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Orthopaedic Nurses' Knowledge and Interrater Reliability of Neurovascular Assessments With 2-Point Discrimination Test

Turney, Jennifer; Noble, Deana Raley; Kim, Son Chae

doi: 10.1097/NOR.0b013e3182920abb

Purpose: This study was conducted to evaluate the effects of education on knowledge and interrater reliability of neurovascular assessments with 2-point discrimination (2-PD) test among pediatric orthopaedic nurses.

Methods: A pre- and posttest study was done among 60 nurses attending 2-hour educational sessions. Neurovascular assessments with 2-PD test were performed on 64 casted pediatric patients by the nurses and 5 nurse experts before and after the educational sessions.

Results: The mean neurovascular assessment knowledge score was improved at posteducation compared with the preeducation (p < .001). The 2-PD test interrater reliability also improved from Cohen's kappa value of 0.24–0.48 at posteducation.

Conclusions: The 2-hour educational session may be effective in improving nurses' knowledge and the interrater reliability of neurovascular assessment with 2-PD test.

Jennifer Turney, MSN, RN, CNS, Clinical Nurse Specialist, Rady Children's Hospital, San Diego, CA.

Deana Raley Noble, MSN, RN, Associate Professor, School of Nursing, Point Loma Nazarene University, San Diego, CA

Son Chae Kim, PhD, RN, Professor, School of Nursing, Point Loma Nazarene University, San Diego, CA

The authors have disclosed no conflicts of interest.

©2013 Wolters Kluwer Health | Lippincott Williams & Wilkins.