A scoring system for the assessment of oral mucositis in daily nursing practice.
until further notice
SourceEuropean Journal of Cancer Care, 15, 3, (2006), pp. 228-234
Article / Letter to editor
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Centre for Quality of Care Research
Epidemiology, Biostatistics & HTA
European Journal of Cancer Care
SubjectEBP 2: Effective Hospital Care; EBP 4: Quality of Care; N4i 2: Invasive mycoses and compromised host; NCEBP 6:Quality of nursing and allied health care; NCEBP 9: Mental health; NCMLS 1: Immunity, infection and tissue repair; ONCOL 4: Quality of Care; UMCN 1.5: Interventional oncology; UMCN 4.1: Microbial pathogenesis and host defense; EBP 2: Effective Hospital Care; UMCN 4.1: Microbial pathogenesis and host defense
Nurses take care of patients around the clock, so they are in an ideal position to observe and record the signs and symptoms of oral mucositis. This requires a valid, reliable scoring instrument that is easy to use. The objectives of this study were to summarize the scoring instruments that are available, to develop a new Nijmegen Nursing Mucositis Scoring System (NNMSS) and to evaluate this new instrument. A systematic review was undertaken in which 21 scoring instruments were reviewed and compared. None of the instruments studied satisfied the criteria that were established beforehand. The six most common items from the systematic review were selected for the new instrument. To test the NNMSS, pairs of experienced nurses assessed the oral cavity of 26 patients independently. Inter-observer reliability (Kappa), correlation between items (Spearman's rank-order correlations) and internal consistency of the instrument (Cronbach's alpha) were calculated. The usability was evaluated with a questionnaire. Cohen's weighted Kappa was within an acceptable range. Almost all correlations were statistically significant and in the predicted direction. The Cronbach's alpha coefficient indicated sufficient internal consistency. All nurses found the NNMSS user-friendly and suitable for day-to-day care. The NNMSS can be used as a valid, reliable and usable instrument in daily nursing practice.
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