Development of the Nurses' Observation Scale for Cognitive Abilities (NOSCA)
Author Information
Author(s): Anke Persoon, Liesbeth Joosten-Weyn, Wim van de Vrie, Marcel G. M. Olde Rikkert, Theo van Achterberg
Primary Institution: Radboud University Nijmegen Medical Centre
Hypothesis
To develop an observation scale with an accepted level of content validity that assesses elderly patients' cognitive functioning in a comprehensive way.
Conclusion
The Nurses' Observation Scale Cognitive Abilities (NOSCA) was successfully designed with high content validity.
Supporting Evidence
- The NOSCA includes 39 items across 8 cognitive domains and 17 subdomains.
- The content validity was confirmed with a minimum agreement of 70% among panel members.
- The scale is based on the International Classification of Functioning (ICF) framework.
Takeaway
This study created a tool for nurses to observe and assess the cognitive abilities of elderly patients, helping them provide better care.
Methodology
The Delphi technique was used with a multidisciplinary panel to develop the scale through consensus over four rounds.
Potential Biases
Consensus may depend on the panel's expertise and current understanding of cognitive functioning.
Limitations
The consensus process may be influenced by the current state of knowledge in the field, which can change over time.
Participant Demographics
The panel consisted of 16 experts from nursing, neuropsychology, geriatrics, and occupational therapy.
Digital Object Identifier (DOI)
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