Frijters Dinnus, Gerritsen Debby, Steverink Nardi
Afd. Verpleeghuis-en Sociale Geneeskunde, Vrije Universiteit Medisch Centrum, Amsterdam, Van der Boechorststraat 7, 1081 BT.
Tijdschr Gerontol Geriatr. 2003 Feb;34(1):21-9.
Before including quality of care indicators in the Benchmark of Nursing Homes and Homes for the Aged in the Netherlands the reliability of the patient data collection, and usefulness had to be established. The patient data items were derived from the Resident Assessment Instruments (RAI) and a questionnaire on social interaction in elderly people. Three nursing homes and three homes for the aged participated in the test with 550 patients. 279 x 2 assessments were collected by independent raters for an inter rater reliability test; 259 x 2 by the same rater for a reliability test-retest; and 24 by a single rater. The scores on paired assessment forms were compared with the weighted Kappa agreement test. The test results allowed 10 of the 13 quality indicators from RAI to be retained. In addition new quality indicators could be defined on 'giving attention' and 'unrespectful addressing'. We estimate on the basis of a questionnaire for the raters that on average 9 to 12 minutes per patient are needed to collect and enter data for the resulting 12 quality indicators.
在将护理质量指标纳入荷兰养老院和老年之家基准之前，必须确定患者数据收集的可靠性和实用性。患者数据项源自居民评估工具（RAI）以及一份关于老年人社交互动的问卷。三家养老院和三家老年之家参与了对550名患者的测试。由独立评估者收集了279×2份评估以进行评估者间信度测试；由同一位评估者收集了259×2份评估以进行重测信度测试；由一位评估者收集了24份评估。将配对评估表上的分数与加权卡帕一致性检验进行比较。测试结果使得RAI的13项质量指标中的10项得以保留。此外，还可以在“给予关注”和“不尊重称呼”方面定义新的质量指标。根据针对评估者的一份问卷，我们估计，为最终的12项质量指标收集和录入数据，平均每位患者需要9至12分钟。
