Nurses Observational Scale for Inpatient Evaluation [NOSIE-30]

Description

The Nurses Observational Scale for Inpatient Evaluation (NOSIE-30) is an observational instrument designed to assess the functioning and behavior of psychiatric inpatients, particularly individuals with chronic schizophrenia. It provides a general indicator of patient functioning based on systematic observation.

Aim

The main aim of the NOSIE-30 is to evaluate patients’ overall functional status and behavioral performance in psychiatric inpatient settings. The scale was developed by Honigfeld and Klett in 1966 and consists of 30 positive and negative behavioral items.

Administration and Scoring

Assessment is based on observation of the patient during the three days preceding scoring.

Each item is rated on a five-point scale:

0 = Never
4 = Always

Higher scores indicate better overall functioning. The source material states that the final score can be based on the average ratings of two evaluators.

Reliability

The scale demonstrated a reliability coefficient of r = 0.88 and satisfactory internal consistency, with Cronbach’s α = 0.70.

Applications

The NOSIE-30 can be used in psychiatric inpatient care and research to monitor daily functioning, behavioral changes, and treatment response, particularly in patients with schizophrenia.

References

Honigfeld, G., Gillis, R. D., & Klett, C. J. (1966). NOSIE-30: A treatment-sensitive ward behavior scale. Psychological Reports, 19(1), 180–182.

Nir, M. S., Khalili, R., Mahmoudi, H., Ebadi, A., & Habibi, R. (2020). Validation of the 30-item nurses’ observation scale for inpatient evaluation and mental health-care promotion. Journal of Education and Health Promotion, 9.