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How well do nurses know their patients? Agreement between patients' degree‐of‐worry and nurses' estimation of patients' degree‐of‐worry—An observational study.

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Title: How well do nurses know their patients? Agreement between patients' degree‐of‐worry and nurses' estimation of patients' degree‐of‐worry—An observational study.
Authors: Gamst‐Jensen, Hejdi, Trondarson, Tordis, Kallemose, Thomas, Poulsen, Ingrid
Source: Scandinavian Journal of Caring Sciences. Sep2023, Vol. 37 Issue 3, p654-661. 8p. 1 Diagram, 4 Charts.
Subjects: Kruskal-Wallis Test, Nurses' attitudes, Scientific observation, Confidence intervals, Self-evaluation, Mann Whitney U Test, Patient-centered care, Public health, Nurse-patient relationships, Patients' attitudes, Communication, Descriptive statistics, Anxiety, Data analysis software, Longitudinal method, Emergency medicine
Abstract: Aim: To assess the agreement between patients' self‐reported degree‐of‐worry (DOW) and nurses' evaluation of patients' DOW. Design: An observational cohort study with patients and their primary nurses. Methods: Between 22 February and 27 March 2021, data collection among patients and their nurses in an emergency department was carried out. Patients ≥18 years, cognitively intact and Danish or English speaking were eligible to participate. Nurses regardless of seniority and gender were eligible for participation. The single‐item degree‐of‐worry measure, 'how worried are you about the condition you are here today on a scale from 1 to 10, where 1 is minimally worried and 10 is maximum worried' as well as information on gender, age, co‐morbidity, triage level and medical reason for encounter was collected from patients. The corresponding nurses were asked; 'how worried do you think your patient is about the condition he/she is there today on a scale from 1 to 10, where 1 is minimally worried and 10 is maximum worried?' Nurses also supplied data on gender, age, seniority as a Registered Nurse and in the ED. Agreement between patients' self‐reported degree‐of‐worry and nurses' evaluation of patients' degree‐of‐worry was assessed with weighted Cohen's Kappa. Results: A total of 194 patient–nurse pairs were included for analysis. The agreement between patients' DOW and nurses' evaluation of patients' DOW categorised as DOWlow, DOWmiddle and DOWhigh was in total agreement in n = 85 pairs (43.8%) of the ratings, which corresponds to a weighted Cohen's Kappa of 0.19 (0.08–0.30; p < 0.001). Conclusion: Nurses estimate of their patients' DOW was in very poor agreement. This indicates that nurses are not able to assess the patient's DOW to a satisfactory level. This result is troubling as it may have serious consequences for patient care as it indicates that the nurses do not know their patients' perspectives. [ABSTRACT FROM AUTHOR]
Copyright of Scandinavian Journal of Caring Sciences is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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– Name: Abstract
  Label: Abstract
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  Data: Aim: To assess the agreement between patients&#39; self‐reported degree‐of‐worry (DOW) and nurses&#39; evaluation of patients&#39; DOW. Design: An observational cohort study with patients and their primary nurses. Methods: Between 22 February and 27 March 2021, data collection among patients and their nurses in an emergency department was carried out. Patients ≥18 years, cognitively intact and Danish or English speaking were eligible to participate. Nurses regardless of seniority and gender were eligible for participation. The single‐item degree‐of‐worry measure, &#39;how worried are you about the condition you are here today on a scale from 1 to 10, where 1 is minimally worried and 10 is maximum worried&#39; as well as information on gender, age, co‐morbidity, triage level and medical reason for encounter was collected from patients. The corresponding nurses were asked; &#39;how worried do you think your patient is about the condition he/she is there today on a scale from 1 to 10, where 1 is minimally worried and 10 is maximum worried?&#39; Nurses also supplied data on gender, age, seniority as a Registered Nurse and in the ED. Agreement between patients&#39; self‐reported degree‐of‐worry and nurses&#39; evaluation of patients&#39; degree‐of‐worry was assessed with weighted Cohen&#39;s Kappa. Results: A total of 194 patient–nurse pairs were included for analysis. The agreement between patients&#39; DOW and nurses&#39; evaluation of patients&#39; DOW categorised as DOWlow, DOWmiddle and DOWhigh was in total agreement in n = 85 pairs (43.8%) of the ratings, which corresponds to a weighted Cohen&#39;s Kappa of 0.19 (0.08–0.30; p &lt; 0.001). Conclusion: Nurses estimate of their patients&#39; DOW was in very poor agreement. This indicates that nurses are not able to assess the patient&#39;s DOW to a satisfactory level. This result is troubling as it may have serious consequences for patient care as it indicates that the nurses do not know their patients&#39; perspectives. [ABSTRACT FROM AUTHOR]
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  Data: &lt;i&gt;Copyright of Scandinavian Journal of Caring Sciences is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1111/scs.13147
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 8
        StartPage: 654
    Subjects:
      – SubjectFull: Kruskal-Wallis Test
        Type: general
      – SubjectFull: Nurses' attitudes
        Type: general
      – SubjectFull: Scientific observation
        Type: general
      – SubjectFull: Confidence intervals
        Type: general
      – SubjectFull: Self-evaluation
        Type: general
      – SubjectFull: Mann Whitney U Test
        Type: general
      – SubjectFull: Patient-centered care
        Type: general
      – SubjectFull: Public health
        Type: general
      – SubjectFull: Nurse-patient relationships
        Type: general
      – SubjectFull: Patients' attitudes
        Type: general
      – SubjectFull: Communication
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Anxiety
        Type: general
      – SubjectFull: Data analysis software
        Type: general
      – SubjectFull: Longitudinal method
        Type: general
      – SubjectFull: Emergency medicine
        Type: general
    Titles:
      – TitleFull: How well do nurses know their patients? Agreement between patients' degree‐of‐worry and nurses' estimation of patients' degree‐of‐worry—An observational study.
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            NameFull: Gamst‐Jensen, Hejdi
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            NameFull: Trondarson, Tordis
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            NameFull: Kallemose, Thomas
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            – D: 01
              M: 09
              Text: Sep2023
              Type: published
              Y: 2023
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              Value: 37
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              Value: 3
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            – TitleFull: Scandinavian Journal of Caring Sciences
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