Reliability of the Sedation-Agitation Scale between nurses and doctors

Intensive & Critical Care Nursing : the Official Journal of the British Association of Critical Care Nurses
Michelle C Ryder-Lewis, Katherine M Nelson

Abstract

This study determined the inter-rater reliability of the Sedation-Agitation Scale (SAS) when used by staff in a tertiary level general intensive care unit (ICU). The study was designed to answer the question in the 'real world', with minimum patient exclusion criteria, do nurses and doctors rate ICU patient's sedation levels using the SAS similarly? A convenient sample of 35 nursing and seven medical staff and a randomly selected sample of 69 patients were used. A nurse and a doctor rated each patient simultaneously using the SAS, with a systematic five-stage arousal process. The results showed that there was exact agreement between the nurses' and doctors' scores in 74% of assessments. The weighted kappa finding of 0.82 indicates very good agreement (reliability). The mean SAS scores recorded for nurses (2.33+/-1.21) and doctors (2.36+/-1.35) were similar. Intraclass correlations for single measures (r=.921, p<.001) and average measures (r=.959, p<.001) indicated individuals who completed multiple ratings did not introduce bias. Where there was a difference between the paired ratings, these were only one level of the SAS away from each other. This research indicates nurses and doctors rate patients' levels of sedation similarl...Continue Reading

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Citations

Apr 17, 2012·Clinical Nurse Specialist CNS·Beverly MolineJanet Houser
May 27, 2014·Journal of Perianesthesia Nursing : Official Journal of the American Society of PeriAnesthesia Nurses·Aaron ConwayLinda Worrall-Carter
Jun 19, 2013·Medicina intensiva·E Celis-RodríguezUNKNOWN Federación Panamericana e Ibérica de Sociedades de Medicina Crítica y Terapia Intensiva
Dec 28, 2012·Critical Care Medicine·Juliana BarrUNKNOWN American College of Critical Care Medicine
Oct 18, 2013·Critical Care Medicine·Bryce R H RobinsonCéline Gélinas
Oct 30, 2016·Tuberculosis and Respiratory Diseases·Young-Jae ChoUNKNOWN Korean Academy of Tuberculosis and Respiratory Diseases Consensus Group
Sep 8, 2018·American Journal of Health-system Pharmacy : AJHP : Official Journal of the American Society of Health-System Pharmacists·Jeannine M BrantDavid Karera
Mar 28, 2013·International Anesthesiology Clinics·Erin S Grawe, Suzanne Bennett
Dec 13, 2018·Revista brasileira de psiquiatria : orgão oficial da Associação Brasileira de Psiquiatria, Asociación Psiquiátrica de la América Latina·Leonardo BaldaçaraTeng C Tung

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