Evidence map›Paper›PMID 41689011›Full record

ArticleBMC nursing2026

Turkish version of the Nurse Intuition Patient Deterioration Scale: cross-cultural adaptation and validation study.

Nuran Ayşen Pamir Aksoy, Nermin Ocaktan, Vesile Unver

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Article in BMC nursing, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

3 authors.

Nuran Ayşen Pamir AksoyDepartment of Nursing, Faculty of Health Sciences, Acibadem University, Ataşehir, İstanbul, Türkiye. aysen.aksoy@acibadem.edu.tr.ORCID http://orcid.org/0000-0002-0073-6267
Nermin OcaktanDepartment of Nursing, Faculty of Health Sciences, Acibadem University, Ataşehir, İstanbul, Türkiye.ORCID http://orcid.org/0000-0001-9936-977X
Vesile UnverDepartment of Nursing, Faculty of Health Sciences, Acibadem University, Ataşehir, İstanbul, Türkiye.ORCID http://orcid.org/0000-0002-2892-9503

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

AIMS AND

objectivesThis study aimed to adapt the Nurse Intuition Patient Deterioration Scale into Turkish and to evaluate its validity and reliability among nurses working in medical-surgical wards.

backgroundUnrecognized clinical deterioration is a critical patient safety issue in hospital settings. Although structured monitoring tools such as the National Early Warning Score are widely used, they do not fully capture the complexity of bedside assessments. Nurses’ intuition—the ability to rapidly recognize deterioration—plays an indispensable role in early detection.

methodsThis was a methodological study focusing on evaluating the measurement properties of the scale, including its reliability and validity. The translation and cultural adaptation process followed the stages of forward translation, synthesis, back translation, expert committee review, and pretesting.

resultsFor 98 patients, a total of 776 patient assessments were conducted by 40 nurses in this study. The overall scale-level content validity ratio (average) was 0.822, indicating strong overall expert consensus and satisfactory content validity. The overall Cronbach’s alpha coefficient for the scale was 0.797, suggesting good internal consistency. For criterion validity, the relationship between the Nurse Intuition Patient Deterioration Scale scores and the National Early Warning Score-2 was examined; higher Nurse Intuition Patient Deterioration Scale scores were associated with higher National Early Warning Score-2 scores.

conclusionThe Turkish version of the Nurse Intuition Patient Deterioration Scale demonstrated strong psychometric properties, confirming its reliability, construct validity, and criterion-related validity. RELEVANCE TO CLINICAL PRACTICE: This study contributes to the theoretical advancement of nursing science by bridging the gap between intuitive expertise and empirical measurement. In practice, the Nurse Intuition Patient Deterioration Scale can serve as an evidence-based tool to support clinical decision-making. CLINICAL TRIAL NUMBER: Not applicable.

Indexed as

DeteriorationIntuitionMedical-surgical nursingPsychometric evaluationScale adaptationValidity and reliability

Identifiers

PMID41689011
PMCPMC12969871

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