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Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale

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Published on: August 25, 2014

The Nursing Observed Illness Intensity Scale (NOIIS).

L Bowers¹, G Brennan, S Ransom

¹City University London, London, UK. l.bowers@city.ac.uk

Journal of Psychiatric and Mental Health Nursing

|January 11, 2011

Summary

This summary is machine-generated.

The Nursing Observed Illness Intensity Scale (NOIIS) offers an objective way to track psychiatric patient progress. This validated scale demonstrated reliable results in a psychiatric intensive care unit, aiding clinical decisions and research.

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Published on: July 4, 2018

Area of Science:

Psychiatry
Nursing
Clinical Psychology

Background:

Inpatient psychiatric progress monitoring relies heavily on subjective nursing observations and notes.
Current methods lack standardization, leading to variability in reliability and data interpretation.

Purpose of the Study:

To introduce and evaluate the Nursing Observed Illness Intensity Scale (NOIIS) as an objective measure for psychiatric patient progress.
To assess the reliability and validity of the NOIIS in a clinical setting.

Main Methods:

The NOIIS was administered by qualified nurses at the end of each shift for over 6000 ratings across 106 psychiatric intensive care unit admissions.
Inter-rater reliability and concurrent validity against the Brief Psychiatric Rating Scale were assessed.

Main Results:

Satisfactory inter-rater reliability and good validity against the Brief Psychiatric Rating Scale were found for the NOIIS.
NOIIS scores correlated with unit social organization and treatment methods.
Recovery curves varied by diagnosis, with schizophrenia patients showing slower improvement.

Conclusions:

The NOIIS provides a reliable and valid tool for objective monitoring of psychiatric inpatient progress, symptom reduction, and behavioral improvement.
The scale supports clinical decision-making, including treatment adjustments and discharge planning, and facilitates clinical audit and research outcomes.
Differential recovery rates observed by diagnosis highlight the scale's sensitivity to patient-specific trajectories.