Abstract: Objective: To assess whether the self-evaluation result of nursing risk rating in department is consistent with the result of other’s assessment, and to determine whether the nursing manager’s opinion is adopted in the final classification of nursing risk. Methods: Using the SPSS software, the KAPPA consistency test was processed in EXCEL, and the consistency between the self-evaluation and the results of others’ evaluation was judged according to the KAPPA value. Results: The KAPPA value was -0.062, and the consistency between the self-evaluation of nursing risk level and others’ evaluation results was poor. Conclusion: The results of self-evaluation compared with the results of others’ assessment, the results of self-evaluation were obviously higher. The nursing managers had the tendency of self-interest in the evaluation of the risk grade of their own departments. The results of self-evaluation would not be included in the final classification of nursing risk.

Key words: Nursing risk, Grade, Mutual evaluation, Consistency check, KAPPA

摘要： 目的：判断科室护理管理者对本科室护理风险等级评价和其他科室护理管理者对该科室风险等级评价是否具有一致性，据此确定在最终的护理风险等级划分中是否采用本科室护理管理者意见。方法：运用SPSS软件将在EXCEL中处理好的护理管理者对科室风险等级评价数据进行KAPPA一致性检验，根据KAPPA值判断自评和他评的结果是否具有一致性。结果：KAPPA值为-0.062，护理管理者对于科室护理风险等级的自评和他评结果一致性差。结论：护理管理者对本科室的护理风险等级评价与其他科室护理管理者对该科室评价相比明显更高，护理管理者在对本科室的风险等级评价时存在利己的倾向性，自评的结果将不会被纳入最终的护理风险等级划分。

关键词:  , 护理风险, 等级, 互评, 一致性检验, KAPPA