Publication details

Possibilities of Evaluation of Psychometric Properties of Scales for Assessment of the Risk of Pressure Lesions at Selected Intensive Care Workplaces – Pilot Study



Year of publication 2017
Type Article in Periodical
Magazine / Source Česká a slovenská neurologie a neurochirurgie
MU Faculty or unit

Faculty of Medicine

Field Other medical specializations
Keywords pressure ulcer; intensive care; nursing; risk scale
Description Assessment of the inter-rater reliability of scales for the pressure ulcer development risk (Norton, modified Norton, Braden and Jackson/Cubbin modified by Maarit Ahtiala) in patients hospitalized at intensive care units. Material and methods: The pilot stage for the prospective, observational and descriptive study took place in March 2017 at five intensive care units of four different hospitals in the Czech Republic. For each patient, three regular evaluations of pressure ulcer risk were performed by two independent raters at the given workplace using four standardised scales. The pilot study comprised 26 probands of the total number of 173 hospitalized patients, 61.5% (n = 16) men and 38.5% (n = 10) women. Results: For each evaluation of patients, the first raters provided lower score, which is associated with a higher risk of pressure ulcer development. The average scores at rating scales increase from the first evaluation in the course of hospitalization at intensive care units. Conclusion: An important role in the inter-rater reliability and usability of the rating scales consists in the experience with their use and in thorough education of raters. With regard to the total number of probands in the pilot study (n = 26), it is not possible to draw a definite conclusion with the recommendation for a specific scale for rating the pressure ulcers risks in intensive care unit patients. The evaluators in clinical practice found the Jackson/Cubbin scale modified by Maarit Ahtiala as the most practical.
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