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

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dc.contributor.author Weathers, Elizabeth
dc.contributor.author O'Caoimh, Rónán
dc.contributor.author O'Sullivan, Ronan
dc.contributor.author Paúl, Constança
dc.contributor.author Orfilia, Frances
dc.contributor.author Clarnette, Roger
dc.contributor.author Fitzgerald, Carol
dc.contributor.author Svendrovski, Anton
dc.contributor.author Cornally, Nicola
dc.contributor.author Leahy-Warren, Patricia
dc.contributor.author Molloy, D. William
dc.date.accessioned 2016-11-07T11:39:09Z
dc.date.available 2016-11-07T11:39:09Z
dc.date.issued 2016-09
dc.identifier.citation Weathers, E., O'Caoimh, R., O'Sullivan, R., Paúl, C., Orfilia, F., Clarnette, R., Fitzgerald, C., Svendrovski, A., Cornally, N., Leahy-Warren, P. and Molloy, D.W. (2016) 'The inter-rater reliability of the Risk Instrument for Screening in the Community', British Journal of Community Nursing, 21(9). pp. 469-475. doi:10.12968/bjcn.2016.21.9.469 en
dc.identifier.volume 21 en
dc.identifier.issued 9 en
dc.identifier.startpage 469 en
dc.identifier.endpage 475 en
dc.identifier.issn 1462-4753
dc.identifier.uri http://hdl.handle.net/10468/3247
dc.identifier.doi 10.12968/bjcn.2016.21.9.469
dc.description.abstract 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 one-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), medium (3) and 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<0.01) but not death. Training improved accuracy for low-risk but not all high-risk cases. Overall, the RISC showed good IRR, which increased after RISC training. That reliability reduced for some high-risk cases suggests that the training programme requires adjustment to further improve IRR. en
dc.format.mimetype application/pdf en
dc.language.iso en en
dc.publisher Mark Allen Healthcare Ltd. en
dc.rights © 2016, Mark Allen Publishing Ltd. This document is the Accepted Manuscript version of a Published Work that appeared in final form in the British Journal of Community Nursing, © Mark Allen Healthcare Ltd. To access the final edited and published work see http://www.magonlinelibrary.com/doi/pdf/10.12968/bjcn.2016.21.9.469 en
dc.subject Screening en
dc.subject Frailty en
dc.subject Risk en
dc.subject Adverse outcomes en
dc.subject Inter-rater reliability en
dc.title The inter-rater reliability of the Risk Instrument for Screening in the Community en
dc.type Article (peer-reviewed) en
dc.internal.authorcontactother Carol Fitzgerald, Centre for Gerontology and Rehabilitation, University College Cork, Cork, Ireland. +353-21-490-3000 Email: carol.fitzgerald@ucc.ie en
dc.internal.availability Full text available en
dc.description.version Accepted Version en
dc.description.status Peer reviewed en
dc.identifier.journaltitle British Journal of Community Nursing en
dc.internal.IRISemailaddress carol.fitzgerald@ucc.ie
dc.internal.IRISemailaddress carol.fitzgerald@ucc.ie en


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