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Medicina is published by MDPI from Volume 54 Issue 1 (2018). Articles in this Issue were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence. Articles are hosted by MDPI on as a courtesy and upon agreement with Lithuanian Medical Association, Lithuanian University of Health Sciences, and Vilnius University.
Open AccessArticle

Lithuanian version of the Nursing Outcomes Classification Use Survey: development and psychometric evaluation

Department of Nursing and Care, Kaunas University of Medicine
Department of Sports Biomechanics, Information Science and Engineering, Lithuanian Academy of Physical Education, Lithuania
Author to whom correspondence should be addressed.
Medicina 2007, 43(11), 895;
Received: 31 May 2007 / Accepted: 9 November 2007 / Published: 14 November 2007
Cross-cultural tests and research instruments are broadly used to adapt questionnaires developed in different countries and cultures. The Nursing Outcomes Classification (NOC) – a comprehensive, standardized classification of patient outcomes – can be used to evaluate the results of nursing interventions.
Objective. To develop and test psychometrically the Lithuanian version of the Nursing Outcomes Classification Use Survey.
Material and methods
. A Lithuanian version of the Nursing Outcomes Classification Use Survey was developed following traditional methodological procedures of research instrument translation and adaptation. The newly developed instrument was tested with a sample of 70 staff nurses from nursing and supportive care hospitals. The content and practical feasibility of the Lithuanian version of NOC was measured for its reliability and validity. Psychometric analysis was conducted with the statistical package SPSS 13.0 for Windows.
revealed a successful translation of NOC from English to Lithuanian with validity and acceptability of a shortened Lithuanian version (244 items instead of the original 330 items). Satisfactory internal consistency (Cronbach alpha >0.80 in 18 classes and in 6 classes out of 28 Cronbach alpha between 0.70 and 0.80) was defined, and stability in time was very good with a 7-day break between repeated translations (Spearman- Brown coefficient for the whole instrument was 0.806, ranging from 0.707 to 0.970). The majority of items in the Lithuanian version correlated with measurement class (correlation coefficients >0.40).
. The Lithuanian version of Nursing Outcomes Classification Use Survey is a reliable, valid, and applicable to outcome identification in clinical practice and nursing research. Future research and further evaluation of the newly developed Lithuanian version of NOC is suggested.
Keywords: nursing; outcomes; classification; validity; reliability nursing; outcomes; classification; validity; reliability
MDPI and ACS Style

Riklikienė, O.; Pukėnas, K. Lithuanian version of the Nursing Outcomes Classification Use Survey: development and psychometric evaluation. Medicina 2007, 43, 895.

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