Validation and Psychometric Evaluation of the Persian Version of the Nurse Intuition Patient Deterioration Scale: A Methodological Study.
Reza Nemati-Vakilabad, Mohammad Javad Jafari, Alireza Mirzaei and 4 others
PMID 42184330WHAT IT FOUND
Nurses' intuition ratings of 250 hospitalized patients stayed consistent and stable on a Persian scale, but its high-risk cut-off was not tested against ICU transfer, cardiac arrest, or death.
Key findings
01The Persian nurse-rated scale showed high agreement among its responses, and scores were stable when 40 patients were re-rated two weeks later.
02The threshold of 5 or higher was not tested against objective clinical outcomes and is provisional for the Persian version.
03The scale scores were higher for ICU patients and for patients rated by nurses with more than 5 years of experience.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
Read the rest of this summary
You get three full summaries a month, free, and we do not ask for a card. Search, the TL;DRs and your library stay unlimited either way.
What it does not show
The study validated nurse ratings on the scale, not whether those ratings predicted ICU transfer, cardiac arrest, rapid response activation, or death. The high-risk threshold of 5 or more was carried over from the original scale and was not empirically tested in this Persian version. The sample was 250 patients from Ardabil, Iran, and excluded patients with severe cognitive impairment, palliative or end-of-life care, or consent and language barriers. Full measurement invariance across ICU and general ward groups and nurse experience groups could not be established because the CFA subsamples were only 100 per group. The very high internal consistency may indicate item redundancy, and a shorter version was not tested.
Declared interests
The authors declared no conflicts of interest and reported no funding.
The easy way to misread this
Do not treat a score of 5 or more on this Persian scale as a validated trigger for escalation. The study did not link scores to ICU transfer, cardiac arrest, rapid response activation, or death, so the cut-off is provisional.