儿科观察优先级评分（POPS）的组内可靠性。
Inter-rater reliability in the Paediatric Observation Priority Score (POPS).
机构信息
Paediatric Emergency Medicine Leicester Academic (PEMLA) Group, University Hospitals of Leicester NHS Trust, Leicester, UK.
SAPPHIRE Group, Health Services, University of Leicester, Leicester, UK.
出版信息
Arch Dis Child. 2018 May;103(5):458-462. doi: 10.1136/archdischild-2017-314165. Epub 2018 Jan 12.
OBJECTIVE
The primary objective of this study was to determine the level of inter-rater reliability between nursing staff for the Paediatric Observation Priority Score (POPS).
DESIGN
Retrospective observational study.
SETTING
Single-centre paediatric emergency department.
PARTICIPANTS
12 participants from a convenience sample of 21 nursing staff.
INTERVENTIONS
Participants were shown video footage of three pre-recorded paediatric assessments and asked to record their own POPS for each child. The participants were blinded to the original, in-person POPS. Further data were gathered in the form of a questionnaire to determine the level of training and experience the candidate had using the POPS score prior to undertaking this study.
MAIN OUTCOME MEASURES
Inter-rater reliability among participants scoring of the POPS.
RESULTS
Overall kappa value for case 1 was 0.74 (95% CI 0.605 to 0.865), case 2 was 1 (perfect agreement) and case 3 was 0.66 (95% CI 0.58 to 0.744).
CONCLUSION
This study suggests there is good inter-rater reliability between different nurses' use of POPS in assessing sick children in the emergency department.
目的
本研究的主要目的是确定护理人员对儿科观察优先评分（POPS）的评分者间信度水平。
设计
回顾性观察性研究。
地点
单中心儿科急诊科。
参与者
从 21 名护理人员的便利样本中抽取 12 名参与者。
干预措施
向参与者展示三段预先录制的儿科评估视频，并要求他们为每个孩子记录自己的 POPS。参与者对原始的、面对面的 POPS 不知情。进一步通过问卷调查收集数据，以确定参与者在进行本研究之前使用 POPS 评分的培训和经验水平。
主要观察指标
参与者对 POPS 的评分者间信度。
结果
案例 1 的总体kappa 值为 0.74（95%置信区间为 0.605 至 0.865），案例 2 为 1（完全一致），案例 3 为 0.66（95%置信区间为 0.58 至 0.744）。
结论
这项研究表明，不同护士在急诊科评估患病儿童时使用 POPS 的评分者间信度良好。
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