The inter-rater reliability of the incontinence-associated dermatitis intervention tool-D (IADIT-D) between two independent registered nurses of nursing home residents in long-term care facilities.
OBJECTIVE
Incontinence-associated dermatitis (IAD) is the clinical manifestation of moisture related skin damage (Beeckman, Woodward, & Gray, 2011). Valid assessment instruments are needed for risk assessment and classification of IAD. Aim of the quantitative-descriptive cross-sectional study was to determine the inter-rater reliability of the item scores of the German Incontinence Associated Dermatitis Intervention Tool (IADIT-D) between two independent assessors of nursing home residents (n = 381) in long-term care facilities. The 19 pairs of assessors consisted of registered nurses.


METHODS
The data analysis was computed first with the calculation of the total percentage of agreement. Because this value is not randomly adjusted, the calculation of the Kappa-coefficients and AC1-Statistic was done as well.


RESULTS
The total percentage of the inter-rater agreement was 84% (n = 319). In a second step of analysis, the calculation of all items determined high (kappa = .70) and very high agreement (AC1 = .83) levels, respectively. For the risk assessment (kappa = .82; AC1 = .94), the values amounted to very high agreement levels and for the classification (kappa(w) = .70; AC1 = .76) to high agreement levels.


CONCLUSIONS
The high to very high agreement values of IADIT-D demonstrate that the items can be regarded as stable in regards to the inter-rater reliability for the use in long-term care facilities. In addition, further validation studies are needed.
UMIT the Health & Life Sciences University, Vienna, Austria. brigitte.kb@aon.at
Brigitte
B
Braunschmidt
Gerhard
G
Müller
Margareta
M
Jukic-Puntigam
Alfred
A
Steininger
D000368:Aged; D000369:Aged, 80 and over; D001317:Austria; D003872:Dermatitis / Q000209:etiology* / Q000451:nursing*; D005242:Fecal Incontinence / Q000150:complications* / Q000451:nursing*; D005260:Female; D006801:Humans; D008134:Long-Term Care; D008297:Male; D009730:Nursing Assessment; D009735:Nursing Homes; D015203:Reproducibility of Results; D014549:Urinary Incontinence / Q000150:complications* / Q000451:nursing*