SIRA + P: Development and Testing
| Autor: | Michele Fix, Kristina L. Foster, Janis B. Smith, Adrienne Olney, Ashley K. Sherman, Lacey D. Bergerhofer |
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| Rok vydání: | 2017 |
| Předmět: |
Male
medicine.medical_specialty Adolescent Clinical Decision-Making Concurrent validity Nursing assessment Risk Assessment Severity of Illness Index Pediatrics Cohort Studies 030207 dermatology & venereal diseases 03 medical and health sciences Age Distribution 0302 clinical medicine Intensive care Severity of illness Humans Medicine 030212 general & internal medicine Sex Distribution Child Physical Examination Nursing Assessment Retrospective Studies Skin Observer Variation Pressure Ulcer business.industry Incidence Infant Newborn Infant Reproducibility of Results Retrospective cohort study Hospitals Pediatric Prognosis Skin Care Pediatric Nursing Inter-rater reliability Child Preschool Physical therapy Female business Risk assessment Child Hospitalized Cohort study |
| Zdroj: | Journal of Pediatric Nursing. 34:65-71 |
| ISSN: | 0882-5963 |
| DOI: | 10.1016/j.pedn.2016.12.019 |
| Popis: | To describe the development of a new skin risk assessment scale called Skin Injury Risk Assessment and Prevention (SIRA+P) and to establish initial reliability and validity of the scale among patients ranging in age from birth, including pre-term, to adulthood, regardless of age or acuity of illness.The single-site study was a retrospective chart review to evaluate the measurement properties of SIRA+P. Charts of 385 patients of all ages and in all units (including the neonatal and pediatric intensive care units) of a free-standing children's hospital were included. Concurrent validity was assessed with scales having previously established reliability and validity. For subjects30days of age, the comparison scale was the Neonatal Skin Risk Assessment Scale (NSRAS); for subjects 31days through 17years, the Braden Q Scale (Braden Q) was used; and for subjects 18years and older, the Braden Scale (Braden) was used. Interrater reliability was examined using Intraclass Correlation Coefficients (ICC). Concurrent validity procedures compared SIRA+P with NSRAS, Braden Q, and Braden using Pearson Correlation Coefficients.Interrater reliability for SIRA+P was very high (0.878). SIRA+P strongly correlated with the NSRAS (0.725), the Braden Q (-0.634), and the Braden (-0.778).SIRA+P is designed to be used within the EHR and includes nursing decision support to guide pressure injury prevention interventions for specific skin integrity risks. SIRA+P has good interrater reliability, is valid across all age groups and accounts for device-related pressure. |
| Databáze: | OpenAIRE |
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