Analysis of agreement of the evaluation of pressure ulcer staging

Authors

  • Flávia Sampaio Latini Gomes Belo HorizonteMG, Universidade Federal de Minas Gerais, da Escola de Enfermagem , Departamento de Enfermagem Básica, Brasil
  • Marisa Antonini Ribeiro Bastos Belo HorizonteMG, Universidade FUMEC, Faculdade de Ciências da Saúde , Brasil
  • Juliana Alves Batista Belo HorizonteMG, ELSA, Brasil
  • Gustavo Velásquez-Meléndez Belo HorizonteMG, UFMG, EE , Departamento de Enfermagem Materno Infantil e Saúde Pública, Brasil

DOI:

https://doi.org/10.5935/1415-2762.20130020

Keywords:

Pressure Ulcer, Diagnosis, Data Interpretation

Abstract

This study aimed to evaluate the consistency of the diagnoses, among nurses, of the staging of pressure ulcers based upon bi-dimensional images. This was a cross-sectional study with a diagnostic approach for staging of pressure ulcers, as measured by the overall rate of agreement and the Kappa Index. Training was conducted with 12 nurses and evaluation of the level of agreement in comparison to the diagnostic standard of an experienced investigator in the reading of ten digital images. Three applications of the test were necessary to obtain more than 80% agreement in the classification of the ulcers. The level of agreement obtained based on the evaluations of the bi-dimensional images was lower than those obtained in clinical practice. This study showed that in order to achieve agreement of greater than 85%, a high level of professional training is necessary, in large part, of the professionals who perform the evaluation.

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References

1. National Pressure Ulcer Advisory Panel – NPUAP. Pressure ulcer stages revised by NPUAP. Washington: National Pressure Ulcer Advisory Panel. [Cited 2007 Feb 2010]. Available from: http://www.npuap.org

2. Pieper B. Mechanical forces: pressure, shear, and friction. In: Bryant RA. Acute and chronic wounds: nursing management. 2nd ed. St. Louis: Mosby; 2000. p. 221-64.

3. Seigel DG, Podgor MJ, Remaley NA. Acceptable values of kappa for comparison of two groups. Am J Epidemiol. 1992; 135(5): 571-8.

4. Bergstrom N, Allman RM, Alvarez OM, et al. Treatment of pressure ulcer. Clinical practice guideline, n.15. Rockville: Public Health Service, Agency for Healt Care Policy and Reserch; 1994.

5. Healey F. Classificação das úlceras por pressão II. Nursing. 1997; 109: 16-20.

6. Cerato MM, Cerato NL, Meurer L, Edelweissa MI, Pütten AC, Golbspan L. Variabilidade interobservador no diagnóstico histológico dos pólipos colorretais. Rev Bras Coloproct. 2007; 27(1): 7-15.

7. Simão CMF. Úlcera por pressão em Unidades de Terapia Intensiva e conformidade das ações de Enfermagem [dissertação]. Ribeirão Preto: Escola de Enfermagem de Ribeirão Preto, Universidade de São Paulo; 2010.

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Published

2013-06-01

Issue

Vol. 17 No. 2 (2013)

Section

Research

License

Copyright (c) 2013 Reme: Revista Mineira de Enfermagem

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

How to Cite

1.
Analysis of agreement of the evaluation of pressure ulcer staging. REME Rev Min Enferm. [Internet]. 2013 Jun. 1 [cited 2025 Dec. 14];17(2). Available from: https://periodicos.ufmg.br/index.php/reme/article/view/50232

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