Reliability of nursing diagnoses documented in a computerized nursing information system

Document Type


Peer Reviewed


Publication Date


NLM Title Abbreviation

Nurs Diagn

Journal/Book/Conference Title

Nursing Diagnosis


PURPOSE. To assess the reliability of the nursing diagnosis impaired physical mobility as documented by staff nurses using a computerized nursing information system (NIS). METHODS. A convenience sample of records (N = 30) from an adult rehabilitation service in the Midwest was examined. Two master's-level graduate students retrospectively examined clinical records to determine if assessment data were present that met the operational definitions for the defining characteristics and related factors o f impaired physical mobility. FINDINGS. Impaired physical mobility was diagnosed in 23 records. Interrater agreement on the presence or absence of defining characteristics ranged from 52% to 100%; agreement for the presence or absence of related factors ranged from 57% to 100% . CONCLUSIONS. The reliability of impaired physical mobility for an adult rehabilitation patient population as diagnosed by staff RNs and documented in a computerized NIS was supported.


Impaired Physical Mobility (NANDA), Nursing Information Systems, Rehabilitation Patients, Reliability, Midwestern United States, Interrater Reliability, Validation Studies, Defining Characteristics (NANDA), Convenience Sample, Female, Male, Adolescence, Adult, Middle Age, Aged, Aged, 80 and Over, Descriptive Statistics, Registered Nurses, Kappa Statistic, Human

Published Article/Book Citation

Nursing Diagnosis, 11:3 (2000) pp.121-134.

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