Psychometrics of Halpin Nausea and Vomiting Scales for Use in Clinical Practice

2.50
Hdl Handle:
http://hdl.handle.net/10755/303804
Category:
Full-text
Type:
Presentation
Title:
Psychometrics of Halpin Nausea and Vomiting Scales for Use in Clinical Practice
Author(s):
Halpin, Angela P.; Huckabay, Loucine M.
Lead Author STTI Affiliation:
Gamma Tau
Author Details:
Angela P. Halpin, RN, MN, CNS, angela.halpin@ucla.edu; Loucine M. Huckabay, PhD, PNP, RN, FAAN;
Abstract:

Session presented on:Tuesday, July 23, 2013

Purpose: 'To'communicate psychometric properties of the new 0-5 Halpin Nausea and Vomiting (HNV) scales with descriptors, so learners can'use'scales in clinical practice.'

Methods: A'methodological design was applied to establish psychometrics of HNV scales using three groups of patients, N = 163.' Group I was admitted with a diagnosis of NV, n=54.' Group II consisted of cancer patients'scheduled for chemotherapy, n=52.' Group III was a control group with medical-surgical diagnoses and no expected NV, n=57.'''

Results: HNV scales had a high inter-rater reliability (Kappa test=.851, p<.001). Concurrent validity was established between the HNV scales and Morrow's worst nausea ratings, significant'(r=.318, p=.03). HNV was found to measure fine differences between and within groups, establishing sensitivity.

Chi square tests were non-significant for ethnicity, gender, coronary artery disease, hypertension, diabetes, congestive heart failure, other medical surgical diagnosis and risk for PONV.' Group I had more nausea patients (X2=63.94, p<.001) and higher degree of the diagnosis of pancreatitis (X2=8.72, p=.01).' Group II had more cancer (X2=76.00, p<.001), and chemo patients (X2=93.06, p<.001).' In terms of age, one way analysis of variance indicated that the groups are significantly different (F=6.12, p=.003).' Scheffe's test indicates that group I (the NV group) were significantly younger (p<.05) than the control and the cancer group.' Group II and III were homogenous with no significantly difference in age.

Conclusion: Accurate assessment of NV with valid and reliable scales can lead to more accurate and timely treatment.' Alleviation of patient's discomfort is improved by scales with'descriptors because the specific patient response has an individual measurement.' Patients can rank and use the descriptors to communicate their symptom severity. Knowing the intensity of NV predictors in surgical and chemotherapy patients supports use of HNV scales to promote symptom management and improves quality of life.

Keywords:
Nausea; Vomiting; Psychometrics
Repository Posting Date:
22-Oct-2013
Date of Publication:
22-Oct-2013 ; 22-Oct-2013
Conference Date:
2013
Conference Name:
24th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Prague, Czech Republic
Description:
24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.language.isoenen
dc.type.categoryFull-texten
dc.typePresentationen
dc.titlePsychometrics of Halpin Nausea and Vomiting Scales for Use in Clinical Practiceen
dc.contributor.authorHalpin, Angela P.en
dc.contributor.authorHuckabay, Loucine M.en
dc.contributor.departmentGamma Tauen
dc.author.detailsAngela P. Halpin, RN, MN, CNS, angela.halpin@ucla.edu; Loucine M. Huckabay, PhD, PNP, RN, FAAN;en
dc.identifier.urihttp://hdl.handle.net/10755/303804-
dc.description.abstract<p>Session presented on:Tuesday, July 23, 2013</p><b>Purpose: </b>'To'communicate psychometric properties of the new 0-5 Halpin Nausea and Vomiting (HNV) scales with descriptors, so learners can'use'scales in clinical practice.' <p><b>Methods: </b>A'methodological design was applied to establish psychometrics of HNV scales using three groups of patients, N = 163.' Group I was admitted with a diagnosis of NV, n=54.' Group II consisted of cancer patients'scheduled for chemotherapy, n=52.' Group III was a control group with medical-surgical diagnoses and no expected NV, n=57.''' <p><b>Results: </b>HNV scales had a high inter-rater reliability (Kappa test=.851, p<.001). Concurrent validity was established between the HNV scales and Morrow's worst nausea ratings, significant'(r=.318, p=.03). HNV was found to measure fine differences between and within groups, establishing sensitivity. <p>Chi square tests were non-significant for ethnicity, gender, coronary artery disease, hypertension, diabetes, congestive heart failure, other medical surgical diagnosis and risk for PONV.' Group I had more nausea patients (X<sup>2</sup>=63.94, p<.001) and higher degree of the diagnosis of pancreatitis (X<sup>2</sup>=8.72, p=.01).' Group II had more cancer (X<sup>2</sup>=76.00, p<.001), and chemo patients (X<sup>2</sup>=93.06, p<.001).' In terms of age, one way analysis of variance indicated that the groups are significantly different (F=6.12, p=.003).' Scheffe's test indicates that group I (the NV group) were significantly younger (p<.05) than the control and the cancer group.' Group II and III were homogenous with no significantly difference in age. <p><b>Conclusion: </b>Accurate assessment of NV with valid and reliable scales can lead to more accurate and timely treatment.' Alleviation of patient's discomfort is improved by scales with'descriptors because the specific patient response has an individual measurement.' Patients can rank and use the descriptors to communicate their symptom severity. Knowing the intensity of NV predictors in surgical and chemotherapy patients supports use of HNV scales to promote symptom management and improves quality of life.en
dc.subjectNauseaen
dc.subjectVomitingen
dc.subjectPsychometricsen
dc.date.available2013-10-22T20:23:27Z-
dc.date.issued2013-10-22-
dc.date.issued2013-10-22en
dc.date.accessioned2013-10-22T20:23:27Z-
dc.conference.date2013en
dc.conference.name24th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationPrague, Czech Republicen
dc.description24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.en
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