Avaliando a confiabilidade interavaliadores de um instrumento para classificação de pacientes: coeficiente Kappa

Perroca, Márcia Galan; Gaidzinski, Raquel Rapone

doi:10.1590/s0080-62342003000100009

Cited by 54 publications

(46 citation statements)

References 11 publications

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“…In the category PPE, the tests performed with the instruments to assess validity and reliability were included in various specialties (n=8): Pediatrics (n=3), Psychiatry (n=2) and Neonatology (n=1) ( Table 1). Inter-rater reliability (8,10,(17)(18)(19)(20) Kappa Coefficient (8,10,(18)(19)(20) Pearson Correlation (17,20) Between nurses (17)(18) Nurses, technician and physician versus Pediatrics PCI (19) Perroca (original) (17)(18) Psychiatry (10) Pediatrics (8,19) Perroca (new version) 20 K = 0.68-0.90 (18) ; 0.17 -0.76 (10) ; 0.69-0.84 (19) ; 0.41-0.74 and ≥ 0.75 (8) r = 0.87-0.95 (17) α = 0.87; CCI= 0.89-0.90 (20) Internal reliability and users' opinions (21) Cronbach' alpha (21) Spearman Correlation (21) Perroca original (21) α= 0.94 ; rs = 0.08 to 0.87 (21) Satisfied users; tendency to underestimate the care category (21) . Content validity (2,(7)(8)(9)22) Delphi technic (2,(7)(8)(9)22) Agreement level ≥ 70% (2,(7)…”

Section: Methodsmentioning

confidence: 99%

“…The researchers used diverse tests to prove reliability and validity of the instruments: inter-rater reliability (8,10,(17)(18)(19)(20) , predictive ability (6,20) , users' opinion (21) , content validity (2,(7)(8)(9)22) and construct validity (10,(20)(21)23) . The original PCI and its new version were the most subjected to a validation process (2,6,(20)(21)(23)(24) .…”

Section: Lilacs N=808 (Elegible N=20)mentioning

confidence: 99%

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Use of patients’ classification instruments: analysis of the brazilian production of knowledge

Abreu

Pompeo

Perroca

2014

Rev. esc. enferm. USP

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Objective: To analyze the production of scientific knowledge about the use of patients' classification instruments in care and management practice in Brazil. Methods: Integrative literature review with databases search in: Latin American and Caribbean Literature on Health Sciences (LILACS), Medical Literature Analysis and Retrieval System on-line (MEDLINE), Cumulative Index to Nursing and Allied Health Literature (CINAHL) and SCOPUS, between January 2002 through December 2013. Results: 1,194 studies were found, 31 met the inclusion criteria. We observed a higher number of studies in the category care plans and workload (n=15), followed by the category evaluation of psychometric properties (n=14). Conclusion: Brazilian knowledge production has not yet investigated some purposes of using instruments for classifying patients in professional nursing practice. The identification of unexplored areas can guide future research on the topic.

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Section: Methodsmentioning

confidence: 99%

Section: Lilacs N=808 (Elegible N=20)mentioning

confidence: 99%

Use of patients’ classification instruments: analysis of the brazilian production of knowledge

Abreu

Pompeo

Perroca

2014

Rev. esc. enferm. USP

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“…The classification of concordance was made according to the suggestion by Altman (1991) and according to the Kappa value: < 0.20 (very low), 0.21-0.40 (low), 0.41-0.60 (moderate), 0.61-0.80 (good) and 0.81-1.00 (very good), as cited by Perroca and Gaidzinski (2003 Wells et al (1995Wells et al ( , 1997, the protocol for prophylaxis of deep venous thrombosis from the SBACV cited by Maffei et al (2005) and the predictive method of this study. Table 1 below shows each risk factor related to the thrombotic event probability used in the predictive method as well as the references from the literature used.…”

Section: Sample Selectionmentioning

confidence: 99%

A novel method for predicting the risk of thrombosis and thromboembolism

Leite

Marques

2014

Rev. Bras. Eng. Bioméd.

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Introduction: Thrombosis is a complex disease that is often silent and is characterized by thrombus formation within the blood vessel. It can lead to a venous obstruction in the body, severe sequelae and even death. Thrombus formation occurs when there is reduced blood flow and/or the release of procoagulant substances caused by external factors. In Brazil, the data on this pathology are still underestimated, and its incidence is approximately 0.8 cases/1000 inhabitants per year according to the literature. The aim of this study was to develop and validate a predictive method for the risk of thrombosis or thromboembolism according to various risk factors. Methods: This is an observational and retrospective study based on a convenience sample of records. It was approved by the Institutional Review Board (IRB) of the University Mogi das Cruzes and the Heart Hospital of the São Paulo. The sample was classified according to the risk, and the assessment of concordance was performed by determining the Kappa coefficient and accuracy. Results: Of the observed patients, 23 (46%) were women, and 86% were over 45 years old. The mean age of the patients was 60.8 years. Forty-eight percent of the patients underwent surgery for more than 30 minutes. In this study, the method categorized 29 (58%) patients as moderate risk, 10 as low risk and 11 as high risk. Two cases of thrombotic disease were sufficient for validation. Conclusion: The use of this software as a predictive method was feasible, providing fast filling, immediate scoring, flexibility and an upgrade over previous systems. The software will not substitute for diagnosis, which is a medical competence, but it may help as a warning of risk.

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“…Ao longo de anos, o dimensionamento de pessoal de enfermagem tem sido foco, por parte de enfermeiros e administradores de serviços de saúde, por interferir diretamente na eficácia, na qualidade e no custo da assistência à saúde (6) . O modelo para a realização do dimensionamento do pessoal de enfermagem deve considerar como uma das variáveis intervenientes, a complexidade assistencial, identificada por meio da utilização de um instrumento de classificação de pacientes (7) , que estabelece o seu grau de dependência em relação à equipe de enfermagem.…”

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Caracterização do perfil assistencial dos pacientes adultos de um pronto socorro

Ohara

Melo²,

Laüs³

2010

Rev. Bras. Enferm.

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Foi desenvolvida uma pesquisa exploratória, método estudo de caso, objetivando caracterizar o perfil assistencial dos pacientes adultos internados no pronto-socorro clínico e cirúrgico de um hospital geral público no município de São Paulo como subsídio para o dimensionamento da equipe de enfermagem. Os sujeitos foram pacientes internados durante um período de trinta dias. Os dados foram coletados por meio da aplicação do instrumento de classificação de pacientes de Fugulin. O presente estudo permitiu verificar pacientes na categoria de cuidados intensivos, semi-intensivos, alta dependência, intermediária e mínima e taxa de ocupação de leitos acima da previsão oficial tornando a planta física inadequada para pacientes e profissionais, reflexo da falta de um serviço de regulação.

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Avaliando a confiabilidade interavaliadores de um instrumento para classificação de pacientes: coeficiente Kappa

Abstract: RESUMO

Cited by 54 publications

References 11 publications

Use of patients’ classification instruments: analysis of the brazilian production of knowledge

Use of patients’ classification instruments: analysis of the brazilian production of knowledge

A novel method for predicting the risk of thrombosis and thromboembolism

Caracterização do perfil assistencial dos pacientes adultos de um pronto socorro

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