Evaluation of a home health patient classification instrument.

Anderson KL; Rokosky JS

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Evaluation of a home health patient classification instrument.

机译：评估家庭健康患者分类工具。

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The purpose of this study was to assess reliability and validity of the Revised Easley-Storfjell Patient Classification Instrument (R-ESPCI). Content validity was assessed by expert home health nurses. Interrater reliability was assessed by staff nurse ratings of patients on home visits (N = 34) and by chart review by the investigators (N = 30). Concurrent validity was also assessed. Percentage agreement for staff nurses was 36% (kappa = -.15) and 52% (kappa = .04) in two phases and for investigators 90% (kappa = .63) and 50% (kappa = .02) in two phases. Minimal support for concurrent validity was found. Content validity was established, but revised reimbursement policy eliminated less acutely ill patients, narrowing the acuity range. More discrete rating criteria or scoring changes may be needed, followed by further assessment of the R-ESPCI. Agency stability and adequate resources for staff training are required for additional testing of the instrument.

机译：这项研究的目的是评估经修订的Easley-Storfjell患者分类工具（R-ESPCI）的可靠性和有效性。内容的有效性由专业的家庭保健护士评估。评估者之间的信度通过工作人员对家访患者的护士评估（N = 34）和调查人员的图表审查（N = 30）进行评估。同时评估了有效性。在两个阶段中，护士的百分比协议分别为36％（kappa = -.15）和52％（kappa = .04），对于研究人员，两个阶段的百分比协议分别为90％（kappa = .63）和50％（kappa = .02）。发现对并发有效性的最小支持。建立了内容有效性，但修订的报销政策消除了重症患者，减轻了病患的视力范围。可能需要更多离散的评分标准或评分更改，然后进一步评估R-ESPCI。对该仪器进行额外测试需要机构稳定性和足够的人员培训资源。

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《Western journal of nursing research》 |2001年第1期|共16页
作者
Anderson KL; Rokosky JS;
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正文语种 eng
中图分类护理学;
关键词
Community Health Nursing; Home Care Services; Nursing Assessment; Patients; 社区保健护理; 家庭医疗保健服务; 护理估计; 病人; 疾病严重程度指数;

机译：Community Health Nursing;Home Care Services;Nursing Assessment;Patients;社区保健护理;家庭医疗保健服务;护理估计;病人;疾病严重程度指数;

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Evaluation of a home health patient classification instrument.

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