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Content validity was established via consensus meetings and focus group interviews, resulting in 17 items across five categories: no\/minor assistance, moderate assistance, severe nursing assistance, and unstable situations needing extensive nursing care. Face validity was ensured through iterative clinical feedback, and reliability was tested with four nurses scoring 36 patients.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results<\/jats:title>\n            <jats:p>Content validity and feedback led to a comprehensive, practical tool. Inter-rater reliability showed 81.4% agreement (Kappa\u2009=\u20090.69), while intra-rater reliability had 78.9% agreement (Kappa\u2009=\u20090.65), indicating moderate reliability.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusion<\/jats:title>\n            <jats:p>The NCA-SCI assesses nursing care needs in SCI rehabilitation, offering a practical tool with moderate reliability. The development of the NCA-SCI led to an easily usable tool for planning and coordinating daily care at a highly specialized unit.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1038\/s41394-025-00702-4","type":"journal-article","created":{"date-parts":[[2025,3,29]],"date-time":"2025-03-29T13:56:23Z","timestamp":1743256583000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Development of the nurse care assessment for in-hospital spinal cord injury rehabilitation"],"prefix":"10.1038","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1436-8602","authenticated-orcid":false,"given":"Frederik","family":"Skovbjerg","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephanie Hilsl\u00f8v","family":"B\u00f8hm","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erhard Trillingsgaard","family":"N\u00e6ss-Schmidt","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Randi Kj\u00e6r","family":"Steensgaard","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simon Svanborg","family":"Kjeldsen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,3,28]]},"reference":[{"key":"702_CR1","doi-asserted-by":"publisher","first-page":"665","DOI":"10.1080\/10790268.2017.1329076","volume":"40","author":"LD Hachem","year":"2017","unstructured":"Hachem LD, Ahuja CS, Fehlings MG. 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This project was registered and approved as a quality improvement project by the hospital management of Regional Hospital Central Jutland, under reference number 324489. As this project involved the use of information from admitted patients\u2019 electronic health records as part of their current treatment, without direct participant involvement, it was conducted in accordance with regulations governing quality improvement projects. Formal patient consent was not required, as per institutional and ethical guidelines.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"During the preparation of this work the author(s) used ChatGPT to rephrase sentences and increase understandability. After using this tool\/service, the author(s) reviewed and edited the content as needed and take(s) full responsibility for the content of the publication.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declaration of generative AI in scientific writing"}}],"article-number":"7"}}