The inter-rater reliability of the Risk Instrument for Screening in the Community

• Type: Article in International Scientific Journal
• Date: 2016

Authors

Weathers, E (Author) Other; O'Caoimh, R (Author) Other; O'Sullivan, R (Author) Other; Constança Paúl (Author) ICBAS; Orfilia, F (Author) Other; Clarnette, R (Author) Other; Fitzgerald, C (Author) Other; Svendrovski, A (Author) Other; Cornally, N (Author) Other; Leahy Warren, P (Author) Other; Molloy, DW (Author) Other

Journal

Title: British Journal of Community Nursing

Vol. 21

Pages: 469-475

ISSN: 1462-4753

Publisher: Mark Allen Publishing Ltd.

Indexing

Scopus - 6 Citations

Other information

Authenticus ID: P-00K-WBS

DOI: 10.12968/bjcn.2016.21.9.469

Abstract (EN): Predicting risk of adverse healthcare outcomes is important to enable targeted delivery of interventions. The Risk Instrument for Screening in the Community (RISC), designed for use by public health nurses (PHNs), measures the 1-year risk of hospitalisation, institutionalisation and death in community-dwelling older adults according to a five-point global risk score: from low (score 1,2) to medium (3) to high (4,5). We examined the inter-rater reliability (IRR) of the RISC between student PHNs (n=32) and expert raters using six cases (two low, medium and high-risk), scored before and after RISC training. Correlations increased for each adverse outcome, statistically significantly for institutionalisation (r=0.72 to 0.80,p=0.04) and hospitalisation (r=0.51 to 0.71,p<0.01) but not death. Training improved accuracy for low-risk but not all high-risk cases. Overall, the RISC showed good IRR, which increased after RISC training. That reliability fell for some high-risk cases suggests that the training programme requires adjustment to improve IRR further. © MA Healthcare Ltd.

Language: English

Type (Professor's evaluation): Scientific