To Örebro University

oru.seÖrebro University Publications
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Psychometric evaluation of the Decision Support System (DSS) for municipal nurses encountering health deterioration among older adults
Örebro University, School of Health Sciences. Older Adults’ Health and Living Condition.ORCID iD: 0000-0002-2873-4247
Örebro University, School of Health Sciences.
Örebro University, School of Health Sciences. Older Adults’ Health and Living Condition, Örebro University, Örebro, Sweden; Department of Home Care, Halmstad Municipality, Halmstad, Sweden.ORCID iD: 0000-0002-1174-2523
School of Health Sciences, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.
Show others and affiliations
2024 (English)In: BMC Geriatrics, E-ISSN 1471-2318, Vol. 24, no 1, article id 283Article in journal (Refereed) Published
Abstract [en]

Background: A valid and reliable tool is crucial for municipal registered nurses (RNs) to make quick decisions in older adults who show rapid signs of health deterioration. The aim of this study was to investigate the psychometric properties of the Decision Support System (DSS) among older adults in the municipal healthcare system.

Methods: Firstly, we utilized the Rasch dichotomous model to analyze the DSS assessments (n=281) that were collected from municipal RNs working with older adults in the municipal healthcare system. We examined the properties of the DSS in terms of its unidimensionality, item fit, and separation indices. Secondly, to investigate inter-rater agreement in using the DSS, four experienced municipal RNs used the DSS to assess 60 health deterioration scenarios presented by one human patient simulators. The 60 DSS assessments were then analyzed using the ICC (2,1), percentage agreement, and Cohen kappa statistics.

Results: The sample of older adults had a mean age of 82.8 (SD 11.7). The DSS met the criteria for unidimensionality, although two items did not meet the item fit statistics when all the DSS items were analyzed together. The person separation index was 0.47, indicating a limited level of separation among the sample. The item separation index was 11.43, suggesting that the DSS has good ability to discriminate between and separate the items. At the overall DSS level, inter-rater agreements were good according to the ICC. At the individual DSS item level, the percentage agreements were 75% or above, while the Cohen kappa statistics ranged from 0.46 to 1.00.

Conclusions: The Rasch analysis revealed that the psychometric properties of the instrument were acceptable, although further research with a larger sample size and more items is needed. The DSS has the potential to assist municipal RNs in making clinical decisions regarding health deterioration in older adults, thereby avoiding unnecessary emergency admistion and helping.

Place, publisher, year, edition, pages
BMC , 2024. Vol. 24, no 1, article id 283
Keywords [en]
Health deterioration, Older adult, Municipal registered nurse, Psychometric
National Category
Geriatrics
Identifiers
URN: urn:nbn:se:oru:diva-112794DOI: 10.1186/s12877-024-04903-8ISI: 001190954600001PubMedID: 38528517Scopus ID: 2-s2.0-85188632349OAI: oai:DiVA.org:oru-112794DiVA, id: diva2:1848432
Funder
Örebro University
Note

Correction: Psychometric evaluation of the Decision Support System (DSS) for municipal nurses encountering health deterioration among older adults. Kihlgren, A., Lammgård, T., Pejner, M.N. et al. BMC Geriatr 24, 425 (2024). https://doi.org/10.1186/s12877-024-04962-x

Available from: 2024-04-03 Created: 2024-04-03 Last updated: 2024-07-04Bibliographically approved

Open Access in DiVA

No full text in DiVA

Other links

Publisher's full textPubMedScopus

Authority records

Kihlgren, AnnicaLammgård, TomasPejner, Margaretha NorellLindner, Helen

Search in DiVA

By author/editor
Kihlgren, AnnicaLammgård, TomasPejner, Margaretha NorellLindner, Helen
By organisation
School of Health Sciences
In the same journal
BMC Geriatrics
Geriatrics

Search outside of DiVA

GoogleGoogle Scholar

doi
pubmed
urn-nbn

Altmetric score

doi
pubmed
urn-nbn
Total: 57 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf