The Norwegian version of Patient Observation Skills in Critical Care Nursing (POS-CCN) instrument: a cross-cultural adaptation of the instrument and nurses' self-assessed level of patient observation skills

Aim: To translate and cross-culturally adapt the instrument “Patient Observation Skills in Critical Care Nursing” into Norwegian. Design: A cross-sectional survey was conducted to assess the psychometric properties of the instrument and Norwegian critical care nurses (CCNs’) self-assessed patient-observation skills. Methods: Ninety-five Norwegian critical care nurses completed anelectronic survey, and the results were statistically analyzed. Results: Exploratory factor analysis produced a seven-factor model with Cronbach alpha values ranging from 0.62 to 0.94, and the instrument’s content validity was high (S-CVI/Ave 0.96). The instrument “Patient Observation Skills in Critical Care Nursing” was successfully modified for the Norwegian context and showed outstanding psychometric qualities. Nurses rated their patient observation skills asexcellent in respiratory, renal, and metabolic areas (which had the highest scores). Gastrointestinal and coagulation observations had the lowest scores. Conclusion: The instrument is valuable for nurse educators and managers as it provides knowledge to facilitate the development of nursing competence.