PMID: 11899634Mar 20, 2002Paper

Interrater reliability of the Glasgow Coma Scale scoring among nurses in sub-specialties of critical care

Australian Critical Care : Official Journal of the Confederation of Australian Critical Care Nurses
R HeronM Courtney

Abstract

The Glasgow Coma Scale (GCS) is used as an assessment tool to measure the levels of consciousness and coma in patients. This research investigated the reliability of scoring the GCS among registered nurses (RNs) working in five different sub-specialty clinical areas of critical care; general intensive care, neurosurgical intensive care, coronary care, emergency room and post anaesthetic recovery room. Seven video recordings were made of six patients (one patient was recorded twice) having their level of neurological response assessed utilising the GCS. Seventy five RNs (15 from each sub-specialty) viewed each of the GCS assessments on the videotape and rated each patient on the scoring sheet provided. Analysis was performed for all RN subjects as a single group as well as separately for each of the five groups under investigation. The ratings for the first six videos were used to test interrater reliability and the scores from videotape four and seven (same patient) were used to calculate intrarater reliability. Based on comparison with expert scores, of the 75 participants, 38 responded correctly to eye opening responses; only 26 responded correctly to the motor response ratings. However, a better accuracy was achieved in the ...Continue Reading

References

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Citations

Aug 24, 2005·Contemporary Nurse·Wendy Pollock, Sioban Nelson
May 8, 2015·Journal of Neurotrauma·Florence C M ReithGraham M Teasdale
Nov 14, 2015·Intensive Care Medicine·Florence C M ReithAndrew I R Maas
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Sep 12, 2014·Neurocritical Care·Richard R RikerUNKNOWN Participants in the International Multi-disciplinary Consensus Conference on Multimodality Monitoring
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Jul 12, 2007·The Journal of Trauma·Sara CuffMichel Slim
Dec 26, 2009·Neurologia Medico-chirurgica·Phuping Akavipat
Sep 13, 2013·The Journal of Neuroscience Nursing : Journal of the American Association of Neuroscience Nurses·Ihsan MattarMoon Fai Chan
Feb 10, 2004·AACN Clinical Issues·DaiWai M OlsonJoel C Morgenlander
Mar 23, 2017·Neurosurgery·Florence Cm ReithAndrew Ir Maas
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Nov 11, 2014·British Journal of Nursing : BJN·Kumiko Okamura
Aug 2, 2020·Critical Care Nurse·Ayda KebapçıSerpil Topçu
Jan 4, 2017·Nursing Research and Practice·Harvinderjit Kaur A/P Basauhra SinghNurul Hafizan Azahar
Jan 1, 2011·JBI Library of Systematic Reviews·Ihsan Mattar, Moon Fai Chan

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