PMID- 11755452
OWN - NLM
STAT- MEDLINE
DCOM- 20020708
LR  - 20190921
IS  - 0020-7489 (Print)
IS  - 0020-7489 (Linking)
VI  - 39
IP  - 2
DP  - 2002 Feb
TI  - Establishing the validity of pressure ulcer risk assessment scales: a novel 
      approach using illustrated patient scenarios.
PG  - 215-28
AB  - Preventing pressure ulcers is an important nursing goal and over the years a 
      number of risk assessment scales (RASs) have been developed to expedite clinical 
      judgement. The aim of this study was to examine the validity of the three most 
      commonly used RASs compared to nurses' own clinical judgement. Patient 
      simulations were presented to 236 clinical nurses. Nine hundred and forty one 
      assessments were completed and compared to the ratings from a panel of tissue 
      viability experts. Clinical judgement exactly matched expert opinion (69.1%) more 
      often than assessment with any of the RASs. The Waterlow Score matched exactly in 
      20% of cases, the Braden Scale in 8.5% of cases and the Norton Score in 4.6% of 
      cases. Thus none of these RASs can be considered valid, assuming that the expert 
      panel genuinely reflected the 'gold standard' in terms of the external criterion. 
      The implications for clinical practice are far-reaching considering the extent to 
      which RASs are currently used to reach important clinical decisions relating to 
      the deployment of expensive pressure-relieving aids and nursing time.
FAU - Gould, Dinah
AU  - Gould D
AD  - Faculty of Health, South Bank University, Southwark Campus, 103 Borough Road, SE1 
      0AA, London, UK. dianah.gould@sbu.ac.uk
FAU - Goldstone, Len
AU  - Goldstone L
FAU - Gammon, John
AU  - Gammon J
FAU - Kelly, Daniel
AU  - Kelly D
FAU - Maidwell, Anna
AU  - Maidwell A
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PL  - England
TA  - Int J Nurs Stud
JT  - International journal of nursing studies
JID - 0400675
SB  - IM
MH  - Humans
MH  - Patient Simulation
MH  - Pressure Ulcer/*etiology
MH  - Reproducibility of Results
MH  - Risk Factors
EDAT- 2002/01/05 10:00
MHDA- 2002/07/09 10:01
CRDT- 2002/01/05 10:00
PHST- 2002/01/05 10:00 [pubmed]
PHST- 2002/07/09 10:01 [medline]
PHST- 2002/01/05 10:00 [entrez]
AID - S0020748901000128 [pii]
AID - 10.1016/s0020-7489(01)00012-8 [doi]
PST - ppublish
SO  - Int J Nurs Stud. 2002 Feb;39(2):215-28. doi: 10.1016/s0020-7489(01)00012-8.