Nurses and doctors in stroke units in Norway have been using the tool since the 1990s. The NIHSS was developed in 1989 and subsequently revised in 2003 (2). The National Institutes of Health Stroke Scale (NIHSS) is an international stroke scale used by healthcare professionals to record neurological outcomes in suspected strokes and to monitor symptom development (1-5). The result is a Norwegian validated version of the NIHSS and guide that is true to the original English version and at the same time harmonised with the non-validated existing Norwegian version. Involving stroke units, conducting a pilot test and putting together a project team of experienced doctors and nurses were important factors in the validation process. Total score and time spent administering the scale were comparable to the non-validated version.Ĭonclusion: Validation of the NIHSS was required to ensure cultural adaptation and that the language was consistent with the original English version. Illustrations and text sheets from the original NIHSS were included in the validated version with a few adjustments. The descriptor ‘IT’ in the validated version corresponds to the original version. Results: The terminology in the validated NIHSS largely matched that of the non-validated version. We conducted a pilot test with several stroke units. The translation process followed the steps in the modified translation method of the Regional Competence Centre for Pain (ReKS). Method: In collaboration with the University of South-Eastern Norway and a qualified translator, a project group consisting of nurses and doctors from stroke units in Vestre Viken Hospital Trust produced a culturally adapted validated translation of the NIHSS. Objective: To give an account of the culturally adapted validated translation of the NIHSS. ![]() The Norwegian version of the NIHSS that is currently in use has not been validated. ![]() The scale has been used by nurses and doctors in stroke units in Norway since the 1990s. Background: The National Institutes of Health Stroke Scale (NIHSS) is an internationally recognised screening tool used by healthcare professionals to record neurological outcomes of patients with a suspected stroke.
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