Validation to Spanish of nursing assessment scale for early diagnosis of delirium - Nu-DESC
DOI:
https://doi.org/10.17533/udea.iee.v41n2e03Keywords:
delirium, intensive care units, validation study, psychometricsAbstract
Objective. This work aimed to determine the validity and reliability of the Colombian Spanish version of the Nursing Delirium Screening Scale (Nu-DESC).
Methods. A psychometric study was conducted to achieve the goal of this study, which measured face validity, content validity, sensitivity, specificity and predictive values of the Nu-DESC.
Results. Face validity obtained a total Aiken V of 0.89, and content validity showed a modified Lawshe index of 0.92. When Nu-DESC was applied to 210 adult patients hospitalized in the Intensive Care Unit, it was found that 14.2% had suspected delirium. The instrument showed a sensitivity of 91.6%, specificity of 95.6%, positive predictive value of 73.3%, negative predictive value of 98.8%, good internal consistency with Cronbach's α of 0.8 and good concordance according to Cohen's Kappa index of 0.788.
Conclusion. The Spanish version of the Nu-DESC scale for Colombia has appropriate psychometric values for assessing delirium risk. In addition, this scale is easy to apply, so the adaptation of nursing personnel for its employability favors routine monitoring and timely detection of delirium.
Downloads
References
1. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 5a Edition. Diagnostic and
Statistical Manual of Mental Disorders. Washington; 2013. 991 p.
2. Page VJ, Wesley E. Delirium in Critical Care. Second Edi. Cambridge UK: Cambridge University Press; 2015. 228
p.
3. Reznik ME, Slooter AJC. Delirium Management in the ICU. Curr. Treat. Options Neurol [Internet]. 2019;21(11):59.
4. Tran NN, Hoang TPN, Ho TKT. Diagnosis and risk factors for delirium in elderly patients in the emergency rooms
and intensive care unit of the national geriatric hospital emergency department: A cross-sectional observational study. Int. J.
Gen. Med. 2021; 14(June):6505–15.
5. Gómez Tovar LO, Henao Castaño ÁM. Interventions and effectiveness of the ABCDEF Package in the treatment of
delirium: scoping review. Av. Enferm. 2021; 39(3):395–414.
6. Devlin JW, Skrobik Y, Gélinas C, Needham DM, Slooter AJC, Pandharipande PP, et al. Clinical Practice Guidelines
for the Prevention and Management of Pain, Agitation/Sedation, Delirium, Immobility, and Sleep Disruption in Adult Patients
in the ICU. Crit. Care Med. 2018; 46(9):825–73.
7. Balas MC, Weinhouse GL, Denehy L, Chanques G, Rochwerg B, Misak CJ, et al. Interpreting and Implementing the
Pain, Agitation/Sedation, Delirium, Immobility, and Sleep Disruption Clinical Practice Guideline. Crit. Care Med. 2018;
(9):1464–70.
8. Garrett KM. Best Practices for Managing Pain, Sedation, and Delirium in the Mechanically Ventilated Patient
Sedation Agitation Pain Delirium Mechanical ventilation. Crit. Care Nurs. Clin. North Am. 2016; 28(4):437–50.
9. Marra A, Wesley E, Pandharipande PP, Patel MB. The ABCDEF Bundle in Critical Care. Crit. Care Clin. 2017;
(2):225–43.
10. Velasco Bueno JM, Heras La Calle G, Ortega Guerrero Á, Gómez Tello V. Manual of Good Practices of
Humanization in Intensive Care Units [Internet]. Madrid; 2017. Available from:
http://humanizandoloscuidadosintensivos.com/es/buenas-practicas/
11. Gómez Tovar LO, Henao-Castaño M, Troche-Gutiérrez IY. Preventing and treating delirium in intensive care:
hermeneutics of the nursing team's experiences. Enferm. Intensiva. 2022;33(3):113–25.
12. Zamoscik K, Godbold R, Freeman P. Intensive care nurses’ experiences and perceptions of delirium and delirium
care. Intensive Crit. Care. 2017; 40:94–100.
13. Oosterhouse KJ, Vincent C, Gruss VA, Corte C, Berger B. Intensive Care Unit Nurses’ Beliefs About Delirium
Assessment and Management. Adv. Crit. Care. 2016; 27(4):379–93.
14. Von Rueden KT, Wallizer B, Thurman P, McQuillan K, Andrews T, Merenda J, et al. Delirium in Trauma Patients:
Prevalence and Predictors. Crit. Care Nurse. 2017; 37(1):40–9.
15. Gaudreau JD, Gagnon P, Harel F, Tremblay A, Roy MA. Fast, systematic, and continuous delirium assessment in
hospitalized patients: The nursing delirium screening scale. J. Pain Symptom Manage. 2005; 29(4):368–75.
16. van Velthuijsen EL, Zwakhalen SMG, Warnier RMJ, Mulder WJ, Verhey FRJ, Kempen GIJM. Psychometric
properties and feasibility of instruments for the detection of delirium in older hospitalized patients: a systematic review. Int. J.
Geriatr. Psychiatry. 2016; 31(9):974–89.
17. Wild D, Grove A, Martin M, Eremenco S, McElroy S, Verjee-Lorenz A, et al. Principles of good practice for the
translation and cultural adaptation process for patient-reported outcomes (PRO) measures: Report of the ISPOR Task
Force for Translation and Cultural Adaptation. Value Heal. 2005; 8(2):94–104.
