Inter-Rater Reliability and User-Friendliness of the Delirium Observation Screening Scale

    loading  Checking for direct PDF access through Ovid


Background and Purpose:

Delirium is a common and often unrecognized complication of hospitalized elderly patients. Currently, there is no evidence for inter-rater reliability studies between registered nurses in the literature. Furthermore, the user-friendliness of the Delirium Observation Screening Scale (DOSS) has not been tested in Austria.


A quantitative cross-sectional design with a convenience sample of 141 patients and 36 nurses in an Austrian hospital.


Analysis of rater-agreement and inter-rater reliability on item level, total score as well as category of delirium risk demonstrated very high agreement. In contrast, no or only fair kappa coefficient were determined. The user-friendliness of the scale was partially satisfactory.


The very high absolute agreement speaks for the reliability of DOSS although the kappa paradox became obvious. The results of the presented study relate only to the tested setting.

Related Topics

    loading  Loading Related Articles