The inter-rater reliability between nurse-assessors clinically assessing infection of chronic wounds using the WUWHS criteria

Vestjens, Jacqueline JHHM, Rondas, Armand ALM, White, Richard RJ and Holloway, Samantha 2018. The inter-rater reliability between nurse-assessors clinically assessing infection of chronic wounds using the WUWHS criteria. International Wound Journal 15 (1) , pp. 8-15. 10.1111/iwj.12785

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Abstract

The aim of this study was to determine the inter-rater reliability between one expert-nurse and four clinical-nurses who were asked to clinically assess infection of chronic wounds by using the World Union of Wound Healing Societies (WUWHS) criteria. A quasi-experimental design was used to collect the data. In comparison to phase 1 in which ‘open questions’ were asked, in phase 2 a pre-printed form (checklist) was introduced. In both phases, 55 chronic wounds were clinically assessed. For each WUWHS criterion the inter-rater reliability of signs and symptoms was expressed by Cohens Kappa (κ). A substantial agreement (κ ≥ 0·6) was considered as adequate. In both phases pocketing (p < 0·02), and erythema (p < 0·004) scored statistically significant results. Phase 2 showed higher inter-rater agreements compared with phase 1 (three substantial agreements (easily bleeding/friable granulation tissue, delayed healing, increasing exudate), an almost perfect- and a perfect agreement for malodour and pain, respectively. According to the results it can be concluded that the clinical assessment of infection of chronic wounds may be better supported by a pre-printed form than making use of an ‘open questions’ form. To provide this with a higher level of evidence, there is need for more well conducted studies.

Item Type:	Article
Date Type:	Publication
Status:	Published
Schools:	Medicine
Publisher:	Wiley-Blackwell
ISSN:	1742-4801
Date of First Compliant Deposit:	26 February 2018
Date of Acceptance:	31 May 2017
Last Modified:	26 Feb 2018 14:03
URI:	https://orca.cardiff.ac.uk/id/eprint/109445

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