Table 6.
Intra-observer agreement after 1 week in a group of nursing home residents (N = 49)
|
Item
1
|
Influence on dignity
2
|
|
|---|---|---|
| % exact agreement | % agreement if 1 point difference allowed 3 | |
| (I) Evaluation of self in relation to others |
|
|
| Feeling worthless for friends and family |
85.1 |
95.7 |
| Not looking well-groomed |
93.8 |
95.8 |
| Very little self-respect |
75.0 |
89.6 |
| Not made any meaning or lasting contribution |
87.8 |
87.8 |
| Lost control over my life |
72.9 |
85.4 |
| Not able to oversee what’s happening to me |
77.1 |
85.4 |
| No longer feeling like the person I was before |
56.3 |
75.0 |
| (II) Functional status |
|
|
| Not able to carry out usual activities |
58.3 |
72.9 |
| Impaired sight despite using aids |
85.7 |
93.9 |
| Incontinence |
61.2 |
85.7 |
| Not able to wash, dress or go to the toilet independently |
59.2 |
81.6 |
| Not able to do domestic tasks |
38.8 |
65.3 |
| Hampered communication due to impaired hearing/speech |
85.7 |
93.9 |
| Physical complaints |
47.9 |
70.8 |
| Using medical-technical aids |
28.6 |
71.4 |
| (III) Mental state |
|
|
| Lost fighting spirit |
74.5 |
80.9 |
| Feeling depressed |
75.0 |
89.6 |
| Mentally unable to take decisions |
93.8 |
95.8 |
| (IV) Care and situational aspects |
|
|
| Not treated with respect by caregivers |
79.2 |
91.7 |
| Little privacy |
64.6 |
77.1 |
| Receiving little attention for my wishes from doctors |
80.0 |
86.7 |
| Insufficient opportunity to live according to beliefs or religion |
89.4 |
91.5 |
| Receiving little attention and care from people around me |
87.2 |
89.4 |
| Added items specific for LTC setting |
|
|
| Not being taken seriously |
76.6 |
83.0 |
| Difficulties with adjusting to the nursing home |
83.0 |
89.4 |
| Feeling bored and experiencing every day as the same |
65.2 |
80.4 |
| Missing the things I left behind |
42.6 |
59.6 |
| Feeling guilty about calling on the nurses a lot |
50.0 |
73.9 |
| Waiting a long time for help |
60.9 |
84.8 |
| No longer feeling part of society |
76.6 |
85.1 |
| Difficult to be in living room with 'unknown’ others |
78.7 |
83.0 |
| Average % agreement (across all 31 items) | 70.6 | 83.4 |
1Between 0 and 4 missing observations per item.
2Before calculating these percentages, items were recoded to exert no influence on dignity (score 1 on the 5-point scale) if they did not apply to a nursing home resident.
3'Agreement’ is expanded here and also includes those cases where the extent to which an item influenced a resident’s dignity differed only 1 point (on the 5-point scale) between both measurements.