Medication administration evaluation and feedback tool: Inter-rater reliability in the clinical setting |
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| Affiliation: | 1. Melbourne Ageing Research Collaboration, National Ageing Research Institute, Parkville, VIC, 3052, Australia;2. Melbourne School of Psychological Science, University of Melbourne, Parkville, VIC, 3010, Australia;3. Department of Geriatric Medicine, Austin Health, Heidelberg, VIC, 3084, Australia;1. School of Nursing, Midwifery and Paramedicine, Australian Catholic University, 8-14 Brunswick Street, Fitzroy 3065 Victoria, Australia;2. School of Nursing & Midwifery, Edith Cowan University, 270 Joondalup Drive, Joondalup 6027 Western Australia, Australia;3. University of Newcastle, Widderson St, Port Macquarie, 2444 New South Wales, Australia;4. Bairnsdale Regional Health Service, Day Street, Bairnsdale, Victoria 3075, Australia;1. School of Nursing, Midwifery and Paramedicine, Curtin University, WA, Australia;2. WA Cancer Prevention Research Unit (WACPRU), School of Psychology, Curtin University, WA, Australia;3. Department of Orthopaedic Surgery, Sir Charles Gairdner Hospital, WA, Australia;4. Department of Orthopaedics, Perth Children''s Hospital, WA, Australia;5. Perth Orthopaedic and Sports Medicine Centre, WA, Australia;6. Improving Palliative, Aged and Chronic Care through Clinical Research and Translation (IMPACCT), Faculty of Health, University of Technology Sydney, NSW, Australia;1. School of Nursing, Faculty of Science, Medicine & Health, University of Wollongong, Northfields Ave, Wollongong, NSW 2522, Australia;2. Centre for Research in Nursing and Health, Level 1 Research and Education Building, St George Hospital, South Street, Kogarah, NSW 2217, Australia;3. Illawarra Health & Medical Research Institute, Keiraville, Australia;1. School of Nursing and Midwifery, Monash University, Melbourne, Australia;2. School of Nursing and Midwifery, University of South Australia, Adelaide, Ausralia |
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| Abstract: | AimsThis study assessed the inter-rater reliability, acceptability and usability of the Medication Administration Evaluation and Feedback Tool for nurses in the clinical setting.BackgroundMedication administration is a complex nursing task requiring multiple steps to ensure safe and accurate delivery of medications to patients. Currently, registered nurses are not routinely provided the opportunity for regular review of their practice. The Medication Administration Evaluation and Feedback Tool has been previously validated in the simulated environment.MethodsFour nurse observers were trained to use the tool. Thirty nurses participated to be observed in the clinical setting. Each nurse was assessed simultaneously by two observers. Inter-rater reliability was assessed using Fleiss’ Kappa coefficient. A postobservation survey was conducted to assess user acceptability. The Guideline for Reporting Reliability and Agreement Studies Enhancing the Quality and Transparency of Health Research was used.ResultsThe observed agreement between observers using the Medication Administration Evaluation and Feedback Tool in clinical practice was 0.90 and Fleiss’ kappa coefficient was 0.77 demonstrating excellent agreement and inter-rater reliability. Both nurses and observers reported the tool was useful and practical for use in evaluating medication administration practice in the clinical environment.ConclusionsInter-rater reliability testing of the Medication Administration Evaluation and Feedback Tool in the clinical environment demonstrated it is a reliable and valid tool when used by different observers. Both nurses and observers found using the tool a positive and useful experience when evaluating medication administration practice. |
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| Keywords: | Feedback Medication error Nursing assessment Observation |
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