienen_US
dc.contributor.authorAubin, Karineen_US
dc.author.detailsClemence Dallaire, PhD, Professeure Agregee, Universite Laval, Quebec, Quebec, Canada, email: clemence.dallaire@fsi.ulaval.ca; Julien Poitras; Karine Aubinen_US
dc.identifier.urihttp://hdl.handle.net/10755/162173-
dc.description.abstractObjectives: To measure the interrater agreement between experienced nurses triaging written case scenarios abstracting the presentation of Emergency Department (ED) patients. Methods: We used a prospective study design where five experienced ED nurses blindly assigned a CTAS score to triage scenarios. The agreement among nurses was measured using the Kappa statistic calculated with quadratic weights. Kappa were generated for each pair of nurses and a global Kappa was calculated to measure overall agreement. Results: Among five experienced nurses triaging 100 scenarios, overall interrater agreement was moderate with a global Kappa of 0.44 (CI 95% 0.40/0.48). However, pairwise Kappa were heterogeneous (p = 0.0013). Measured Kappa on paired nurses varied between 0.30 and 0.61. Conclusion: The moderate agreement observed in this study raises questions about the way the scale is applied and how its utilization by nurses evolves through years of practice.en_GB
dc.date.available2011-10-27T09:58:14Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T09:58:14Z-
dc.conference.date2009-
dc.conference.nameCASN Nursing Research Conferenceen_US
dc.conference.hostCanadian Association of Schools of Nursingen_US
dc.conference.locationMoncton, New Brunswick, Canadaen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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