急诊科职业暴力风险评估工具的评分者间信度

Inter-rater reliability of the occupational violence risk assessment tool for emergency departments.

作者信息

Cabilan C J, Eley Robert, Snoswell Centaine, Jones Andrew T, Johnston Amy N B

机构信息

Emergency Department, Princess Alexandra Hospital, 199 Ipswich Rd, Woolloongabba, Queensland 4102, Australia; School of Nursing, Midwifery and Social Work, The University of Queensland, Brisbane, Queensland 4072, Australia.

Emergency Department, Princess Alexandra Hospital, 199 Ipswich Rd, Woolloongabba, Queensland 4102, Australia; Faculty of Medicine, The University of Queensland, Brisbane, Queensland 4072, Australia.

出版信息

Australas Emerg Care. 2023 Mar;26(1):54-58. doi: 10.1016/j.auec.2022.07.007. Epub 2022 Jul 26.

DOI:10.1016/j.auec.2022.07.007

PMID:35906121

Abstract

BACKGROUND

The three-item occupational violence (OV) risk assessment tool was developed and validated for use in emergency departments (EDs). It prompts review of each patient's aggression history, behaviours, and clinical presentation. However, confidence around representativeness and generalisability are needed before widescale adoption; hence we measured the inter-rater reliability of the tool among a large group of emergency nurses.

METHODS

A cross-sectional study was conducted between Sep 2021 and Jan 2022. Nurses were directed to a website that hosted an e-learning module about the tool. They were asked to apply the tool to two video scenarios of typical patient presentations. Demographic data, including years of emergency experience, were collected to contextualise their responses. Gwet's Agreement Coefficients (AC1) were calculated to determine inter-rater reliability.

RESULTS

There were 135 participants: typically female, under the age of 40 years, with more than 3 years of emergency nursing experience. Overall, there was excellent inter-rater agreement (AC1 =0.752, p = 0.001). This was consistent when years of ED experience was stratified: 0-2 years, AC1 = 0.764, p = 0.002; 3-5 years, AC1 = 0.826, p = 0.001; 6-10 years, AC1 = 0.751, p < 0.001; 11-15 years, AC1 = 0.659, p = 0.004; ≥ 16 years, AC1 = 0.799, p < 0.001.

CONCLUSION

The three-item OV risk assessment tool has excellent inter-rater reliability across a large sample of emergency nurses.

摘要

背景

三项职业暴力（OV）风险评估工具已开发并验证可用于急诊科（EDs）。它促使对每位患者的攻击史、行为和临床表现进行审查。然而，在广泛采用之前，需要对其代表性和普遍性有信心；因此，我们在一大群急诊护士中测量了该工具的评分者间信度。

方法

于2021年9月至2022年1月进行了一项横断面研究。护士们被引导至一个托管有关该工具的电子学习模块的网站。他们被要求将该工具应用于两个典型患者表现的视频场景。收集包括急诊工作年限在内的人口统计学数据，以了解他们的回答背景。计算格维特一致性系数（AC1）以确定评分者间信度。

结果

共有135名参与者：通常为女性，年龄在40岁以下，有超过3年的急诊护理经验。总体而言，评分者间一致性极佳（AC1 = 0.752，p = 0.001）。按急诊工作年限分层时结果一致：0 - 2年，AC1 = 0.764，p = 0.002；3 - 5年，AC1 = 0.826，p = 0.001；6 - 10年，AC1 = 0.751，p < 0.001；11 - 15年，AC1 = 0.659，p = 0.004；≥16年，AC1 = 0.799，p < 0.001。