Reliability Of Clinical Indicators In Nursing Diagnosis: Acute Pain

Fatin Hapsah Afifah, Intansari Nurjannah, Ery Yanuar Akhmad Budi Sunaryo


Background: Determine accurate nursing diagnosis based on patient’s data is the one of nurse’s responsibility. Patient’s response in nursing field called clinical indicator. Reliability of clinical indicator research is important to be conducted to help nurse determine accurate nursing diagnosis.

Purpose: The aim of this study is to investigate inter-rater reliability score of clinical indicators in nursing diagnosis: acute pain.

Methods: Respondents of this study is patients undertaking hemodialysis. Two raters assess 30 respondents with instruments based on clinical indicators of acute pain according NANDA-I taxonomy. The data analyzes use Cohen’s Kappa.

Results: Ten items of clinical indicator in nursing diagnosis: acute pain was unreliable or low reliability score (<0,40). Otherwise, the number of items with moderate reliability score (0,41-0,60) and high reliability score (0,61-1,00) was 13 items.

Conclusions: More than 50% items of indicator in nursing diagnosis: acute pain had moderate and high reliability score.

Keywords: Clinical Indicators, Inter-Rater Reliability, Nursing Diagnosis, Pain

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