title: Confirming the reliability of the sedation-agitation scale administered by ICU nurses without experience in its use.
abstract: OBJECTIVE
  To determine the validity and reliability of the Sedation-Agitation scale (SAS) when administered by intensive care unit (ICU) nurses with no experience in its use.
  
  
  METHODS
  Prospective, psychometric evaluation.
  
  
  METHODS
  Adult medical-cardiac ICU.
  
  
  METHODS
  Sixty patients.
  
  
  METHODS
  Sedation and agitation were observed simultaneously but independently by nurses and two investigators, and patients were rated with the SAS. The assessment of an experienced clinical nurse specialist was recorded on visual analog scales (VAS) for sedation (VAS-S) and agitation (VAS-A).
  
  
  RESULTS
  The SAS scores of ICU staff nurses were compared with VAS scored by the clinical nurse specialist using Pearson correlation coefficient. The SAS correlated well with VAS-S (Spearman's p = -0.77, p<0.001). Neither SAS nor VAS-A was correlated (Spearman's p = 0.05, p>0.5), but there were few observations of agitated patients. The SAS interrater agreement was excellent between the two trained investigators (weighted K = 0.93, p<0.001) and between investigators and staff nurses (weighted K = 0.85 and 0.87, p<0.001 for both).
  
  
  CONCLUSIONS
  The SAS is reliable when administered by staff nurses with no experience with it. Due to the paucity of observations of agitated patients, we were unable to determine its validity for assessing agitation.
authors: University of New Mexico College of Pharmacy, Albuquerque, USA.
authors: K M
authors: KM
authors: Brandl
authors: K A
authors: KA
authors: Langley
authors: R R
authors: RR
authors: Riker
authors: L A
authors: LA
authors: Dork
authors: C R
authors: CR
authors: Quails
authors: H
authors: H
authors: Levy
mesh_terms: D005260:Female; D006801:Humans; D006993:Hypnotics and Sedatives / Q000494:pharmacology*; D007362:Intensive Care Units; D008297:Male; D008875:Middle Aged; D009732:Nursing Care; D010147:Pain Measurement; D011446:Prospective Studies; D011594:Psychometrics; D011595:Psychomotor Agitation / Q000145:classification* / Q000175:diagnosis; D015203:Reproducibility of Results
chemical_list: D006993:Hypnotics and Sedatives