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Evaluation & the Health Professions
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Functional Assessment of Nursing Home Patients

Reliability and Relevance

Andrew J. Hogan

College of Human Medicine, Michigan, State University

David W. Smith

Veterans Administration Medical Center, Hines, Illinois

Judith Jameson

The Fourth Party, Little Rock, Arkansas

Functional assessment of patients for resource allocation or staffing requires a higher level of interrater reliability than functional assessment in normal clinical settings. Although manyfunctional assessment instruments are available, interrater reliability of these items hasfrequently not been reported. An assessment instrument based on the Long Term Care Minimum Data Set format was usedfor 290 patients in six wards in two Veterans Administration nursing homes. Each patient was assessed independently by two nurse caregivers to obtain reliability information. Different reliability measures yielded dif fering evaluations of the reliability of the instrument. Absolute agreement rates combined with Kendall's taub were most useful in deciding on the reliability of items in the instrument.

Evaluation & the Health Professions, Vol. 9, No. 3, 339-360 (1986)
DOI: 10.1177/016327878600900306
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