Reliability testing of the National Database of Nursing Quality Indicators pressure ulcer indicator.
A criterion-referenced Web-based test was designed and administered to 256 individuals at 48 randomly sampled National Database of Nursing Quality Indicators (NDNQI) member hospitals to determine the reliability of the NDNQI pressure ulcer indicator. Overall kappa values for pressure ulcer identification, staging, and sourcing indicate moderate to near perfect reliability. Findings suggest that nurses can accurately differentiate pressure ulcers from other ulcerous wounds in Web-based photographs, reliably stage pressure ulcers, and reliably identify community versus nosocomial pressure ulcers.
Hart
Sara
S
University of Kansas School of Nursing, Kansas City, Kan, USA. shart@kumc.edu
Bergquist
Sandra
S
Gajewski
Byron
B
Dunton
Nancy
N
D000575:American Nurses' Association; D001291:Attitude of Health Personnel; D019985:Benchmarking; D016208:Databases, Factual; D019317:Evidence-Based Medicine; D006742:Hospital Bed Capacity; D006801:Humans; D016014:Linear Models; D009730:Nursing Assessment / Q000592:standards; D015403:Nursing Evaluation Research; D009741:Nursing Staff, Hospital / Q000523:psychology; D015588:Observer Variation; D017063:Outcome Assessment, Health Care; D010781:Photography; D010865:Pilot Projects; D017410:Practice Guidelines as Topic; D003668:Pressure Ulcer / Q000145:classification / Q000175:diagnosis / Q000453:epidemiology / Q000517:prevention & control*; D015995:Prevalence; D019984:Quality Indicators, Health Care / Q000592:standards*; D018570:Risk Assessment / Q000592:standards; D012680:Sensitivity and Specificity; D012720:Severity of Illness Index; D014481:United States / Q000453:epidemiology