Jonsdottir, GudrunHaraldsdottir, ErnaSigurðardóttir, Valgerður LísaThoroddsen, Ásta SteinunnVilhjálmsson, RúnarTryggvadottir, Gudny BergthoraJónsdóttir, Helga2025-11-202025-11-202023-08Jonsdottir, G, Haraldsdottir, E, Sigurðardóttir, V L, Thoroddsen, Á S, Vilhjálmsson, R, Tryggvadottir, G B & Jónsdóttir, H 2023, 'Developing and testing inter-rater reliability of a data collection tool for patient health records on end-of-life care of neurological patients in an acute hospital ward', Nursing Open, vol. 10, no. 8, pp. 5500-5508. https://doi.org/10.1002/nop2.17892054-105813672619270f8062a-785a-4be7-b542-d539860ad93f3714144285158066125unpaywall: 10.1002/nop2.1789https://hdl.handle.net/20.500.11815/7199Funding Information: This study was supported by the grants received by GJ from the following institutions: The Icelandic Nurses´ Association; The University of Iceland and Landspitali, The National University Hospital of Iceland. The funding sources were not involved in the data analysis and interpretation of results. Publisher Copyright: © 2023 The Authors. Nursing Open published by John Wiley & Sons Ltd.AIM: Develop and test a data collection tool-Neurological End-Of-Life Care Assessment Tool (NEOLCAT)-for extracting data from patient health records (PHRs) on end-of-life care of neurological patients in an acute hospital ward. DESIGN: Instrument development and inter-rater reliability (IRR) assessment. METHOD: NEOLCAT was constructed from patient care items obtained from clinical guidelines and literature on end-of-life care. Expert clinicians reviewed the items. Using percentage agreement and Fleiss' kappa we calculated IRR on 32 nominal items, out of 76 items. RESULTS: IRR of NEOLCAT showed 89% (range 83%-95%) overall categorical percentage agreement. The Fleiss' kappa categorical coefficient was 0.84 (range 0.71-0.91). There was fair or moderate agreement on six items, and moderate or almost perfect agreement on 26 items. CONCLUSION: The NEOLCAT shows promising psychometric properties for studying clinical components of care of neurological patients at the end-of-life on an acute hospital ward but could be further developed in future studies.95720455500-5508eninfo:eu-repo/semantics/openAccessend-of-life careface validityinstrument developmentinter-rater reliabilityneurological patientspatient health recordsReproducibility of ResultsHospitalsHumansData CollectionTerminal CareObserver VariationGeneral Nursing/dk/atira/pure/researchoutput/researchoutputtypes/contributiontojournal/article10.1002/nop2.1789