Table 6 Intra-observer agreement after 1 week in a group of nursing home residents (N = 49)
Item1 | Influence on dignity2 | |
|---|---|---|
| Â | % exact agreement | % agreement if 1 point difference allowed3 |
(I) Evaluation of self in relation to others | Â | Â |
Feeling worthless for friends and family | 85.1 | 95.7 |
Not looking well-groomed | 93.8 | 95.8 |
Very little self-respect | 75.0 | 89.6 |
Not made any meaning or lasting contribution | 87.8 | 87.8 |
Lost control over my life | 72.9 | 85.4 |
Not able to oversee what’s happening to me | 77.1 | 85.4 |
No longer feeling like the person I was before | 56.3 | 75.0 |
(II) Functional status | Â | Â |
Not able to carry out usual activities | 58.3 | 72.9 |
Impaired sight despite using aids | 85.7 | 93.9 |
Incontinence | 61.2 | 85.7 |
Not able to wash, dress or go to the toilet independently | 59.2 | 81.6 |
Not able to do domestic tasks | 38.8 | 65.3 |
Hampered communication due to impaired hearing/speech | 85.7 | 93.9 |
Physical complaints | 47.9 | 70.8 |
Using medical-technical aids | 28.6 | 71.4 |
(III) Mental state | Â | Â |
Lost fighting spirit | 74.5 | 80.9 |
Feeling depressed | 75.0 | 89.6 |
Mentally unable to take decisions | 93.8 | 95.8 |
(IV) Care and situational aspects | Â | Â |
Not treated with respect by caregivers | 79.2 | 91.7 |
Little privacy | 64.6 | 77.1 |
Receiving little attention for my wishes from doctors | 80.0 | 86.7 |
Insufficient opportunity to live according to beliefs or religion | 89.4 | 91.5 |
Receiving little attention and care from people around me | 87.2 | 89.4 |
Added items specific for LTC setting | Â | Â |
Not being taken seriously | 76.6 | 83.0 |
Difficulties with adjusting to the nursing home | 83.0 | 89.4 |
Feeling bored and experiencing every day as the same | 65.2 | 80.4 |
Missing the things I left behind | 42.6 | 59.6 |
Feeling guilty about calling on the nurses a lot | 50.0 | 73.9 |
Waiting a long time for help | 60.9 | 84.8 |
No longer feeling part of society | 76.6 | 85.1 |
Difficult to be in living room with 'unknown’ others | 78.7 | 83.0 |
Average % agreement (across all 31 items) | 70.6 | 83.4 |