Examination of the interrater reliability of a palliative care assessment tool in patients at hospital admission: A pilot study

AndersenA.; TracyM.; NailonR.; GasterS.A.; MooberryR.; MezaJ.

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Examination of the interrater reliability of a palliative care assessment tool in patients at hospital admission: A pilot study

机译：入院患者姑息治疗评估工具间效可靠性的初步研究

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Early identification of palliative care needs in hospitalized patients is essential for clinicians to provide timely and effective interventions at the specific level of palliative care required by the patient and their family. The Center to Advance Palliative Care (CAPC) developed criteria to identify patientsat hospital admission that are appropriate to receive primary palliative care assessment. No study has examined the reliability of CAPC criteria. A retrospective, descriptive, exploratory study design allowed for examination of the interrater reliability of CAPC criteria to identify palliative care needs in patients at hospital admission. Nurse investigators independently reviewed medical records of 100 randomly selected patients admitted to oncology and progressive care units who received palliative care. Interrater reliability was examined with the 0 statistic, along with a 95% confidence interval. The nurse investigators had perfect to substantial agreement for the majority of CAPC criteria. Study findings suggest it is realistic and suitable for nurses to administer and score CAPC criteria at hospital admission. Implementation of an instrument found to have reliability among users to trigger primary palliative care assessment at hospital admission will provide the structure and process needed to ensure consistent identification of patients at risk for having unmet palliative care needs.

机译：尽早确定住院患者的姑息治疗需求对于临床医生在患者及其家人要求的特定姑息治疗水平上提供及时有效的干预至关重要。先进姑息治疗中心（CAPC）制定了标准，以识别入院时适合接受初级姑息治疗评估的患者。没有研究检查CAPC标准的可靠性。回顾性，描述性，探索性研究设计允许检查CAPC标准的间断可靠性，以识别入院患者的姑息治疗需求。护士研究人员独立审查了100例随机选择接受肿瘤科和渐进治疗科接受姑息治疗的患者的病历。使用0统计量和95％置信区间检查了评估者的信度。对于CAPC的大多数标准，护士调查员完全同意。研究结果表明，这是现实的，适合护士在住院时对CAPC标准进行管理和评分。实施一种被认为在用户中具有可靠性的工具，以在入院时触发初级姑息治疗评估，这将提供必要的结构和过程，以确保始终如一地识别处于未满足姑息治疗需求风险的患者。

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《Journal of hospice and palliative nursing: JHPN : the official journal of the Hospice and Palliative Nurses Association》 |2013年第8期|共8页
作者
AndersenA.; TracyM.; NailonR.; GasterS.A.; MooberryR.; MezaJ.;
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正文语种 eng
中图分类护理学;
关键词
CAPC; Interrater reliability; Primary assessment;

机译：CAPC;评估者间的可靠性;初步评估;

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1. Examination of the interrater reliability of a palliative care assessment tool in patients at hospital admission: A pilot study [J] . AndersenA., TracyM., NailonR., Journal of hospice and palliative nursing: JHPN : the official journal of the Hospice and Palliative Nurses Association . 2013,第8期

机译：入院患者姑息治疗评估工具间效可靠性的初步研究
2. How can Patients with Chronic Progressive Non-Oncoiogical Diseases who Might Benefit from Palliative Care be Identified? A Pilot Study Testing the Supportive and Palliative Care Indicators Tool (SPICT) in a Hospital [J] . K. Afshar, G. Muller-Mundt, N. Schneider Zeitschrift fur Palliativmedizin . 2016,第3期

机译：如何确定可能从姑息治疗中受益的慢性进行性非肿瘤性疾病患者？在医院中测试支持和姑息治疗指标工具（SPICT）的初步研究
3. Can Early Introduction of Palliative Care Limit Intensive Care, Emergency and Hospital Admissions in Patients with Severe Chronic Obstructive Pulmonary Disease? A Pilot Randomized Study [J] . Janssens Jean-Paul, Weber Catherine, Herrmann Francois R., Respiration: International Review of Thoracic Diseases . 2019,第5期

机译：早期引入姑息治疗限制密集护理，应急和医院入院患者严重的慢性阻塞性肺病吗？飞行员随机研究
4. Transitional care planning: A pilot study to explore patient, hospital, and primary care perspectives [C] . Kara G. Hall, Huei-Yen Winnie Chen, Sharon Hewner Human Factors and Ergonomics Society Annual Meeting . 2019

机译：过渡性护理计划：探索病人，医院和初级保健观点的试点研究
5. Palliative Care Screening Tool: Impact on Palliative Care Referrals and Hospital Transfers [D] . Zavulunova, Irina. 2021

机译：姑息治疗筛选工具：对姑息治疗的影响转诊和医院转移
6. QOLP-07. A PILOT STUDY TO ASSESS THE INTEGRATION OF A UNIQUE PROQOL TOOL AND EARLY PALLIATIVE CARE INTERVENTION IN THE CARE OF HIGH GRADE GLIOMA PATIENTS AND THEIR CAREGIVERS [O] . Akanksha Sharma, Eric Wolfe, Celina Barrera, 2019

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Examination of the interrater reliability of a palliative care assessment tool in patients at hospital admission: A pilot study

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