Kontakt 2021, 23(1):20-24 | DOI: 10.32725/kont.2021.002

Inter-rater reliability of delirium measuring instruments in patients with locomotive apparatus traumaNursing - Original article

Blažena Ševčíková1,*, Hana Matějovská Kubešová1, Lenka Šáteková2, Elena Gurková2
1 University of Ostrava, Faculty of Medicine, Department of Nursing and Midwifery, Ostrava, Czech Republic
2 Palacký University Olomouc, Faculty of Health Sciences, Department of Nursing, Olomouc, Czech Republic

Objective: Determine the results for inter-rater reliability for items in two delirium screening measuring instruments (Delirium Observation Scale, Nursing Delirium Screening Scale).

Design: Prospective comparative study of measuring instruments.

Methods: Data were collected between August 2018 and August 2019 at the Trauma Clinic, Teaching Hospital, Olomouc, Czech Republic. Study sample included 50 patients with locomotive apparatus trauma, assessed by two raters - general nurses. To assess the inter-rater reliability the study used Cohen's kappa (κ) method.

Results: For the Delirium Observation Scale, the agreement between the two raters for two of the items was 98% (κ = 0.790); for all other items the agreement was 100% (κ = 1.0). The percentage rate of agreement between both raters using the Nursing Delirium Screening Scale was 100% (κ = 1.0) for all five items.

Conclusions: For both screening measuring instruments a high level of reliability has been established. Nevertheless, the highest agreement between the raters has been achieved for the Nursing Delirium Screening Scale. The recommendation is to further test the screening delirium measuring instruments in a Czech clinical setting.

Keywords: Delirium; Inter-rater reliability; Measuring instrument; Nurse; Screening

Received: November 2, 2020; Revised: January 8, 2021; Accepted: January 12, 2021; Prepublished online: February 1, 2021; Published: March 3, 2021  Show citation

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Ševčíková B, Matějovská Kubešová H, Šáteková L, Gurková E. Inter-rater reliability of delirium measuring instruments in patients with locomotive apparatus trauma. Kontakt. 2021;23(1):20-24. doi: 10.32725/kont.2021.002.
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