Highlights
- •The use of simulation was an effective method to test the intrarater and inter-rater reliability of the Medication Administration Evaluation and Feedback Tool (MAEFT).
- •Fleiss' Kappa coefficient for intra-rater and inter-rater reliability of multiple observers using the MAEFT measured good reliability.
- •Intrarater and inter-rater reliability and accuracy of the designed MAEFT shows that it is reliable and accurate in a simulated environment.
Abstract
Background
Incorrect medication administration risks errors and patient harm. The aim of this
study was to test the reliability of the newly developed medication administration
evaluation and feedback tool.
Methods
An observational, fully crossed design using recorded scenarios in a simulated environment
was used to test reliability and agreement of an evaluation tool for nurses administering
medications.
Results
Intrarater and inter-rater reliability observed agreement overall were 84% and 82%
with Fleiss Kappa coefficient 0.72 and 0.68, respectively. Overall intrarater and
inter-rater reliability of the tool rated as good.
Conclusions
The medication administration evaluation and feedback tool is reliable in a simulated
environment.
Keywords
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Article info
Publication history
Published online: May 09, 2019
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Crown Copyright © 2019 Published by Elsevier Inc. on behalf of International Nursing Association for Clinical Simulation and Learning. All rights reserved.