Unified Parkinson's Disease Rating Scale-Motor Exam: inter-rater reliability of advanced practice nurse and neurologist assessments.
Unified Parkinson's Disease Rating Scale-Motor Exam: inter-rater reliability of advanced practice nurse and neurologist assessments.
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DOI：
10.1111/j.1365-2648.2010.05313.x
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发表时间：
2010-06
影响因子：
3.8
通讯作者：
Morris JC
中科院分区：
文献类型：
--
作者：
Palmer JL;Coats MA;Roe CM;Hanko SM;Xiong C;Morris JC
本文是一份报告的研究，以建立评价者之间的可靠性的高级实践护士和神经科医生的神经系统评估，其中包括评级与统一帕金森氏病评定量表-运动Exam. Around世界各地，高级实践护士执行任务，一旦完成只有医生。为了提高消费者和提供者的信心，重要的是要建立护士和医生的评级使用评估工具是相似的。此外，在研究环境中，当使用不同的评分者时，需要建立研究评估的评分者间可靠性。在2007年8月至2008年1月进行的一项研究中，高级实践护士和神经科医生独立记录了46名参与者的神经系统检查结果。计算组内相关系数，以估计护士和神经科医师评分之间的总体一致性。通过计算Cohen's kappa值，评估在二分量表上测量的单个项目的一致性。高级执业护士和神经科医生之间在平均统一帕金森病评定量表-运动检查评分（组内相关系数= 0.65）和美国国家阿尔茨海默病协调中心统一数据集神经系统检查评分的无显著发现（kappa = 0.74）和步态障碍（kappa = 0.73）方面存在实质性一致。对于所有统一帕金森病评定量表-运动检查项目是否正常的评定，达成了中度一致（kappa = 0.53）。这些研究结果与统一帕金森病评定量表运动检查的评分者间一致性研究一致，并支持高级执业护士进行神经系统评估。
This paper is a report of a study to establish the inter-rater reliability of advanced practice nurse and neurologist neurological assessments which included ratings with the Unified Parkinson’s Disease Rating Scale-Motor Exam. Around the world, advanced practice nurses are performing tasks once completed by only physicians. To promote consumer and provider confidence, it is important to establish that nurse and physician ratings using assessment tools are similar. In addition in research settings, when different raters are used, establishment of inter-rater reliability for study assessments is needed. Advanced practice nurses and neurologists independently recorded findings on neurological examinations of 46 participants in a study conducted between August 2007 and January 2008. An intraclass correlation coefficient was calculated to estimate overall agreement between the nurse and neurologist ratings. Agreement for individual items measured on a dichotomous scale was assessed by calculating Cohen’s kappa. There was substantial agreement between advanced practice nurses and neurologists on the mean Unified Parkinson’s Disease Rating Scale-Motor Exam ratings (intraclass correlation coefficient = 0.65) and the U.S. National Alzheimer’s Coordinating Center Uniform Data Set neurological examination ratings of unremarkable findings (kappa = 0.74) and of gait disorder (kappa = 0.73). Moderate agreement (kappa = 0.53) was reached for the rating of whether all Unified Parkinson’s Disease Rating Scale-Motor Exam items were normal. These findings are consistent with studies of the inter-rater agreement of the Unified Parkinson’s Disease Rating Scale-Motor Exam and support the conduct of neurological assessments by advanced practice nurses.
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