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Service user and significant other versions of the Health of the Nation Outcome Scales
1Counties Manukau District Health Board, and Health Research Council Foxley Senior Research Fellow, Social and Community Health, University of Auckland, Auckland, New Zealand. Malcolm.Stewart@auckland.ac.nz
Objectives:
The aim of this paper was to test the measurement properties of self-report (SR) and significant other (SO) versions of the Health of the Nation Outcome Scales (HoNOS).
Method:
SR and SO HoNOSs, with content closely paralleling the clinician HoNOS but with item 8 expanded into scales rating each difficulty separately, were developed and trialed with Early Intervention for Psychosis service users and their significant others.
Results:
Satisfactory agreement was found between SR, SO and clinician HoNOSs, and between the SR and SO on most additional items.
Conclusions:
Results suggest adequate validity of the measures. The additional items proved useful for identifying comorbidities that may have been under-recognized. Results suggest that SR and SO versions of the HoNOS can be valid and valuable for triangulating and recording the perspectives of different stakeholders in promoting recovery.
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Guidelines for Writing Outcome
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care evaluation by...