Slides showing nurses in different working postures were used to deter
mine the reliability of OWAS observations. Each slide could be looked
at for 3 seconds, while a new slide was shown every 30 seconds to rese
mble the normal practice of observation. Two observers twice scored a
series of slides, some of them being identical at both viewings. To re
duce effects of recall there was a time interval of 4 weeks or more be
tween the two viewings and the slides were in a different order the se
cond time. Different series were used to evaluate inter- and intra-obs
erver reliability. The OWAS scores of corresponding slides were compar
ed. In almost all comparisons percentages of agreement over 85% and ka
ppa's over 0.6 were found, which is considered as good agreement. The
procedure described seems to be a useful and simple technique to deter
mine such reliability. (C) 1998 Elsevier Science Ltd. All rights reser
ved.