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The Inter-rater Reliability Between Nurse-assessors Clinically Assessing Infection of Chronic Wounds Using the WUWHS Criteria

Vestjens, J.J.H.H.M., Rondas, A.A.L.M., White, Richard and Holloway, S.S.L. (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. ISSN 1742-4801

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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. © 2017 Medicalhelplines.com Inc and John Wiley & Sons Ltd

Item Type: Article
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Uncontrolled Keywords: chronic wounds, clinical assessment, inter-rater reliability, WUWHS, wound infection
Subjects: R Medicine > R Medicine (General)
R Medicine > RT Nursing
Divisions: Academic Departments > Institute of Health and Society
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Depositing User: Richard White
Date Deposited: 01 Mar 2019 12:47
Last Modified: 01 Mar 2019 12:47
URI: https://eprints.worc.ac.uk/id/eprint/7650

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