Reliability analysis of the Manchester Triage System: inter-observer and intra-observer agreement

Revista latino-americana de enfermagem
Cristiane Chaves de SouzaGabriela Fontoura Lana Nascimento

Abstract

To analyze the reliability of the Manchester Triage System to determine the priority of patients in emergency services. This is a reliability study with a sample of 361 nurses. The data were collected in three stages and the questionnaires were applied using the electronic software. The agreement was measured by the evaluation of clinical cases. The outcomes evaluated were agreement with the gold standard and intra-observer in the indication of the flowchart, discriminator, and level of risk. Data were submitted to univariate and bivariate analyses. The agreement was measured by the Kappa index. The external and internal reliability of the protocol ranged from moderate to substantial (Kappa: 0.55-0.78). The time of professional experience as a nurse, in emergency services and in the classification of risk were associated with external and internal reliability. The correct choice of the discriminator influenced the correct indication of the risk level (R² = 0.77, p <0.0001) more than the correct choice of the flowchart (R² = 0.16, p <0.0001). The reliability of the Manchester Triage System ranged from moderate to substantial and it was influenced by the clinical experience of the nurse. The protocol is safe for defining clinical...Continue Reading

References

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Citations

Dec 12, 2019·Revista latino-americana de enfermagem·Emilia Aparecida Cicolo, Heloísa Helena Ciqueto Peres
Oct 22, 2020·Revista latino-americana de enfermagem·Bruna Roberta Siqueira Moura, Lilia de Souza Nogueira
Oct 29, 2020·Revista gaúcha de enfermagem·Jaqueline Pereira da CostaCarine Raquel Blatt
Mar 28, 2021·Clinical Nursing Research·Aiqun ZhuJingping Zhang
Jun 3, 2021·Revista brasileira de enfermagem·Caroline Silva MorelatoRosangela Andrade Aukar de Camargo
Aug 29, 2021·International Journal of Nursing Practice·Bruna Roberta Siqueira MouraLilia de Souza Nogueira

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