PMID: 9422050Jan 9, 1998Paper

A comparison of patient and nurse ratings of human immunodeficiency virus-related signs and symptoms

Nursing Research
C A ReillyC J Portillo

Abstract

Since management strategies are guided by the assessment of the symptom experience, agreement between patients' and nurses' perceptions of symptoms is central to clinical management. In this study, acquired immune deficiency syndrome patients' perceptions of 41 human immunodeficiency virus-related signs and symptoms were compared in 207 pairs of ratings by patients (n = 207) and nurses (n = 103). Ten symptoms were reported by 50% or more of the patients. Mean patient intensity ratings for all signs and symptoms, with the exception of anxiety, were higher than nurse ratings. Using patients' ratings as the gold standard, chance-corrected estimates of sensitivity, specificity, positive predictive value, and negative predictive value of the nurses' ratings suggested that nurses' ratings poorly predicted patients' symptom experiences.

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Citations

Jan 26, 2006·The Journal of the Association of Nurses in AIDS Care : JANAC·Lucy Nthabiseng MakoaeWilliam L Holzemer
May 9, 2002·Journal of Pain and Symptom Management·Yun-Fang TsaiWilliam L Holzemer
Apr 15, 2003·Journal of Pain and Symptom Management·Yun-Fang TsaiWilliam L Holzemer
Oct 2, 1998·Journal of Advanced Nursing·W L HolzemerC Coleman
Nov 17, 1999·Journal of Advanced Nursing·W L HolzemerJ Inouye
Jun 2, 2000·AIDS Patient Care and STDs·C CosbyC J Portillo
Jun 22, 1999·AIDS Patient Care and STDs·W L HolzemerC J Portillo
Aug 16, 2006·The Nursing Clinics of North America·Claire E Lindberg
Sep 1, 2004·Journal of Pain and Symptom Management·Karolynn SiegelHelen-Maria Lekas
May 29, 2004·The Journal of the Association of Nurses in AIDS Care : JANAC·Rebecca SpirigSusanne Niepmann
Sep 22, 2001·The Journal of the Association of Nurses in AIDS Care : JANAC·W L HolzemerS Bakken
Feb 24, 2001·The Journal of the Association of Nurses in AIDS Care : JANAC·J K Kemppainen
Jun 18, 2002·Oncology Nursing Forum·Inge B CorlessFang-Yu Chou
Dec 29, 2000·Research in Nursing & Health·S V Kleinbeck
Feb 27, 2004·Western Journal of Nursing Research·Angela HudsonWilliam Holzemer
Dec 12, 2002·Qualitative Health Research·Holly Skodol WilsonWilliam L Holzemer
Mar 5, 1999·The Journal of the Association of Nurses in AIDS Care : JANAC·S B HenryN Stotts
Jan 22, 1998·The Journal of the Association of Nurses in AIDS Care : JANAC·W L HolzemerC A Reilly
Jul 27, 2000·The Journal of the Association of Nurses in AIDS Care : JANAC·H MisaoM Ishihara
Aug 2, 2002·The Journal of the Association of Nurses in AIDS Care : JANAC·Gayle NewshanSusan Holman
Jul 14, 2004·Sports Medicine·Joseph T CiccoloJohn B Bartholomew
Apr 11, 2002·The American Journal of Nursing·William L Holzemer

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