Interobserver agreement in Reception and Risk Stratification in Obstetrics implementation.

IF 1.2 Q3 NURSING Revista Brasileira De Enfermagem Pub Date : 2024-12-13 eCollection Date: 2024-01-01 DOI:10.1590/0034-7167-2023-0361

Manuela Beatriz Velho, Luciana Santos Pimentel, Fernanda Amâncio Soares da Silva, Alberto Trapani Junior, Thayná Ventura, Adaiana Fátima Almeida, Roberta Costa, Roxana Knobel

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Abstract

Objectives: to analyze interobserver agreement in the Reception and Risk Stratification in Obstetrics protocol implementation.

Methods: a cross-sectional study carried out during Reception and Risk Stratification in Obstetrics implementation, conducted in a tertiary hospital in southern Brazil with 891 participants in January 2020. Descriptive and interobserver agreement analysis was carried out using the Kappa coefficient in the risk stratification assigned by the triage nurse and reviewed by the researcher.

Results: around half of the calls (55.6%) were stratified as not very urgent (green), followed by urgent (yellow) (31.8%), very urgent (orange) (9.3%), not urgent (blue) (3.4%) and no emerging stratification (red). Agreement analysis of revised stratification found Kappa values of 0.20 (blue), 0.54 (green), 0.77 (yellow) and 0.80 (orange).

Conclusions: most appointments were non-urgent. The agreement analysis between the revised and assigned risk stratification revealed greater interobserver agreement as the priority level increased.

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产科实施中接受和风险分层的观察者间协议。

目的：分析产科协议执行中接受和风险分层的观察者间一致性。方法：2020年1月在巴西南部的一家三级医院进行了一项横断面研究，在产科实施的接收和风险分层期间进行了研究，共有891名参与者。描述性和观察者间的一致性分析使用Kappa系数进行风险分层，由分诊护士分配，并由研究人员审查。结果：大约一半（55.6%）的呼叫被分层为不太紧急（绿色），其次是紧急（黄色）（31.8%），非常紧急（橙色）（9.3%），不紧急（蓝色）（3.4%）和没有出现分层（红色）。修正分层的一致性分析发现Kappa值为0.20（蓝色）、0.54（绿色）、0.77（黄色）和0.80（橙色）。结论：大多数预约是非紧急的。修订后的风险分层和指定的风险分层之间的一致性分析显示，随着优先级的增加，观察者之间的一致性也越来越大。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Revista Brasileira De Enfermagem NURSING-

CiteScore

2.30

自引率

7.70%

发文量

477

审稿时长

21 weeks

期刊介绍： The Revista Brasileira de Enfermagem created in 1932, March 20 is the official publication of the Associação Brasileira de Enfermagem (Brazilian Nursing Association) has as purpose to disseminate the scientific production from different nursing interest areas of knowledge, including those which express the political project of the Association. The Revista Brasileira de Enfermagem is the oldest journal of the Brazilian nursing. Its first title was "Annaes de Enfermagem" from 1932 to 1941, being entitled Anais de Enfermagem" until 1955, when its title was changed to the current.

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