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

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dc.contributor.authorWeathers, Elizabeth
dc.contributor.authorO'Caoimh, Rónán
dc.contributor.authorO'Sullivan, Ronan
dc.contributor.authorPaúl, Constança
dc.contributor.authorOrfilia, Frances
dc.contributor.authorClarnette, Roger
dc.contributor.authorFitzgerald, Carol
dc.contributor.authorSvendrovski, Anton
dc.contributor.authorCornally, Nicola
dc.contributor.authorLeahy-Warren, Patricia
dc.contributor.authorMolloy, D. William
dc.date.accessioned2016-11-07T11:39:09Z
dc.date.available2016-11-07T11:39:09Z
dc.date.issued2016-09
dc.description.abstractPredicting 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.description.statusPeer revieweden
dc.description.versionAccepted Versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.citationWeathers, 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.2016.21.9.469en
dc.identifier.doi10.12968/bjcn.2016.21.9.469
dc.identifier.endpage475en
dc.identifier.issn1462-4753
dc.identifier.issued9en
dc.identifier.journaltitleBritish Journal of Community Nursingen
dc.identifier.startpage469en
dc.identifier.urihttps://hdl.handle.net/10468/3247
dc.identifier.volume21en
dc.language.isoenen
dc.publisherMark 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.2016.21.9.469en
dc.subjectScreeningen
dc.subjectFrailtyen
dc.subjectRisken
dc.subjectAdverse outcomesen
dc.subjectInter-rater reliabilityen
dc.titleThe inter-rater reliability of the Risk Instrument for Screening in the Communityen
dc.typeArticle (peer-reviewed)en
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