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 OutcomesClassification (NOC) scales which include Urinary Continence, Urinary Elimination, Self-CareToileting, Medication Response, and Tissue integrity: Skin and Mucous Membranes are ideal foruse 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 andindicators used for UI.Methods: This research is a methodological study. Scope validations were applied andcalculated according to Fehring 1987 work model. Total of 55 experts which were the sample ofthe 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 orexcluded.Results: In the NOC system, 5 NOCs proposed for nursing diagnosis of UI were proposed. Theseoutcomes are; Urinary Continence, Urinary Elimination, Tissue Integrity, Self Care-Toileting, andMedication Response. After the scales were translated into Turkish, the weighted average of thescores 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 assupplemental. 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 whoreceived nursing knowledge of UI and variant types. Recommendations include the testing ofNOC outcomes in clinical practice and inclusion in nursing curriculum.