RT Journal Article
SR Electronic
A1 Šáteková, Lenka
A1 Žiaková, Katarína
T1 Inter-rater reliability of items of the Braden scale, the Norton scale and Waterlow scale
JF Profese Online
YR 2016
VO 9
IS 2
SP 10
OP 15
DO 10.5507/pol.2016.007
UL https://profeseonline.upol.cz/en/artkey/pol-201602-0002.php
AB Background: Worldwide, approximately 40 pressure ulcer risk assessment scales are available. Despite of this amount, the psychometric properties were tested only for some.
Aim: To determine inter-rater reliability of items of selected pressure ulcer risk assessment scales (Braden Scale, Norton Scale and Waterlow Scale).
Methods: The data were collected from April to August 2014 in one long-term care department. The sample consisted of 32 patients. An intra-class correlation coefficient (ICC) was used to determine the inter-rater reliability.
Results: The inter-rater reliability of Braden Scale ranged between ICC = 0.846 for the item "activity" and ICC = 0.645 for the item "nutrition". The highest inter-rater reliability of Norton Scale reached for item "incontinence" (ICC = 0.931), the lowest for item "physical condition" (ICC = 0.849). The highest inter-rater reliability of Waterlow Scale is observed for items "sex" (ICC = 1),  "surgery/trauma" (ICC = 1). The lowest inter-rater reliability reached item "weight loss score" (ICC = 0.497).
Conclusions: The highet inter-rater reliability reached items of Norton Scale, followed by items of Braden Scale. The lowest inter-rater reliability reached items of Waterlow Scale. We recommend further testing of pressure ulcer risk assessment scales in czech clinical settings.