Bergquist-Beringer Sandra, Gajewski Byron, Dunton Nancy, Klaus Susan
School of Nursing, University of Kansas, Kansas City, KS 66160, USA.
J Nurs Care Qual. 2011 Oct-Dec;26(4):292-301. doi: 10.1097/NCQ.0b013e3182169452.
A triangulation approach was used to examine the reliability of the National Database of Nursing Quality Indicators pressure ulcer indicator that included direct observation of these wounds in hospitalized patients and web-based testing with and without accompanying wound descriptions. Overall κ coefficients for pressure ulcer identification, staging, and origin indicate moderate to near perfect reliability and suggest that web-based testing can estimate the reliability of pressure ulcer staging from direct observation. Nurse certification in wound care and wound descriptors improved reliability levels.
采用了一种三角测量法来检验国家护理质量指标数据库中压疮指标的可靠性，该方法包括对住院患者的这些伤口进行直接观察，以及在有和没有伤口描述的情况下进行基于网络的测试。压疮识别、分期和起源的总体κ系数表明可靠性从中度到近乎完美，这表明基于网络的测试可以根据直接观察来估计压疮分期的可靠性。伤口护理方面的护士认证和伤口描述提高了可靠性水平。
