Instrument for classifying dependency in neonatal intensive care: analysis of agreement and reliability.

Autor:	Lopes PMB; Pontifícia Universidade Católica do Paraná, Curitiba, Paraná, PR, Brazil., Torres FBG; Pontifícia Universidade Católica do Paraná, Curitiba, Paraná, PR, Brazil., Massaneiro TJ; Pontifícia Universidade Católica do Paraná, Curitiba, Paraná, PR, Brazil., Hino AA; Pontifícia Universidade Católica do Paraná, Escola de Medicina, Curitiba, Paraná, PR, Brazil., Carmona EV; Universidade Estadual de Campinas, Faculdade de Enfermagem, Campinas, São Paulo, SP, Brazil., Cubas MR; Pontifícia Universidade Católica do Paraná, Curitiba, Paraná, PR, Brazil.
Jazyk:	English; Portuguese; Spanish; Castilian
Zdroj:	Revista latino-americana de enfermagem [Rev Lat Am Enfermagem] 2024 Aug 30; Vol. 32, pp. e4272. Date of Electronic Publication: 2024 Aug 30 (Print Publication: 2024).
DOI:	10.1590/1518-8345.6922.4272
Abstrakt:	Objective: to analyze the reliability of the items that compose the instrument for classifying newborns according to the degree of dependence on nursing care in a neonatal intensive care unit. Method: methodological study that analyzed the agreement and reliability of the instrument in a neonatal intensive care unit. Six care nurses and a research nurse assessed 35 newborns and completed the instrument, which was made up of 15 areas of care. The weighted Kappa coefficient and the Intraclass Correlation Coefficient were used for analysis. Results: the areas of: weight (92%), oxygenation (93%) and catheter control (95%) had almost perfect agreement and the area of reaction to stimuli (50%) had poor agreement. The areas of elimination and vital signs showed low reliability, due to the low variability of responses. The Intraclass Correlation Coefficient was 0.94. Conclusion: there are variations in the evaluations of some areas of care due to the imprecise description of items to which scores are assigned, however the instrument is reliable for categorizing the type of care (minimal, intermediate and intensive). Its use can contribute to measuring the quality and safety of newborn care.
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu