title: [Inter-rater concordance of the "Nursing Activities Score" in intensive care].
abstract: OBJECTIVE
  To evaluate inter-rater concordance in the valuation of the "Nursing Activities Score".
  
  
  METHODS
  Cross-sectional descriptive study conducted from December 2012 until June 2013 in a general intensive care unit with twelve beds. Three evaluator nurses, simultaneously and independently, through the patient daily charts, scored the nursing workload using Nursing Activities Score scale in all patients admitted over 18 years old.
  
  
  RESULTS
  Three hundreds and thirty-nine records were collected. The intra-class correlation coefficient (ICC) between evaluators was 0.92 (0.89-0.94). A perfect concordance was obtained in 39.1% of the items, with 52.2% having a high, and 8.7% having lower concordance, corresponding to two of the items with multiple scoring options. Significant differences between two of the evaluators (P=.049) were found.
  
  
  CONCLUSIONS
  Although the inter-rater concordance was high, more accurate records are needed to reduce the variability of the items with multiple options and to allow more accuracy in the interpretation and measurement of the data regarding nursing workload.
authors.affiliation: Unidad de Cuidados Intensivos, Hospital Universitari Mútua Terrassa, Terrassa, Barcelona, España. Electronic address: finavalls@gmail.com.
authors.forename: Josefa
authors.initials: J
authors.lastname: Valls-Matarín
authors.affiliation: Unidad de Cuidados Intensivos, Hospital Universitari Mútua Terrassa, Terrassa, Barcelona, España.
authors.forename: Maria
authors.initials: M
authors.lastname: Salamero-Amorós
authors.affiliation: Unidad de Cuidados Intensivos, Hospital Universitari Mútua Terrassa, Terrassa, Barcelona, España.
authors.forename: Carmen
authors.initials: C
authors.lastname: Roldán-Gil
authors.affiliation: Unidad de Cuidados Intensivos, Hospital Universitari Mútua Terrassa, Terrassa, Barcelona, España.
authors.forename: Salvador
authors.initials: S
authors.lastname: Quintana-Riera
mesh_terms: D003422:Critical Care / Q000706:statistics & numerical data*; D064648:Critical Care Nursing / Q000706:statistics & numerical data*; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D015588:Observer Variation; D016526:Workload / Q000706:statistics & numerical data*
keywords: Atención de Enfermería; Carga de trabajo; Cuidados intensivos; Intensive care; Nursing care; Workload