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Background: Worldwide, approximately 40 pressure ulcer risk assessment scales are available. Despite of this amount, the psychometric properties were tested only for some. Aim: To determine inter-rater reliability of items of selected pressure ulcer risk assessment scales (Braden Scale, Norton Scale and Waterlow Scale). Methods: The data were collected from April to August 2014 in one long-term care department. The sample consisted of 32 patients. An intra-class correlation coefficient (ICC) was used to determine the inter-rater reliability. Results: The inter-rater reliability of Braden Scale ranged between ICC = 0.846 for the item “activity” and ICC = 0.645 for the item “nutrition“. The highest inter-rater reliability of Norton Scale reached for item “incontinence” (ICC = 0.931), the lowest for item “physical condition” (ICC = 0.849). The highest inter-rater reliability of Waterlow Scale is observed for items “sex” (ICC = 1), “surgery/trauma” (ICC = 1). The lowest inter-rater reliability reached item “weight loss score” (ICC = 0.497). Conclusions: The highet inter-rater reliability reached items of Norton Scale, followed by items of Braden Scale. The lowest inter-rater reliability reached items of Waterlow Scale. We recommend further testing of pressure ulcer risk assessment scales in czech clinical settings.

Inter-rater reliability of items of the Braden scale, the Norton scale and Waterlow scale