Interobserver agreement in Reception and Risk Stratification in Obstetrics implementation

ABSTRACT Objectives: to analyze interobserver agreement in the Reception and Risk Stratification in Obstetrics protocol implementation. Methods: a cross-sectional study carried out during Reception and Risk Stratification in Obstetrics implementation, conducted in a tertiary hospital in southern B...

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Main Authors: Manuela Beatriz Velho, Luciana Santos Pimentel, Fernanda Amâncio Soares da Silva, Alberto Trapani Junior, Thayná Ventura, Adaiana Fátima Almeida, Roberta Costa, Roxana Knobel
Format: Article
Language:English
Published: Associação Brasileira de Enfermagem 2024-12-01
Series:Revista Brasileira de Enfermagem
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Online Access:http://revodonto.bvsalud.org/scielo.php?script=sci_arttext&pid=S0034-71672024000900168&lng=en&tlng=en
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author Manuela Beatriz Velho
Luciana Santos Pimentel
Fernanda Amâncio Soares da Silva
Alberto Trapani Junior
Thayná Ventura
Adaiana Fátima Almeida
Roberta Costa
Roxana Knobel
author_facet Manuela Beatriz Velho
Luciana Santos Pimentel
Fernanda Amâncio Soares da Silva
Alberto Trapani Junior
Thayná Ventura
Adaiana Fátima Almeida
Roberta Costa
Roxana Knobel
author_sort Manuela Beatriz Velho
collection DOAJ
description ABSTRACT Objectives: to analyze interobserver agreement in the Reception and Risk Stratification in Obstetrics protocol implementation. Methods: a cross-sectional study carried out during Reception and Risk Stratification in Obstetrics implementation, conducted in a tertiary hospital in southern Brazil with 891 participants in January 2020. Descriptive and interobserver agreement analysis was carried out using the Kappa coefficient in the risk stratification assigned by the triage nurse and reviewed by the researcher. Results: around half of the calls (55.6%) were stratified as not very urgent (green), followed by urgent (yellow) (31.8%), very urgent (orange) (9.3%), not urgent (blue) (3.4%) and no emerging stratification (red). Agreement analysis of revised stratification found Kappa values of 0.20 (blue), 0.54 (green), 0.77 (yellow) and 0.80 (orange). Conclusions: most appointments were non-urgent. The agreement analysis between the revised and assigned risk stratification revealed greater interobserver agreement as the priority level increased.
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spelling doaj-art-27b807be1ccb41ebac23b16987682ef82025-08-20T02:36:54ZengAssociação Brasileira de EnfermagemRevista Brasileira de Enfermagem1984-04462024-12-0177510.1590/0034-7167-2023-0361Interobserver agreement in Reception and Risk Stratification in Obstetrics implementationManuela Beatriz Velhohttps://orcid.org/0000-0001-6660-6978Luciana Santos Pimentelhttps://orcid.org/0000-0002-3638-9746Fernanda Amâncio Soares da Silvahttps://orcid.org/0000-0002-2254-9139Alberto Trapani Juniorhttps://orcid.org/0000-0003-0196-4488Thayná Venturahttps://orcid.org/0009-0006-3307-1093Adaiana Fátima Almeidahttps://orcid.org/0000-0002-2296-3495Roberta Costahttps://orcid.org/0000-0001-6816-2047Roxana Knobelhttps://orcid.org/0000-0001-9180-4685ABSTRACT Objectives: to analyze interobserver agreement in the Reception and Risk Stratification in Obstetrics protocol implementation. Methods: a cross-sectional study carried out during Reception and Risk Stratification in Obstetrics implementation, conducted in a tertiary hospital in southern Brazil with 891 participants in January 2020. Descriptive and interobserver agreement analysis was carried out using the Kappa coefficient in the risk stratification assigned by the triage nurse and reviewed by the researcher. Results: around half of the calls (55.6%) were stratified as not very urgent (green), followed by urgent (yellow) (31.8%), very urgent (orange) (9.3%), not urgent (blue) (3.4%) and no emerging stratification (red). Agreement analysis of revised stratification found Kappa values of 0.20 (blue), 0.54 (green), 0.77 (yellow) and 0.80 (orange). Conclusions: most appointments were non-urgent. The agreement analysis between the revised and assigned risk stratification revealed greater interobserver agreement as the priority level increased.http://revodonto.bvsalud.org/scielo.php?script=sci_arttext&pid=S0034-71672024000900168&lng=en&tlng=enObstetricsUser EmbracementTriageRisk AssessmentEmergencies
spellingShingle Manuela Beatriz Velho
Luciana Santos Pimentel
Fernanda Amâncio Soares da Silva
Alberto Trapani Junior
Thayná Ventura
Adaiana Fátima Almeida
Roberta Costa
Roxana Knobel
Interobserver agreement in Reception and Risk Stratification in Obstetrics implementation
Revista Brasileira de Enfermagem
Obstetrics
User Embracement
Triage
Risk Assessment
Emergencies
title Interobserver agreement in Reception and Risk Stratification in Obstetrics implementation
title_full Interobserver agreement in Reception and Risk Stratification in Obstetrics implementation
title_fullStr Interobserver agreement in Reception and Risk Stratification in Obstetrics implementation
title_full_unstemmed Interobserver agreement in Reception and Risk Stratification in Obstetrics implementation
title_short Interobserver agreement in Reception and Risk Stratification in Obstetrics implementation
title_sort interobserver agreement in reception and risk stratification in obstetrics implementation
topic Obstetrics
User Embracement
Triage
Risk Assessment
Emergencies
url http://revodonto.bvsalud.org/scielo.php?script=sci_arttext&pid=S0034-71672024000900168&lng=en&tlng=en
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