动态支持数据库临床支持工具:量表间可靠性

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2020-02-03 DOI:10.1108/amhid-09-2019-0027

Faye Bohen, Ceri Woodrow

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引用次数: 4

摘要

动态支持数据库(dynamic support database, DSD)临床支持工具对智力障碍患者的入院风险进行分级。本研究旨在调查英格兰西北部多学科卫生保健专业人员之间的评级信度。一项小规模定量研究调查了评分者对DSD临床支持工具的可靠性。使用了30个人的60个评级工具的数据集。描述性统计和Kappa系数探讨一致性。研究发现，DSD临床支持工具在单个项目之间具有很强的评分间信度，并且个体得分之间的差异被分散，这表明所发现的差异不能归因于特定问题。在总体评分中发现了很强的评分者之间的可靠性。结果表明，DSD临床支持工具提供了入院风险分级的分层，而不依赖于谁完成了该分级。未来的研究可以调查组织之间的可靠性，即卫生和社会护理专业人员，并使用更大的数据样本，以确保普遍性。还建议在儿童和青少年服务中使用儿童DSD临床支持工具复制该研究。在整个西北地区的儿童和成人智障服务中，已经实施了DSD临床支持工具。随着英格兰越来越多的团队考虑实施，这项研究提供了保证，编码一致性很高，允许独立于评分者的入院风险分层。

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Dynamic support database clinical support tool: inter-rater reliability

The dynamic support database (DSD) clinical support tool structures the risk of admission rating for individuals with intellectual disabilities. This study aims to investigate inter-rater reliability between multi-disciplinary health care professionals within the North West of England.,A small-scale quantitative study investigated reliability between raters on the DSD clinical support tool. A data set of 60 rating tools for 30 individuals was used. Descriptive statistics and Kappa coefficient explored agreement.,The DSD clinical support tool was found to have strong inter-rater reliability between individual items and the differences between individual scores were spread suggesting variance found could not be attributed to specific questions. Strong inter-rater reliability was found in the overall ratings.,Results suggest the DSD clinical support tool provides stratification for risk of admission ratings independent of who completes it. Future studies could investigate inter-rater reliability between organisations, i.e. health and social care professionals, and use a larger data sample to ensure generalisability. Replication of the study within child and adolescent services using the children’s DSD clinical support tool is also recommended.,The DSD clinical support tool has been implemented within the child and adult intellectual disability services across the North West. As more teams across England consider its implementation, the study provides reassurance that coding agreement is high, allowing for stratification for risk of admission independent of the rater.

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.