Understanding of and adherence to advice after telephone counselling by nurse: a survey among callers to a primary emergency out-of-hours service in Norway

Table 1 The six variables concerning the counselling as interpreted from the telephone record and reported by the callers are evaluated for agreement, reported both as actual agreement and as Cohen's kappa

	Telephone record				Caller/Patient				Observed agreement*	Cohen's kappa*
	Yes	Partly	No	Not relevant	Yes	Partly	No	Not relevant
Did caller get enough time to explain her/his complaints?	100	0	0	0	94	3	3	0	94	NA
Did caller get understandable medical advice from the nurse?	74	6	6	14	78	9	5	8	82	0.39
Did caller get understandable information about what to look for?	60	7	14	19	68	4	19	9	73	0.38
Did caller get the option to call back, if necessary?	63	2	25	10	79	2	9	10	77	0.42
Did caller get information on why a patient could wait and see in that particular situation?	65	10	6	19	74	4	12	10	76	0.32
Did caller get information on if or when to contact their GP during daytime?	33	1	48	18	31	1	43	25	82	0.63

*When Observed agreement and Cohen's kappa were analysed, "not relevant" was recoded to either "no" or "yes". The category "not-relevant" was re-classified to "no" when both research assistant and caller had registered "not-relevant" or when one of them had answered "not-relevant" and the other had answered "no". Similarly the category "not-relevant" was re-classified to "yes" when one answered "yes" and the other answered "not-relevant".

ISSN: 1757-7241