Bonawit V, Nolan A
Aust J Adv Nurs. 1988;6(2):29-34.
Educational workshops focusing on developing skill in use of nursing diagnostic terminology in the workplace were provided over a 12 week period for a sample population of registered nurses (RNs) in an acute care facility. Inherent in the workshop format was the concept of inter-rater reliability, analysis and resolution of differences. Following participation in the workshops, pairs of RNs conducted assessments on selected stable patients in the agency and completed a nursing diagnosis data collection tool for each. Data were analyzed to determine inter-rater occurrence agreement and total agreement. Most diagnostic category disagreement was related to differences in observations or missed observations. Disagreement over etiologies and defining characteristics for agreed diagnostic categories was rare. In general there was a paucity of defining characteristics for most diagnostic categories generated. Future workshops must emphasize the necessity of a valid database prior to diagnostic formulation.
在12周的时间里，针对一家急症护理机构的注册护士样本群体举办了以提高在工作场所使用护理诊断术语技能为重点的教育研讨会。研讨会形式的内在理念是评分者间信度、差异分析和解决的概念。参加研讨会后，成对的注册护士对机构中选定的稳定患者进行评估，并为每位患者完成一份护理诊断数据收集工具。对数据进行分析以确定评分者间的出现一致性和总体一致性。大多数诊断类别分歧与观察差异或漏诊有关。对于已达成一致的诊断类别，病因和定义特征方面的分歧很少见。总体而言，所生成的大多数诊断类别缺乏定义特征。未来的研讨会必须强调在制定诊断之前拥有有效数据库的必要性。
