Abstract
Background:Related to nursing, co-morbidity of intellectual disability (ID), autism and mental health problems, generate a need for integrated knowledge from both intellectual disability nursing and psychiatric nursing. Aim:The aim of the current paper is to examine the reliability of an instrument designed for observing communication skills in professionals caring for patients with intellectual disability, autism and schizophrenia. Procedure:A naturalistic prospective observational design was chosen. Scoring categories were developed, staff and patient communications were video-recorded and then scored. Reliability was estimated by inter-rater agreement. Results:Across 370 sequences of interaction, all categories except one were observed. Inter-rater agreement on the observational categories was high. Conclusion:The instrument worked as expected according to both observer agreement and presence of staff communication skills.
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