The Barthel Index: comparing inter-rater reliability between nurses and doctors in an older adult rehabilitation unit.

Hdl Handle:
http://hdl.handle.net/10147/198855
Title:
The Barthel Index: comparing inter-rater reliability between nurses and doctors in an older adult rehabilitation unit.
Authors:
Hartigan, Irene; O'Mahony, Denis
Affiliation:
Catherine McAuley School of Nursing and Midwifery, Brookfield Health Science Complex, University College Cork, Ireland. i.hartigan@ucc.ie
Citation:
The Barthel Index: comparing inter-rater reliability between nurses and doctors in an older adult rehabilitation unit. 2011, 24 (1):e1-7 Appl Nurs Res
Publisher:
Elsevier
Journal:
Applied nursing research : ANR
Issue Date:
Feb-2011
URI:
http://hdl.handle.net/10147/198855
DOI:
10.1016/j.apnr.2009.11.002
PubMed ID:
20974081
Additional Links:
http://www.ncbi.nlm.nih.gov/pubmed?term=20974081
Abstract:
To ensure accuracy in recording the Barthel Index (BI) in older people, it is essential to determine who is best placed to administer the index. The aim of this study was to compare doctors' and nurses' reliability in scoring the BI.; Sixty-five consecutive patients admitted to an older adult rehabilitation unit were assessed using the BI. Four raters recorded the BI on all patients. BI scores were compared for equivalence on the level of agreement between raters.; Near-perfect correlation in the total scores between raters indicated that the final score is reliable. There was a statistically significant bias by doctors who gave a higher BI score than nurses with a mean difference of 1.2 (95% confidence interval). Nurses demonstrated good and very good agreement on all 10 items, whereas doctors demonstrated good agreement on only 5 items.; The BI is highly reliable when recorded by nurses with low interrater variation, whereas between doctors, there is greater variation. When assessing older adult's activities of daily living, there is greater interrater reliability in the BI score when the patient is observed performing the activities of daily living compared to the self-report method.
Item Type:
Article
Language:
en
MeSH:
Aged; Aged, 80 and over; Disability Evaluation; Female; Geriatric Assessment; Geriatric Nursing; Geriatrics; Humans; Male; Observer Variation; Rehabilitation Centers; Rehabilitation Nursing; Reproducibility of Results
ISSN:
1532-8201

Full metadata record

DC FieldValue Language
dc.contributor.authorHartigan, Ireneen
dc.contributor.authorO'Mahony, Denisen
dc.date.accessioned2011-12-23T10:46:46Z-
dc.date.available2011-12-23T10:46:46Z-
dc.date.issued2011-02-
dc.identifier.citationThe Barthel Index: comparing inter-rater reliability between nurses and doctors in an older adult rehabilitation unit. 2011, 24 (1):e1-7 Appl Nurs Resen
dc.identifier.issn1532-8201-
dc.identifier.pmid20974081-
dc.identifier.doi10.1016/j.apnr.2009.11.002-
dc.identifier.urihttp://hdl.handle.net/10147/198855-
dc.description.abstractTo ensure accuracy in recording the Barthel Index (BI) in older people, it is essential to determine who is best placed to administer the index. The aim of this study was to compare doctors' and nurses' reliability in scoring the BI.-
dc.description.abstractSixty-five consecutive patients admitted to an older adult rehabilitation unit were assessed using the BI. Four raters recorded the BI on all patients. BI scores were compared for equivalence on the level of agreement between raters.-
dc.description.abstractNear-perfect correlation in the total scores between raters indicated that the final score is reliable. There was a statistically significant bias by doctors who gave a higher BI score than nurses with a mean difference of 1.2 (95% confidence interval). Nurses demonstrated good and very good agreement on all 10 items, whereas doctors demonstrated good agreement on only 5 items.-
dc.description.abstractThe BI is highly reliable when recorded by nurses with low interrater variation, whereas between doctors, there is greater variation. When assessing older adult's activities of daily living, there is greater interrater reliability in the BI score when the patient is observed performing the activities of daily living compared to the self-report method.-
dc.language.isoenen
dc.publisherElsevieren
dc.relation.urlhttp://www.ncbi.nlm.nih.gov/pubmed?term=20974081en
dc.subject.meshAged-
dc.subject.meshAged, 80 and over-
dc.subject.meshDisability Evaluation-
dc.subject.meshFemale-
dc.subject.meshGeriatric Assessment-
dc.subject.meshGeriatric Nursing-
dc.subject.meshGeriatrics-
dc.subject.meshHumans-
dc.subject.meshMale-
dc.subject.meshObserver Variation-
dc.subject.meshRehabilitation Centers-
dc.subject.meshRehabilitation Nursing-
dc.subject.meshReproducibility of Results-
dc.titleThe Barthel Index: comparing inter-rater reliability between nurses and doctors in an older adult rehabilitation unit.en
dc.typeArticleen
dc.contributor.departmentCatherine McAuley School of Nursing and Midwifery, Brookfield Health Science Complex, University College Cork, Ireland. i.hartigan@ucc.ieen
dc.identifier.journalApplied nursing research : ANRen
dc.description.provinceMunster-

Related articles on PubMed

All Items in Lenus, The Irish Health Repository are protected by copyright, with all rights reserved, unless otherwise indicated.