The inter-rater reliability of the Risk Instrument for Screening in the Community

E. Weathers, R. O'Caoimh, R. O'Sullivan, C. Paúl, F. Orfilia, Roger Clarnette, C. Fitzgerald, A. Svendrovski, N. Cornally, P. Leahy-Warren, D.W. Molloy

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    Abstract

    © MA Healthcare Ltd.Predicting risk of adverse healthcare outcomes is important to enable targeted delivery of interventions. The Risk Instrument for Screening in the Community (RISC), designed for use by public health nurses (PHNs), measures the 1-year risk of hospitalisation, institutionalisation and death in community-dwelling older adults according to a five-point global risk score: from low (score 1,2) to medium (3) to high (4,5). We examined the inter-rater reliability (IRR) of the RISC between student PHNs (n=32) and expert raters using six cases (two low, medium and high-risk), scored before and after RISC training. Correlations increased for each adverse outcome, statistically significantly for institutionalisation (r=0.72 to 0.80,p=0.04) and hospitalisation (r=0.51 to 0.71,p
    Original languageEnglish
    Pages (from-to)469-475
    JournalBritish Journal of Community Nursing
    Volume21
    Issue number9
    DOIs
    Publication statusPublished - 2016

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