PubMed · 1045487
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H Gassett. 1976. Participative planned change.. https://doi.org/10.1097/00006247-197603000-00012
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The Nursing Report upon a patient's release guarantees treatment continuity. The nursing supervisor carries out an annual internal audit of all reports. A second investigator reviews this audit. The authors want to show how a degree of concordance between these two observations is achieved. The authors analyzed 31 items in all the reports, a total of 233, filled out by the gynecology service in 2004. The Kappa index was used to evaluate the degree of concordance. The second investigator analyzed 15% of these reports. The kappa index was calculated and the authors evaluated the discrepancies of those items with k less than or equal to 0.80; concepts were redefined. The second investigator revises 15% of the reports and carried out a new analysis of the discrepancies. Finally this second researcher supervised the remaining 70% of the reports and carried out a final analysis.
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