Inter-Rater Reliability in the Assessment of Consciousness in Patients Receiving Palliative Care in Intensive Care: a Prospective Cross Sectional Observational Study

dc.authorid SEZER, ESRA/0000-0002-5310-2575
dc.authorid Yildirim, Dilek/0000-0002-6228-0007
dc.authorid KAVALA, ARZU/0000-0001-8817-0511
dc.authorid Kugu, Emre/0000-0002-9345-4727
dc.authorscopusid 18039134400
dc.authorscopusid 57285968000
dc.authorscopusid 57321172100
dc.authorscopusid 58768216700
dc.authorscopusid 58954700300
dc.authorscopusid 58573437600
dc.authorwosid YILDIRIM, DİLEK/AAV-2960-2021
dc.authorwosid Kuğu, Emre/ADP-8979-2022
dc.authorwosid SEZER, ESRA/HPI-1413-2023
dc.contributor.author Kuğu, Emre
dc.contributor.author Kavala, Arzu
dc.contributor.author Oz, Seda Degirmenci
dc.contributor.author Sezer, Esra
dc.contributor.author Kugu, Emre
dc.contributor.author Coskun, Zeynep
dc.contributor.other Tıbbi Hizmetler ve Teknikler Bölümü
dc.date.accessioned 2025-01-11T13:03:16Z
dc.date.available 2025-01-11T13:03:16Z
dc.date.issued 2024
dc.department Fenerbahçe University en_US
dc.department-temp [Yildirim, Dilek; Kavala, Arzu] Istanbul Aydin Univ, Fac Hlth Sci, Dept Nursing, Istanbul, Turkiye; [Oz, Seda Degirmenci] Zonguldak Bulent Ecevit Univ, Fac Hlth Sci, Dept Nursing Adm, Zonguldak, Turkiye; [Sezer, Esra] Acibadem Univ, Fac Hlth Sci, Dept Nursing, Istanbul, Turkiye; [Kugu, Emre] Fenerbahce Univ, Vocat Sch Hlth Serv, Dept Med Serv & Techn, Istanbul, Turkiye; [Coskun, Zeynep] Istanbul Aydin Univ, Dept Otorhinolaryngol, Istanbul, Turkiye; [Yildirim, Dilek] Istanbul Aydin Univ, Fac Hlth Sci, Dept Nursing, Florya Campus Halit Aydin Campus Inonu St 38 Sefak, Kucukcekmece, Istanbul, Turkiye en_US
dc.description SEZER, ESRA/0000-0002-5310-2575; Yildirim, Dilek/0000-0002-6228-0007; KAVALA, ARZU/0000-0001-8817-0511; Kugu, Emre/0000-0002-9345-4727 en_US
dc.description.abstract BackgroundThe Glasgow Coma Scale (GCS) is one of the methods that has validity for evaluating the consciousness levels of patients in the literature and is accepted by health authorities.AimThe purpose of this study was to evaluate the inter-rater reliability of GCS in intensive care patients receiving palliative care.Study DesignA prospective cross sectional observational study. The study was conducted in a general intensive care unit with 20 beds with patients receiving palliative care. In the unit, 18 nurses worked in two shifts, day and night. Each patient's primary palliative care nurse and two additional researchers were given one minute to independently record the patient's GCS total and subscale scores. All observations were completed within 5 min as there could be significant changes in the patient's GCS score during observations.ResultsA total of 258 assessments were completed. For the GCS total scoring, a moderate agreement was found between palliative care nurses and the first researcher-observer (49.0%) and also between palliative care nurses and the second researcher-observer (47.7%). In addition, there was a substantial agreement between the first and second researchers (78.9%) and also between all observers (61.5%) (all p = .001).ConclusionsAlthough there was a near-perfect agreement between the two researcher-observers, we found only moderate agreement among all observers (palliative care nurses and two researcher-observers) in the evaluation of GCS total and subscale scores.Relevance to Clinical PracticeWe found that lack of knowledge and training on the standardized use of GCS is still a problem for palliative and intensive care units. Because of the diversity of patients requiring GCS assessment in palliative care units, refresher training programs and hands-on workshops on consciousness assessment should be organized regularly for more experienced nurses. en_US
dc.description.woscitationindex Science Citation Index Expanded - Social Science Citation Index
dc.identifier.citation 0
dc.identifier.doi 10.1111/nicc.13065
dc.identifier.issn 1362-1017
dc.identifier.issn 1478-5153
dc.identifier.pmid 38508739
dc.identifier.scopus 2-s2.0-85188556045
dc.identifier.scopusquality Q1
dc.identifier.uri https://doi.org/10.1111/nicc.13065
dc.identifier.uri https://hdl.handle.net/20.500.14627/250
dc.identifier.wos WOS:001187813500001
dc.identifier.wosquality Q1
dc.language.iso en en_US
dc.publisher Wiley en_US
dc.relation.publicationcategory Makale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı en_US
dc.rights info:eu-repo/semantics/openAccess en_US
dc.scopus.citedbyCount 0
dc.subject Care Management en_US
dc.subject Consciousness en_US
dc.subject Glasgow Coma Scale en_US
dc.subject Intensive Care en_US
dc.subject Palliative Care en_US
dc.title Inter-Rater Reliability in the Assessment of Consciousness in Patients Receiving Palliative Care in Intensive Care: a Prospective Cross Sectional Observational Study en_US
dc.type Article en_US
dc.wos.citedbyCount 0
dspace.entity.type Publication
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