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Nursing care based on risk assessment and classification: agreement between nurses and the institutional protocol

2013; UNIVERSIDADE DE SÃO PAULO; Volume: 21; Issue: 2 Linguagem: Inglês

10.1590/s0104-11692013000200005

1518-8345

Gabriella Novelli Oliveira, Cássia Regina Vancini Campanharo, Meiry Fernanda Pinto Okuno, Ruth Ester Assayag Batista,

Reliability and Agreement in Measurement

to verify the degree of agreement between the levels of priority given by baccalaureate nurses in care based on risk assessment and classification and the institutional protocol, and also among peers.descriptive study, using a questionnaire with thirty fictitious clinical cases based on the institutional protocol, which is considered the gold standard, answered by twenty baccalaureate nurses.the agreement analysis through the Kappa Coefficient concluded that the agreement between baccalaureate nurses and the institutional protocol in relation to prioritizing the levels of severity was moderate. When the agreement among peers was evaluated, it was low, as represented by the colorimetric density in shades of light gray.in Brazil, some institutions have developed their own protocol, which makes it necessary to develop tools in order to evaluate the accuracy of professionals in relation to the protocols, highlighting the need for capable people to perform this activity, thus contributing to patient safety.