Observational sickness assessment by the NICU staff nurses.
Indian J Pediatr
;
2007 Feb; 74(2): 123-5
Article
in English
| IMSEAR
| ID: sea-82228
ABSTRACT
OBJECTIVE:
To see the level of agreement on subjectively assessed sickness by NICU staff nurse with doctor.METHODS:
Prospective study in NICU for three months. The nurses were asked to assess whether a baby is sick or not on the basis of observed physical variables. Both the nurses and the attending physician made their assessment on a progress sheet separately. Statistical analysis was carried out to see the agreement of the nurses with the doctors in respect to the sickness assessment, treatment, final outcome and the agreement between the symptoms picked up by the nurses and the doctors.RESULTS:
Out of 112 babies admitted, 90 were observed to be sick by the nurses out of which 85 were observed to be sick by the doctors (Kappa=0.4098). Considerable accuracy was noted on comparing symptoms picked up by the nurses and the doctors'. The Kappa value for respiratory, GI and neurological system was 0.4278,0.401 and 0.59 respectively. A significant correlation was seen between the two groups with regard to the treatment given (p value=0.0456).CONCLUSION:
Trained NICU staff nurse can identify sick neonate on observation.
Full text:
Available
Index:
IMSEAR (South-East Asia)
Main subject:
Severity of Illness Index
/
Female
/
Humans
/
Male
/
Infant, Newborn
/
Intensive Care Units, Neonatal
/
Prospective Studies
/
Sensitivity and Specificity
/
Clinical Competence
/
Neonatal Nursing
Type of study:
Diagnostic study
/
Observational study
/
Prognostic study
Country/Region as subject:
Asia
Language:
English
Journal:
Indian J Pediatr
Year:
2007
Type:
Article
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