Research Article
Development of the Nurses' Observation Scale for Cognitive Abilities (NOSCA)
Table 3
The construct of cognitive functioning organised into domains as judged by experts ().
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Proposed domains | 1st Delphi round | 2nd Delphi round | Inclusion | | Accepted* (%) | Proposed subdomain | Accepted (%) | Formula-tion OK (%) | Proposed domains/subdo-mains + rephrasing | Accepted (%) | Formula-tion OK (%) | Accepted |
| | Consciousness (b110) | 82 | Quality of consciousn. (b1102) | 63 | 31 | Deleted | | | no | | | | State of conscious. (b1100) | 81 | 70 | yes* | | | | Continuity of conscious. (b1101) | 81 | 46 | yes* |
| | Attention (b140) | 82 | Sustaining attention (b1400) | 94 | 67 | | | | yes | | Shifting of attention (b1401) | 88 | 79 | | | | yes | | Dividing attention (b1402) | 75 | 75 | | 56 | | no |
| | Perception (b156) | 88 | (b1561) | 88 | 79 | | | | yes | | | | (b1560) | 56 | 78 | no | | | | (b1565) | 44 | 58 | no |
| | Orientation (b114) | 100 | Orientation to time (b1140) | 100 | 94 | | | | yes | | Orientation to place (b1141) | 100 | 100 | | | | yes | | Orientation to person (b1142) | 100 | 94 | | | | yes |
| | Memory (b144) | 100 | Short-term memory (b1440) | 88 | 57 | Working memory | | | yes | | Long-term memory (b1441) | 94 | 73 | | | | yes | | | | Retrieval of old information (b1442.0) | 62 | 80 | no | | | | Storage and retrieval of new information (b1442.1) | 56 | 89 | no |
| | Thoughts (b160) | 94 | Pace of thought (b1600) | 82 | 85 | | | | yes | | Form of thought (b1601) | 75 | 92 | | | | yes | | Control of thought (b1603) | 44 | 100 | Deleted | | | no | | | | Content of thoughts (b1602) | 88 | 64 | yes |
| | Higher level of cognitive function (b164) | 82 | Cognitive flexibility (b1643) | 63 | 70 | Deleted | | | no | | | | Organisation and planning (b1641) | 94 | 100 | yes | | Insight (1644) | 75 | 71 | | | | yes | | Judgment (b1645) | 82 | 71 | Deleted | | | No | | | | Self-regulation (b1648) | 75 | 92 | yes |
| | Language (b167) | 100 | Reception of language (b1670) | 88 | 67 | | | | yes | | | Expression of language (b1671) | 94 | 75 | | | | yes |
| | Mental function of sequencing complex movement (b176) | 88 | — | — | 45 | label rephrased: Praxis | 88 | 70 | yes |
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*Consciousness is perceived as a prerequisite for cognitive functioning and therefore should have another position in the observation scale.
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