Oliver S, Redfern S J
Nursing Research Unit, King's College London, England.
J Adv Nurs. 1991 Jan;16(1):30-8. doi: 10.1111/j.1365-2648.1991.tb01494.x.
The aim of the study was to refine and improve the inter-observer reliability of an observation schedule, developed by Le May & Redfern, designed to record the amount and type of nurse-patient interpersonal communication. The new technique involved observation of non-verbal interactions using a portable computer programmed as an event recorder and a tape recorder to record conversation. The observation schedule was employed in an acute/rehabilitation care of the elderly ward and inter-observer reliability was tested on two occasions. The second observer used a handwritten version of the schedule. Reliability coefficients were acceptable (greater than or equal to 0.60 or greater than or equal to 70% agreement) for all the schedule components although the recording of non-verbal response was inadequate. Use of the portable computer produced no additional benefits over the handwritten schedule. The observation confirmed previous research which found that relatively little expressive touch takes place between nurses and elderly patients. A simplified version of the handwritten schedule together with tape-recording of verbal communication is likely to increase reliability.
本研究的目的是完善并提高由勒梅和雷德芬编制的观察量表在不同观察者之间的可靠性，该量表旨在记录护士与患者人际沟通的数量和类型。新技术包括使用一台编程为事件记录器的便携式计算机观察非语言互动，并使用录音机记录对话。观察量表应用于老年病房的急性/康复护理中，并在两个时间段测试了观察者间的可靠性。第二名观察者使用了该量表的手写版本。尽管非语言反应的记录不够充分，但所有量表组件的可靠性系数均达到可接受水平（大于或等于0.60或达成一致的比例大于或等于70%）。与手写量表相比，使用便携式计算机并未带来额外的益处。该观察结果证实了先前的研究，即护士与老年患者之间发生的表达性触摸相对较少。手写量表的简化版本以及言语沟通的录音可能会提高可靠性。
