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Inter-rater reliability of Health of Nations Outcome Scale (HoNOS) among mental health nurses in Aceh

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Background: The Health of Nations Outcome Scale (HoNOS) instrument could be used for routine purposes and assessing the functional status of the mental health patients in clinical and community settings. The objective of this study was to evaluate the agreement of the scale among mental health nurses who would use this tool in Indonesia.

Methods: Fifty five psychotic patients who were hospitalized at a mental hospital in Aceh were evaluated by 11 mental health nurses using the HoNOS instrument. The agreement between the nurses on each questionnaire item was evaluated using the intra-class correlation (ICC) coefficient.

Results: Forty-two percent of the patients were 31-40 years of age, the youngest was 24 and the oldest was 59, most of them were males, and 38% had psychosis for 5-10 years. Thirty-six percent of the nurses aged >40 years as raters, half of them were females, and 55% had worked for >10 years. ICC values were generally good (ranging from 0.8 to 0.9) among the mental health hospital nurses, as well as the community health centers nurses and a combination of both.

Conclusion: This instrument showed a good inter-rater agreement and could be used in future research with the same settings. For a wider use in different regions, it is recommended to test the reliability and the validity of the HoNOS in a larger study population. (Health Science Indones 2011;2:53-7)

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Call Number

Health Science Journal of Indonesia, Vol. 2 (2) 20

Publisher

Jakarta : Sekretariat Badan Litbangkes.,

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ISBN/ISSN

2087-7021

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Subject(s)

MENTAL HEALTH
nurses

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