Does an educational intervention improve the usefulness of the Health of the Nation Outcome Scales in an acute mental health setting?

Webster, Joan, Bretherton, Fiona, Goulter, Nicole S. and Fawcett, Lisa (2012) Does an educational intervention improve the usefulness of the Health of the Nation Outcome Scales in an acute mental health setting?. International Journal of Mental Health Nursing, : .

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Author Webster, Joan
Bretherton, Fiona
Goulter, Nicole S.
Fawcett, Lisa
Title Does an educational intervention improve the usefulness of the Health of the Nation Outcome Scales in an acute mental health setting?
Journal name International Journal of Mental Health Nursing   Check publisher's open access policy
ISSN 1445-8330
1447-0349
Publication date 2012-09-10
Year available 2012
Sub-type Article (original research)
DOI 10.1111/j.1447-0349.2012.00868.x
Total pages 7
Place of publication Richmond, VIC, Australia
Publisher Wiley-Blackwell
Collection year 2013
Language eng
Abstract The purpose of the current study was to measure the effect of an educational intervention on the Health of the Nation Outcome Scales (HoNOS) completion rates. Additionally, interrater reliability and accuracy amongst nurses completing the instrument was assessed. We used a pre- and post-intervention design with videoed vignettes providing the basis for the educational intervention. Mental health nurses were assessed four times: at baseline, immediately after the intervention, 1 week later and again, 2 months after the intervention. There was a non-statistical increase in the number of patients assessed on admission using the HoNOS from 12.5% to 22.6%. Interrater reliability was low and did not improve through the course of the study. Intraclass correlation coefficients ranged 0.41–0.48. Accuracy was poor when discrete scoring between 0–4 was analyzed but improved when scores were dichotomised to reflect a clinically significant cut-off of 2 or more. The intervention improved completion rates marginally but interrater reliability and accuracy were low and did not improve over the study period. Opportunities for improvement were identified.
Keyword Health of the Nation Outcome Scales
Nursing assessment
Pre- and post-intervention study
Psychiatric nursing
Questionnaires
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes Article first published online: 10 September 2012.

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2013 Collection
School of Nursing and Midwifery Publications
 
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Created: Wed, 24 Oct 2012, 13:44:27 EST by Vicki Percival on behalf of School of Nursing and Midwifery