Quality and Inter-rater Reliability
Inter-rater Reliability Case Studies
Case Study 1: Mental Health Problem
Scenario:
First time 20 year old mom presented with a flat affect during pregnancy.
She did not want, discuss, or seek medical care for mental health
concerns during her pregnancy. One week postpartum, mom described
suicidal ideation "I feel like taking my sleeping pills all at once".
During this visit one week postpartum, she responds very briefly to
questions and lacks eye contact. When PHN discussed symptoms of
depression, mom says "I do not know what you are talking about." Mom
does not have interest in her baby or parenting. She did not want to
talk to her doctor about suicidal ideation.
Correct KBS Ratings:
K = 1, B = 1, S = 1
Case Study 2: Mental Health Problem
Scenario:
Same mom as above. The public health nurse assisted her to seek care
through the ER. She began to take medications. Counseling was
recommended once a week and group counseling three times a week. She
chose to attend counseling in lieu of hospital admission. She is
attending counseling sessions once or twice per week, and states "I had
no idea how depressed I really was". One month later, she is taking her
medications with reminders from family but sometimes lapses. She is now
makes eye contact with PHN. She verbalizes baby's needs, but interacts
inconsistently with baby, with little attachment observed.
Correct KBS Ratings:
K = 3, B = 3, S = 3