Examination of the Interrater Reliability of a Palliative Care Assessment Tool in Patients at Hospital Admission: A Pilot Study

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Authors
Andersen, Angela
Tracy, Mary
Nailon, Regina
Gaster, Sue Ann
Mooberry, Rachael
Meza, Jane
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2014-06-03 , 2014-06-03
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Interrater Reliability of a Palliative Care Assessment Tool
Abstract
Early identification of palliative care needs in hospitalized patients is critical for clinicians to provide timely and effective interventions at the specific level of palliative care required by the patient and their family. The CAPC developed a set of criteria to identify patients at hospital admission that are appropriate to receive primary palliative care assessment. No study has examined the reliability and other psychometric properties of CAPC criteria. A retrospective, descriptive, exploratory study design allowed for examination of the interrater reliability of CAPC criteria to identify palliative care needs in patients at hospital admission. Nurse investigators independently reviewed medical records of 100 randomly selected patients admitted to oncology and progressive care units who received palliative care. Interrater reliability was examined with the kappa statistic, along with a 95% confidence interval. The nurse investigators had perfect to substantial agreement for the majority of CAPC criteria. Study findings suggest it is realistic and suitable for nurses to administer and score CAPC criteria at hospital admission. Implementation of an established instrument to trigger primary palliative care assessment at hospital admission will provide the structure and process needed to ensure consistent identification of patients at risk for having unmet palliative care needs.
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Copyright is retained by the Author. A non-exclusive distribution right is granted to Creighton University
Address correspondence to Angela Andersen, MSN, ACNP-BC, Palliative Care Department, 987424 The Nebraska Medical Center, Omaha, NE. 68198-7424 (anandersen@nebraskamed.com), phone 402-552-3676, fax 402-552-3210.
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