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The Northwick Park Dependency Score (NPDS): a measure of nursing dependency in rehabilitation
Lynne Turner-Stokes
Pauline Tonge
Kyaw Nyein
The Regional Rehabilitation Unit, Northwick Park Hospital, Harrow
Maggie Hunter
Stuart Nielsona
Ian Robinson
Centre of Study for Health, Sickness and Disablement, Brunel University, Uxbridge, Middlesex, UK
Background: Disability scores, such as the Functional Independence Measure (FIM) and Barthel Index, have been shown to correlate with care needs but cannot be used to assess them directly, as they do not indicate the number of people required to help with a task, nor the time taken. The Northwick Park Dependency Score (NPDS) is an ordinal scale that can be used to assess impact on nursing time. It takes 3–5 minutes to complete. Together with a short set of additional questions, it may be used directly to assess care needs in the community and to facilitate discharge planning.
Aims: To develop and evaluate the NPDS for use in a rehabilitation setting.
Methods: (1)Development: Following a survey of existing instruments, tasks were selected on the basis of their impact on nursing time and divided into Basic Care Needs (BCN) and Special Nursing Needs (SNN). Cut-off points were devised to reflect the number of helpers needed and time taken. Following evaluation of the NPDS version 5, minor changes were made to produce version 6 which was re-evaluated on a smaller scale. (2)Evaluation: Inter-rater and intra-rater reliability were tested in a cohort of 23 inpatients using five senior nurses. Analysis included assessment of degree of association, significant differences, absolute agreement, and agreement ±1 level. Although there is no gold standard, the BCN section should correlate inversely with independently assessed Barthel scores. Re-evaluation of version 6 was undertaken using the same method of analysis in a cohort of 21 patients using three senior nurses.
Results: On initial evaluation inter-rater reliability testing showed an excellent level of association in total composite score between each pair of nurses (rho = 0.73–0.92, p <0.01) and agreement ±1 level for individual items ranged from 73 to 100%. Significant disagreements were in six items. On reevaluation following minor modification, high levels of association were still seen for total BCN, SNN and composite scores both between and within raters, with very satisfactory levels of agreement for individual items. The BCN section of the NPDS showed good inverse correlation with Barthel scores (rho = 0.91, p <0.01).
Clinical Rehabilitation, Vol. 12, No. 4,
304-318 (1998)
DOI: 10.1191/026921598669173600
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|
|
|
|
|
|
|
References
Clinical Rehabilitation,
January 1, 2002;
16(1_suppl):
37 - 60.
[PDF]
|
|
|
|
|
|
|
L. Turner-Stokes, H. Williams, R. Abraham, and S. Duckett
Clinical standards for inpatient specialist rehabilitation services in the UK
Clinical Rehabilitation,
May 1, 2000;
14(5):
468 - 480.
[Abstract]
[PDF]
|
|
|
|
|
|
|
K. Nyein, L. Turner-Stokes, and I. Robinson
The Northwick Park Care Needs Assessment (NPCNA): a measure of community care needs: sensitivity to change during rehabilitation
Clinical Rehabilitation,
June 1, 1999;
13(6):
482 - 491.
[Abstract]
[PDF]
|
|
|
|
|
|
|
D. T Wade
Editorial
Clinical Rehabilitation,
March 1, 1999;
13(3):
183 - 185.
[PDF]
|
|
|
|
|
|
|
L. Turner-Stokes and K. Nyein
The Northwick Park Care Needs Assessment (NPCNA): a directly costable outcome measure in rehabilitation
Clinical Rehabilitation,
March 1, 1999;
13(3):
253 - 267.
[Abstract]
[PDF]
|
|
|
|
|
