Adelaide Nursing School, The University of Adelaide, Adelaide, South Australia.
Clinical and Health Services, University of South Australia, Adelaide, South Australia.
Issues Ment Health Nurs. 2021 Sep;42(9):845-854. doi: 10.1080/01612840.2021.1894618. Epub 2021 Mar 24.
The Needs in Recovery Assessment (NiRA) is a tool designed to support recovery-oriented and person-centred approaches in mental health services through facilitating the identification and prioritisation of needs. The aim of this study was to evaluate the interrater reliability of the NiRA. Ten mental health clinicians from various professional backgrounds used the NiRA to facilitate assessment interviews with Simulated Patients. Completed and semi-completed NiRA forms, questionnaires, and audio-visual recordings of assessment interviews were collected for analysis. The interrater reliability of the NiRA was calculated using percent agreement and Gwet's Agreement Coefficient (AC). Percent agreement across all items of the finalised tool was 0.84 (item range: 0.55 to 1.0). Overall interrater reliability (Gwet's AC) was 0.70 (95% CI 0.64-0.76) with items ranging from -0.08 to 1.0. The NiRA is a reliable tool and is ready to be trialled in a feasibility study in clinical settings. It is anticipated that the NiRA will facilitate a deeper understanding of service users' needs and a more targeted approach to meeting unmet needs.
需求评估工具（NiRA）旨在通过促进需求的识别和优先级排序，支持精神卫生服务中的以康复为导向和以患者为中心的方法。本研究旨在评估 NiRA 的评分者间信度。10 名来自不同专业背景的精神卫生临床医生使用 NiRA 对模拟患者进行评估访谈。收集了完成和未完成的 NiRA 表格、问卷以及评估访谈的音频-视频记录进行分析。使用百分比一致性和 Gwet 一致性系数（AC）计算 NiRA 的评分者间信度。最终工具的所有项目的百分比一致性为 0.84（项目范围：0.55-1.0）。总体评分者间信度（Gwet 的 AC）为 0.70（95%CI 0.64-0.76），项目范围从-0.08 到 1.0。NiRA 是一种可靠的工具，已准备好在临床环境中进行可行性研究。预计 NiRA 将有助于更深入地了解服务使用者的需求，并采取更有针对性的方法来满足未满足的需求。
