Validation of the 30-item nurses' observation scale for inpatient evaluation and mental health-care promotion

Abstract

CONTEXT: The 30-item nurses' observation scale for inpatient evaluation (NOSIE-30) developed for the behavioral and observational rating of psychiatric inpatients. AIMS: The purpose of this study was to evaluate the validation of the NOSIE-30 and mental health-care promotion. MATERIALS AND METHODS: The participants with psychiatric disorders were selected from 310 inpatients referred to the military educational hospital in Iran. This study was carried out in two phases: First, translation of the NOSIE-30 into Persian followed the stepwise, iterative procedures developed by the International Quality of Life Assessment project approach. Second, face validity, criterion-related validity and construct validity, and reliability of the Persian version were determined. The concurrent validity was assessed by using the global assessment of functioning (GAF) instrument. Data were analyzed with the SPSS software of version 22. Exploratory factor analysis, the Cronbach's alpha coefficient, and interrater agreement with intraclass correlation coefficient and Pearson's correlation coefficient were used to data analysis. RESULTS: Pearson's correlation coefficient between the NOSIE and GAF was 0.75. The interrater reliability for subscale scores and structure of the NOSIE were ranging from 0.70 to 0.94 and Cohen's kappa = 0.74. Furthermore, the internal consistency of the scale's total scores was estimated by Cronbach's alpha = 0.85. CONCLUSIONS: The finding indicated that NOSIE-30 Persian version scale has the desirable validity and reliability for evaluating the nursing care of inpatients. Thus, nurses can promote mental health care by applying this scale in the psychiatric setting.

Effectiveness of Montessori-based activities on agitation among Asian patients with dementia: A systematic review and meta-analysis

“…[15] However the NOSIE scale was a global evaluation of inpatient with psychopath, which included agitation as 1 part of the segments merely, results of that could not specify the variation of concrete behaviors such as physical aggressive behaviors, or verbal aggressive ones. [11] Based on that, we suggested that CMAI scale might be more appropriate in the assessment of agitation related to dementia.…”

“…Measuring outcomes in the present meta-analysis included Chinese version of Cohen-Mansfield Agitation Inventory (CMAI) assessing agitated behaviors and their frequencies, [10] or Nurses' Observation Scale for Inpatient Evaluation (NOSIE). [11] The CMAI scale consisted of 21 items agitated behaviors, which were categorized into physical aggressive behaviors, physical nonaggressive behaviors, verbal aggressive behaviors, and verbal nonaggressive behaviors. All behaviors were evaluated in the past 2 weeks, which were rated on a 7-point frequency scale.…”

“…However, NOSIE scale was evaluated with 6 segments including depression, agitation, retardation, social interest, social function, and individual tidiness. [11] All segments were specified into 30 items, and rated on a 4-point scale. Higher scores in the CAMI and NOSIE scales suggested higher level of agitation in terms of frequency.…”