Assessing Neonatal Pain with NIPS and COMFORT-B: Evaluation of NICU’s Staff Competences

Table 6

COMFORT-B scale, interrater agreement item analysis.

	Kendall’s W coefficient  < .01		Krippendorff’s alpha coefficient (95% confidence interval)
	1^st measurement	2^nd measurement	1^st measurement	2^nd measurement
Alertness (N = 34)	0.632	0.513	0.4979 [CI: 0.4702–0.5252]	0.3987 [CI: 0.3676–0.4302]
Calmness/agitation (N = 33)	0.773	0.872	0.7003 [CI: 0.6827–0.7178]	0.7776 [CI: 0.7652–0.7891]
Respiratory response (only in mechanically ventilated children) (N = 35)	0.690	0.886	0.3888 [CI: 0.3407–0.4327]	0.5919 [CI:0.5569–0.6247]
Crying (only in spontaneously breathing children) (N = 34)	0.720	0.776	0.5213 [CI: 0.4864–0.5573]	0.6685 [CI: 0.6381–0.6948]
Physical movement (N = 31)	0.781	0.805	0.6720 [CI: 0.6512–0.6938]	0.6917 [CI: 0.6696–0.7128]
Muscle tone (N = 34)	0.617	0.722	0.5048 [CI 0.4780–0.5315]	0.5963 [CI: 0.5744–0.6201]
Facial tension (N = 34)	0.700	0.755	0.5490 [CI: 0.5250–0.5716]	0.5946 [CI: 0.5713–0.6163]

N: number of observers.