18. Sanchez R, J E. Validacion de escalas de medicion en salud. Rev. Salud Pública. 2004; 6(3):302-18.
19. Escurra Mayaute LM. Cuantificación de la validez de contenido por criterio de jueces. Rev. Psicol. 1969;
(1–2):103–11.
20. Tristán-López A. Modification of Lawshe's model for quantitative judgement of the content validity of an objective
instrument. Av. Medición. 2008; 6:37–48.
21. Escobar-Pérez J, Cuervo-Martínez Á. Content Validity and Expert Judgment: An Approach to Its Use. Av. Medición
[Internet]. 2008; 6(January 2008):27–36
22. Skjong R, Wentworth BH. Expert judgment and risk perception. Proc. Int. Offshore Polar Eng. Conf. 2001;
(January 2001):537–44.
23. Toro AC, Escobar LM, Franco JG, Díaz-Gómez JL, Muñoz JF, Molina F, et al. Spanish version of the method for
the evaluation of confusion in intensive care, pilot validation study. Med. Intensiva. 2010; 34(1):14–21.
24. Celis-Rodríguez E, Díaz Cortés JC, Cárdenas Bolívar YR, Carrizosa González JA, Pinilla DI, Ferrer Záccaro LE, et
al. Evidence-based clinical practice guidelines for the management of sedoanalgesia and delirium in critically ill adult
patients
Abstract. Med. Intensiva. 2020; 44(3):171–84.
25. Spedale V, Di Mauro S, Del Giorno G, Barilaro M, Villa CE, Gaudreau JD, et al. Delirium assessment in hospitalized
elderly patients: Italian translation and validation of the nursing delirium screening scale. Aging Clin. Exp. Res. 2017;
(4):675–83.
26. Hägi-Pedersen D, Thybo KH, Holgersen TH, Jensen JJ, Gaudreau JD, Radtke FM. Nu-DESC DK: The Danish
version of the nursing delirium screening scale (nu-DESC). BMC Nurs. 2017; 16(1):75.
27. Brich J, Baten V, Wußmann J, Heupel-Reuter M, Perlov E, Klöppel S, et al. Detecting delirium in elderly medical
emergency patients: validation and subsequent modification of the German Nursing Delirium Screening Scale. Intern.
Emerg. Med. 2019; 14(5):767–76.
28. Krupa S, Dorota O, Friganovic A, Mędrzycka-Dąbrowska W, Jurek K. The polish version of the nursing delirium
screening scale (Nudesc pl)-experience of using in nursing practice in cardiac surgery intensive care unit. Int. J. Environ.
Res. Public Health. 2021; 18(19):10108.
29. Amirajam Z, Asadi-Noran E, Molaei B, Adiban V, Heidarzadeh M, Hassanpour-Darghah M. Psychometric properties
of nursing delirium screening scale in patients admitted to intensive care units. Indian J. Crit. Care Med. 2021;25(6):680–4.
30. Somnuke P, Limprapassorn P, Srinonprasert V, Wongviriyawong T, Suraarunsumrit P, Morkphrom E, et al. The
Thai version of the nursing delirium screening scale-Thai: Adaptation and validation study in postoperative patients. Front.
Med. 2022; 9(September): 956435.
31. Hargrave A, Bastiaens J, Bourgeois JA, Neuhaus J, Josephson SA, Chinn J, et al. Validation of a Nurse-Based
Delirium-Screening Tool for Hospitalized Patients. Psychosomatics. 2017; 58(6):594–603.
32. Voyer P, Champoux N, Desrosiers J, Landreville P, Mccusker J, Monette J, et al. Recognizing acute delirium as
part of your routine [RADAR]: a validation study. BMC Nursing. 2015; 14(19):14.
33. Green C, Hendry K, Wilson ES, Walsh T, Allerhand M, MacLullich AMJ, et al. A Novel Computerized Test for
Detecting and Monitoring Visual Attentional Deficits and Delirium in the ICU. Crit. Care Med. 2017; 45(7):1224–31.
34. Khan BA, Perkins AJ, Gao S, Hui SL, Campbell NL, Farber MO, et al. The Confusion Assessment Method for the
ICU-7 Delirium Severity Scale: A Novel Delirium Severity Instrument for Use in the ICU. Crit. Care Med. 2017; 45(5):851–7.
Downloads
Published
Versions
- 2023-06-22 (2)
- 2023-06-20 (1)
How to Cite
Issue
Section
License
Copyright (c) 2023 Investigación y Educación en Enfermería
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Derechos de propiedad / Direitos de Propriedade
English: If the article is accepted for publication, all copyright will be of exclusive property of Investigación y Educación en Enfermería. The text and the graphics included in the publication are exclusive responsibility of the authors and not necessarily reflect the thought of the Editorial Committee.
Español: Si el artículo es aprobado para publicación, todos los derechos son de propiedad de Investigación y Educación en Enfermería. El texto y las gráficas incluidas en la publicación son de exclusiva responsabilidad de los autores y no necesariamente refleja el pensamiento del Comité Editorial.
Português: Se o artigo for aceito para publicação, todos os direitos autorais serão de propriedade exclusiva de Investigación y Educación en Enfermería. O texto e os gráficos incluídos na publicação são de responsabilidade exclusiva dos autores e não refletem necessariamente o pensamento do Comitê Editorial.
