Agreement Between the Assessments of Cognitive Functioning of Hospitalized Geriatric Patients by Nurses on Acute Geriatric Wards

Abstract

the bathtub, and 572 were in a state of cardiopulmonary arrest, only four of whom were resuscitated. The mortality was higher in women than in men (58% vs 49%, Po.01), although incidence was higher in men than in women (14 vs 9 per 100,000, Po.001). Fatal cases were older than nonfatal ones (77 vs 65, Po .001) and were found more often in colder months than in warmer months (January, 60%, October, 46%, Po.02).The total number of deaths during bathing in Japan for 1999 to 2000 was estimated by adjusting the present result to the stratified national age distribution and using annual data obtained from the Tokyo Metropolitan Medical Examiner's Office, where 22.3% (2,264/10,132) of all unnatural deaths in Tokyo were autopsied (Figure 1). 3 The annual number of deaths during bathing in Japan is estimated to be 14,134. This figure is almost identical to the estimation based on the total number of drowning deaths in Japan (3,205) 1 and the average proportion of drowning deaths to total deaths during bathing between 1990 and 1999 in Tokyo (22%) 4 (3,205/0.22 5 14,568). Because three fourths of the victims were estimated to be aged 65 and older and the number exceeds the total deaths due to traffic accidents, death during bathing is a sociocultural challenge for the aged Japanese society.

Daily observation of cognitive functioning in hospitalised patients on acute geriatric wards

“…This was hardly surprising in view of the above‐described results. We are confident that it indicates awareness of too much inter‐observer variability between nurses (Persoon et al. 2007).…”

“…This procedure is ambiguous and undermines the reliability and validity of the information nurses obtain. Therefore, we examined the level of agreement between two nurses in 60 patients (Persoon et al. 2007).…”

How older people nurses assess cognitive function through daily observation

“…In many cases, concrete behaviour was reported along with interpretations made by the nurse. This non‐standardised method of observation allowed the moderate degree of agreement between nurses that was found in a previous study (Persoon et al. , 2007).…”

Validation of the NOSCA – nurses’ observation scale of cognitive abilities

“…2009). Consequently, agreement regarding patients’ cognitive functioning among nurses varies from poor to fair at best (Persoon et al. 2007).…”