Unified Parkinson’s Disease Rating Scale‐Motor Exam: inter‐rater reliability of advanced practice nurse and neurologist assessments
Identifieur interne : 000496 ( Main/Exploration ); précédent : 000495; suivant : 000497Unified Parkinson’s Disease Rating Scale‐Motor Exam: inter‐rater reliability of advanced practice nurse and neurologist assessments
Auteurs : Janice L. Palmer [États-Unis] ; Mary A. Coats [États-Unis] ; Catherine M. Roe [États-Unis] ; Shelly M. Hanko [États-Unis] ; Chengjie Xiong [États-Unis] ; John C. Morris [États-Unis]Source :
- Journal of Advanced Nursing [ 0309-2402 ] ; 2010-06.
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Abstract
palmer j.l., coats m.a., roe c.m., hanko s.m., xiong c. & morris j.c. (2010) Unified Parkinson’s Disease Rating Scale‐Motor Exam: inter‐rater reliability of advanced practice nurse and neurologist assessments. Journal of Advanced Nursing 66(6), 1382–1387. Abstract: Title. Unified Parkinson’s Disease Rating Scale‐Motor Exam: inter‐rater reliability of advanced practice nurse and neurologist assessments. Aim. 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. Background. Around the world, advanced practice nurses are performing tasks once completed only by 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. Method. 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. Results. 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. Conclusion. 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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DOI: 10.1111/j.1365-2648.2010.05313.x
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Hanko</name></author><author><name sortKey="Xiong, Chengjie" sort="Xiong, Chengjie" uniqKey="Xiong C" first="Chengjie" last="Xiong">Chengjie Xiong</name></author><author><name sortKey="Morris, John C" sort="Morris, John C" uniqKey="Morris J" first="John C." last="Morris">John C. 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Palmer PhD RN Assistant Professor Saint Louis University School of Nursing, St Louis, Missouri</wicri:regionArea><placeName><region type="state">Missouri (État)</region></placeName></affiliation></author><author><name sortKey="Coats, Mary A" sort="Coats, Mary A" uniqKey="Coats M" first="Mary A." last="Coats">Mary A. Coats</name><affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country><wicri:regionArea>Mary A. Coats MSN RN Research Associate Professor Alzheimer’s Disease Research Center at Washington University, St Louis, Missouri</wicri:regionArea><placeName><region type="state">Missouri (État)</region></placeName></affiliation></author><author><name sortKey="Roe, Catherine M" sort="Roe, Catherine M" uniqKey="Roe C" first="Catherine M." last="Roe">Catherine M. Roe</name><affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country><wicri:regionArea>Catherine M. Roe PhD Instructor of Neurology Washington University School of Medicine, St Louis, Missouri</wicri:regionArea><placeName><region type="state">Missouri (État)</region></placeName></affiliation></author><author><name sortKey="Hanko, Shelly M" sort="Hanko, Shelly M" uniqKey="Hanko S" first="Shelly M." last="Hanko">Shelly M. Hanko</name><affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country><wicri:regionArea>Shelly M. Hanko PhD FNP‐BC Assistant Professor University of Missouri‐St. Louis College of Nursing, One University Boulevard, St Louis, Missouri</wicri:regionArea><placeName><region type="state">Missouri (État)</region></placeName></affiliation></author><author><name sortKey="Xiong, Chengjie" sort="Xiong, Chengjie" uniqKey="Xiong C" first="Chengjie" last="Xiong">Chengjie Xiong</name><affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country><wicri:regionArea>Chengjie Xiong PhD Associate Professor of Biostatistics Division of Biostatistics, Washington University, St Louis, Missouri</wicri:regionArea><placeName><region type="state">Missouri (État)</region></placeName></affiliation></author><author><name sortKey="Morris, John C" sort="Morris, John C" uniqKey="Morris J" first="John C." last="Morris">John C. Morris</name><affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country><wicri:regionArea>John C. Morris MD Professor and Director Alzheimer’s Disease Research Center at Washington University, St Louis, Missouri</wicri:regionArea><placeName><region type="state">Missouri (État)</region></placeName></affiliation></author></analytic><monogr></monogr><series><title level="j">Journal of Advanced Nursing</title><idno type="ISSN">0309-2402</idno><idno type="eISSN">1365-2648</idno><imprint><publisher>Blackwell Publishing Ltd</publisher><pubPlace>Oxford, UK</pubPlace><date type="published" when="2010-06">2010-06</date><biblScope unit="volume">66</biblScope><biblScope unit="issue">6</biblScope><biblScope unit="page" from="1382">1382</biblScope><biblScope unit="page" to="1387">1387</biblScope></imprint><idno type="ISSN">0309-2402</idno></series><idno type="istex">81F9F9901A918B363C0F44AFAB4713DF22C5EB6E</idno><idno type="DOI">10.1111/j.1365-2648.2010.05313.x</idno><idno type="ArticleID">JAN5313</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0309-2402</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Unified Parkinson’s Disease Rating Scale</term><term>advanced practice nurse</term><term>inter‐rater reliability</term><term>neurological examination</term><term>neurologist</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">palmer j.l., coats m.a., roe c.m., hanko s.m., xiong c. & morris j.c. (2010) Unified Parkinson’s Disease Rating Scale‐Motor Exam: inter‐rater reliability of advanced practice nurse and neurologist assessments. Journal of Advanced Nursing 66(6), 1382–1387. Abstract: Title. Unified Parkinson’s Disease Rating Scale‐Motor Exam: inter‐rater reliability of advanced practice nurse and neurologist assessments. Aim. 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. Background. Around the world, advanced practice nurses are performing tasks once completed only by 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. Method. 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. Results. 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. Conclusion. 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.</div></front></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>Missouri (État)</li></region></list><tree><country name="États-Unis"><region name="Missouri (État)"><name sortKey="Palmer, Janice L" sort="Palmer, Janice L" uniqKey="Palmer J" first="Janice L." last="Palmer">Janice L. Palmer</name></region><name sortKey="Coats, Mary A" sort="Coats, Mary A" uniqKey="Coats M" first="Mary A." last="Coats">Mary A. Coats</name><name sortKey="Hanko, Shelly M" sort="Hanko, Shelly M" uniqKey="Hanko S" first="Shelly M." last="Hanko">Shelly M. Hanko</name><name sortKey="Morris, John C" sort="Morris, John C" uniqKey="Morris J" first="John C." last="Morris">John C. Morris</name><name sortKey="Roe, Catherine M" sort="Roe, Catherine M" uniqKey="Roe C" first="Catherine M." last="Roe">Catherine M. Roe</name><name sortKey="Xiong, Chengjie" sort="Xiong, Chengjie" uniqKey="Xiong C" first="Chengjie" last="Xiong">Chengjie Xiong</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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