Validation of the outcomes tools for urinary incontinence in nursing outcomes classification system and their sensitivities on nursing interventions

Abstract

Aim: There are many scales to measure urinary incontinence (UI). Nursing Outcomes Classification (NOC) scales which include Urinary Continence, Urinary Elimination, Self-Care Toileting, Medication Response, and Tissue integrity: Skin and Mucous Membranes are ideal for use in the nursing process for comprehensive and holistic assessment, with surveys available. For this reason, the purpose of this study is to evaluate the validity of these NOC outcomes and indicators used for UI. Methods: This research is a methodological study. Scope validations were applied and calculated according to Fehring 1987 work model. Total of 55 experts which were the sample of the study rated Fehring as a "senior degree" with a score of 90 according to the experts' scoring. These weighted scores obtained for NOC indicators were classified as critical, supplemental or excluded. Results: In the NOC system, 5 NOCs proposed for nursing diagnosis of UI were proposed. These outcomes are; Urinary Continence, Urinary Elimination, Tissue Integrity, Self Care-Toileting, and Medication Response. After the scales were translated into Turkish, the weighted average of the scores was obtained from specialists for the coverage of all 5 NOCs. After getting the experts' opinion, 79 of the 82 indicators were calculated as critical, 3 of the indicators were calculated as supplemental. All NOCs were identified as valid and usable scales in Turkey. Conclusion: The five NOCs were verified for the evaluation of the output of individuals who received nursing knowledge of UI and variant types. Recommendations include the testing of NOC outcomes in clinical practice and inclusion in nursing curriculum. © 2020 by the University of Health Sciences Turkey.