Care protocols with risk classification in pediatrics: inter-observer reliability

To analyze the inter-observer reliability of the second edition of the Care protocols with risk classification in pediatrics, in the clinical practice of urgent/emergency care. Methodological study, developed through assessment of the inter-observer reliability of two Trained Inter-observers Triage...

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Bibliographic Details
Published in:Acta paulista de enfermagem 2017-05, Vol.30 (3), p.262
Main Authors: Magalhães, Fernanda Jorge, Lima, Francisca Elisângela Teixeira, Almeida, Paulo César, Ximenes, Lorena Barbosa, Chaves, Caroline Magna Pessoa
Format: Article
Language:English
Subjects:
Classification
Clinical decision making
Clinical medicine
Data processing
Decision making
Emergency medical care
Emergency medical services
Health care
Medical personnel
Nurses
Pediatrics
Physicians
Researchers
Studies
Teenagers
Validity
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Summary:To analyze the inter-observer reliability of the second edition of the Care protocols with risk classification in pediatrics, in the clinical practice of urgent/emergency care. Methodological study, developed through assessment of the inter-observer reliability of two Trained Inter-observers Triage Nurses (TITN) and two Untrained ITNs (UITN) with the researcher, with a total of 400 classifications. Data was analyzed using the Kappa Coefficient, with a 95% Confidence Interval (CI). A total of 80.0% of patients were classified as standard(green-50.7%) and non-urgent (blue-29.3%); substantial and "almost perfect" agreement between the nurses and the researcher (Kappa between 0.62 and 1.0) was found. "Almost perfect" agreement was found between TITN-2 and the researcher (Kappa 1.0), UITN-2 and the researcher (Kappa 0.877) and TITN-1 and the researcher (Kappa 0.725). Substantial agreement was found between UITN-1 and the researcher (Kappa 0.619). Care protocols with risk classification in pediatrics is a reliable technology to guide nurses in the triage of patients in pediatric emergency/urgent care situations.
ISSN:0103-2100
1982-0194
DOI:10.1590/1982-0194201700040