Royal Brisbane and Women's Hospital, Butterfield Street, Herston, Queensland, Australia.
Int J Ment Health Nurs. 2013 Aug;22(4):322-8. doi: 10.1111/j.1447-0349.2012.00868.x. Epub 2012 Sep 10.
The purpose of the current study was to measure the effect of an educational intervention on the Health of the Nation Outcome Scales (HoNOS) completion rates. Additionally, interrater reliability and accuracy amongst nurses completing the instrument was assessed. We used a pre- and post-intervention design with videoed vignettes providing the basis for the educational intervention. Mental health nurses were assessed four times: at baseline, immediately after the intervention, 1 week later and again, 2 months after the intervention. There was a non-statistical increase in the number of patients assessed on admission using the HoNOS from 12.5% to 22.6%. Interrater reliability was low and did not improve through the course of the study. Intraclass correlation coefficients ranged 0.41-0.48. Accuracy was poor when discrete scoring between 0-4 was analyzed but improved when scores were dichotomised to reflect a clinically significant cut-off of 2 or more. The intervention improved completion rates marginally but interrater reliability and accuracy were low and did not improve over the study period. Opportunities for improvement were identified.
本研究旨在测量教育干预对健康国家结局量表（HoNOS）完成率的影响。此外，还评估了护士在完成该工具时的评分者间信度和准确性。我们采用了前后干预设计，视频短片为教育干预提供了基础。心理健康护士在基线、干预后立即、1 周后和干预后 2 个月进行了 4 次评估。使用 HoNOS 评估入院时的患者数量从 12.5%增加到 22.6%，但无统计学意义。评分者间信度较低，在研究过程中并未提高。组内相关系数范围为 0.41-0.48。当分析离散得分为 0-4 时，准确性较差，但当得分分为二分类以反映 2 分或更高的临床显著截断值时，准确性有所提高。干预措施使完成率略有提高，但评分者间信度和准确性较低，且在研究期间并未提高。发现了改进的机会。
