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Related Experiment Videos

Nurses' Observation Scale for Inpatient Evaluation: reliability update.

Dawn Lyall1, Chris Hawley, Kusam Scott

  • 1Department of Psychiatry, QEII Hospital, Welwyn Garden City, Hertfordshire, UK.

Journal of Advanced Nursing
|May 1, 2004
PubMed
Summary

The Nurses' Observation Scale for Inpatient Evaluation (NOSIE) remains reliable for assessing psychiatric inpatients. This study confirms its continued utility in modern UK clinical settings.

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Area of Science:

  • Psychiatry
  • Nursing
  • Psychometric Evaluation

Background:

  • The Nurses' Observation Scale for Inpatient Evaluation (NOSIE) is a 30-item scale developed in 1965.
  • It was designed for behavioral and observational rating of psychiatric inpatients.

Purpose of the Study:

  • To re-evaluate the NOSIE for reliability in a contemporary United Kingdom (UK) setting.
  • To confirm the scale's ongoing validity and utility in current clinical practice.

Main Methods:

  • A joint-rated assessment was performed, evaluating agreement between two individual raters.
  • 100 psychiatric inpatients were rated by two nurses each.
  • A least-squares simple regression model analyzed the average agreement between rating pairs.

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Main Results:

  • The total scale scores demonstrated a correlation of 0.76 (P < 0.0001).
  • Correlations for Negative and Positive Factors were 0.68 (P < 0.001) and 0.75 (P < 0.001), respectively.
  • These results indicate satisfactory inter-rater reliability.

Conclusions:

  • The NOSIE retains satisfactory inter-rater reliability with current clinical populations.
  • The scale is suggested as a useful tool for everyday clinical practice.
  • It provides a basis for meaningful communication among staff regarding patient status.