Pontifícia Universidade Católica do Paraná, Curitiba, Paraná, PR, Brazil.
Pontifícia Universidade Católica do Paraná, Escola de Medicina, Curitiba, Paraná, PR, Brazil.
Rev Lat Am Enfermagem. 2024 Aug 30;32:e4272. doi: 10.1590/1518-8345.6922.4272. eCollection 2024.
to analyze the reliability of the items that compose the instrument for classifying newborns according to the degree of dependence on nursing care in a neonatal intensive care unit.
methodological study that analyzed the agreement and reliability of the instrument in a neonatal intensive care unit. Six care nurses and a research nurse assessed 35 newborns and completed the instrument, which was made up of 15 areas of care. The weighted Kappa coefficient and the Intraclass Correlation Coefficient were used for analysis.
the areas of: weight (92%), oxygenation (93%) and catheter control (95%) had almost perfect agreement and the area of reaction to stimuli (50%) had poor agreement. The areas of elimination and vital signs showed low reliability, due to the low variability of responses. The Intraclass Correlation Coefficient was 0.94.
there are variations in the evaluations of some areas of care due to the imprecise description of items to which scores are assigned, however the instrument is reliable for categorizing the type of care (minimal, intermediate and intensive). Its use can contribute to measuring the quality and safety of newborn care.
分析新生儿重症监护病房中用于根据护理依赖程度对新生儿进行分类的工具的项目的可靠性。
这是一项在新生儿重症监护病房中对仪器进行一致性和可靠性分析的方法学研究。六名护理护士和一名研究护士评估了 35 名新生儿并完成了该仪器，该仪器由 15 个护理领域组成。使用加权 Kappa 系数和组内相关系数进行分析。
体重（92%）、氧合（93%）和导管控制（95%）领域具有几乎完美的一致性，而对刺激的反应领域（50%）则具有较差的一致性。消除和生命体征领域的可靠性较低，这是由于反应的可变性较低所致。组内相关系数为 0.94。
由于对分配分数的项目的描述不精确，导致对某些护理领域的评估存在差异，但该仪器可用于对护理类型（最小、中等和强化）进行分类，具有可靠性。它的使用可以有助于衡量新生儿护理的质量和安全性。
