RELIABILITY AND VALIDITY ANALYSIS OF THE OBSTETRIC TRIAGE ACUITY SCALE

Öz

Objective: Obstetric triage is used for timely and appropriate assessment of pregnant women to prioritize, improve patient flow and improve patient safety. It was aimed to test the Turkish validity and reliability of the Obstetric Triage Acuity Scale (OTAS).

Material and Method: The validity-reliability study of the Obstetric Triage Acuity Scale was conducted with 10 triage nurses and 160 obstetric emergency scenarios. The data were collected using the Personal Features Questionnaire and the Obstetrics Triage Acuity Scale. Data were evaluated using kappa analysis.

Results: Obstetrics Triage Acuity Scale was found as simple kappa: 0.7956 and weighted kappa: 0.9185. Obstetrics Triage Acuity Scale is a reliable and valid instrument.

Conclusions: The Obstetric Triage Acuity Scale is a five-category triage tool suitable for use in the triage section of the emergency department.

Anahtar Kelimeler

• Obstetric Triage
• Obstetric Triage Acuity Scale
• Triage

OBSTETRİK TRİYAJ ACİLİYET SKALASI TÜRKÇE GEÇERLİK VE GÜVENİRLİK ÇALIŞMASI

Öz

Amaç: Obstetrik triyaj, hasta akışını önceliklendirmek, iyileştirmek ve hasta güvenliğini artırmak için gebelerin zamanında ve uygun şekilde değerlendirilmesi için kullanılmaktadır. Obstetrik Triyaj Aciliyet Skalası'nın (OTAS) Türkçe geçerlik ve güvenilirliğinin test edilmesi amaçlandı.

Gereç ve Yöntem: Obstetrik Triyaj Aciliyet Skalası'nın geçerlik-güvenirlik çalışması, 10 triyaj hemşiresi ve 160 obstetrik acil senaryosu üzerinden yapılmıştır. Veriler, Kişisel Özellikler Soru Formu ve Obstetrik Triyaj Aciliyet Skalası kullanılarak toplanmıştır. Veriler kappa, ki-kare, spearman korelasyon analizi kullanılarak değerlendirilmiştir.

Bulgular: Obstetrik Triyaj Aciliyet Skalası basit kappa: 0.7956 ve ağırlıklı kappa: 0.9185 değeri bulunmuştur. Triyaj personeli tarafından yapılan triyaj değerlendirmesi ile Obstetrik Triyaj Aciliyet Skalası ile yapılan triyaj değerlendirme sonuçlarının 0.588’lik pozitif yönlü ve istatistiksel olarak oldukça anlamlı bir ilişki olduğu saptandı (ki-kare= 154.360, p<.0001).

Sonuç: Obstetrik Triyaj Aciliyet Skalası, acil servisin triyaj bölümünde kullanıma uygun beş kategorili bir triyaj aracıdır.

Anahtar Kelimeler

• Obstetrik Triyaj
• Obstetrik Triyaj Aciliyet Skalası
• Triyaj

Kaynakça

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