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Bahar A, Özgürbüz NE, Akın E. Student nurses' knowledge levels and attitudes regarding pressure injury prevention. J Tissue Viability 2024:S0965-206X(24)00123-2. [PMID: 39068086 DOI: 10.1016/j.jtv.2024.07.018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/10/2024] [Revised: 07/19/2024] [Accepted: 07/25/2024] [Indexed: 07/30/2024]
Abstract
OBJECTIVE The research was conducted to examine the relationship between student nurses' knowledge levels and attitudes regarding pressure ulcer prevention. METHOD The research was registered between 01.05.2022 and 01.12.2022, and the certification studies of the health sciences faculty of a state and a foundation university in Turkey are carried out on a multi-center basis. The lists of the research were created by 426 student pictures. "Nurse Introduction Form", "Pressure Sore Prevention Information Survey" and "Attitude Scale towards Preventing Pressure Ulcers" were used as data collection tools. Data was collected online via Google Forms and the SPPS 24.0 program was evaluated in detail. RESULTS It was determined that the PIPK total score of Student Certificates was 18.29 ± 5.98, and the total score of APUP was 33.96 + 4.66. The change analysis results revealed positive aspects and a low-level significant relationship between the average nutrition total knowledge scores and the pressure prevention attitude total scores (p < 0.05). CONCLUSION In our study results, it was determined that the pressure values of the certificates and the knowledge scores of the students were insufficient and the attitudes were positive. The values of knowledge and attitudes regarding the nurturing of the values of certificates, starting from student life, states where the necessary knowledge and skills must be acquired in educational programs.
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Affiliation(s)
- Arzu Bahar
- Yuksek Ihtisas University, Faculty of Health Sciences, Fundamentals of Nursing, Ankara, Turkey.
| | - Nilüfer Emir Özgürbüz
- İzmir Tinaz Tepe University, Faculty of Health Sciences, Nursing Department, İzmir, Turkey.
| | - Esra Akın
- İzmir Katip Çelebi University, Faculty of Health Sciences, Fundamentals of Nursing, İzmir, Ankara, Turkey.
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Rêgo ADS, Furtado GE, Bernardes RA, Santos-Costa P, Dias RA, Alves FS, Ainla A, Arruda LM, Moreira IP, Bessa J, Fangueiro R, Gomes F, Henriques M, Sousa-Silva M, Pinto AC, Bouçanova M, Sousa VIF, Tavares CJ, Barboza R, Carvalho M, Filipe L, Sousa LB, Apóstolo JA, Parreira P, Salgueiro-Oliveira A. Development of Smart Clothing to Prevent Pressure Injuries in Bedridden Persons and/or with Severely Impaired Mobility: 4NoPressure Research Protocol. Healthcare (Basel) 2023; 11:1361. [PMID: 37239647 PMCID: PMC10218695 DOI: 10.3390/healthcare11101361] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/07/2023] [Revised: 04/25/2023] [Accepted: 05/06/2023] [Indexed: 05/28/2023] Open
Abstract
Pressure injuries (PIs) are a major public health problem and can be used as quality-of-care indicators. An incipient development in the field of medical devices takes the form of Smart Health Textiles, which can possess innovative properties such as thermoregulation, sensing, and antibacterial control. This protocol aims to describe the process for the development of a new type of smart clothing for individuals with reduced mobility and/or who are bedridden in order to prevent PIs. This paper's main purpose is to present the eight phases of the project, each consisting of tasks in specific phases: (i) product and process requirements and specifications; (ii and iii) study of the fibrous structure technology, textiles, and design; (iv and v) investigation of the sensor technology with respect to pressure, temperature, humidity, and bioactive properties; (vi and vii) production layout and adaptations in the manufacturing process; (viii) clinical trial. This project will introduce a new structural system and design for smart clothing to prevent PIs. New materials and architectures will be studied that provide better pressure relief, thermo-physiological control of the cutaneous microclimate, and personalisation of care.
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Affiliation(s)
- Anderson da Silva Rêgo
- Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), 3000-232 Coimbra, Portugal; (G.E.F.); (R.A.B.); (P.S.-C.); (L.F.); (L.B.S.); (J.A.A.); (P.P.); (A.S.-O.)
| | - Guilherme Eustáquio Furtado
- Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), 3000-232 Coimbra, Portugal; (G.E.F.); (R.A.B.); (P.S.-C.); (L.F.); (L.B.S.); (J.A.A.); (P.P.); (A.S.-O.)
- Polytechnic Institute of Coimbra, Applied Research Institute, Rua da Misericórdia, Lagar dos Cortiços–S. Martinho do Bispo, 3045-093 Coimbra, Portugal
| | - Rafael A. Bernardes
- Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), 3000-232 Coimbra, Portugal; (G.E.F.); (R.A.B.); (P.S.-C.); (L.F.); (L.B.S.); (J.A.A.); (P.P.); (A.S.-O.)
| | - Paulo Santos-Costa
- Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), 3000-232 Coimbra, Portugal; (G.E.F.); (R.A.B.); (P.S.-C.); (L.F.); (L.B.S.); (J.A.A.); (P.P.); (A.S.-O.)
| | - Rosana A. Dias
- International Iberian Laboratory of Nanotechnology (INL), 4715-330 Braga, Portugal; (R.A.D.); (F.S.A.); (A.A.)
| | - Filipe S. Alves
- International Iberian Laboratory of Nanotechnology (INL), 4715-330 Braga, Portugal; (R.A.D.); (F.S.A.); (A.A.)
| | - Alar Ainla
- International Iberian Laboratory of Nanotechnology (INL), 4715-330 Braga, Portugal; (R.A.D.); (F.S.A.); (A.A.)
| | - Luisa M. Arruda
- Fibrenamics, Institute of Innovation on Fibre-Based Materials and Composites, University of Minho, 4800-058 Guimaraes, Portugal; (L.M.A.); (I.P.M.); (J.B.); (R.F.)
- Centre for Textile Science and Technology (2C2T), University of Minho, 4800-058 Guimaraes, Portugal; (R.B.); (M.C.)
| | - Inês P. Moreira
- Fibrenamics, Institute of Innovation on Fibre-Based Materials and Composites, University of Minho, 4800-058 Guimaraes, Portugal; (L.M.A.); (I.P.M.); (J.B.); (R.F.)
- Centre for Textile Science and Technology (2C2T), University of Minho, 4800-058 Guimaraes, Portugal; (R.B.); (M.C.)
| | - João Bessa
- Fibrenamics, Institute of Innovation on Fibre-Based Materials and Composites, University of Minho, 4800-058 Guimaraes, Portugal; (L.M.A.); (I.P.M.); (J.B.); (R.F.)
- Centre for Textile Science and Technology (2C2T), University of Minho, 4800-058 Guimaraes, Portugal; (R.B.); (M.C.)
| | - Raul Fangueiro
- Fibrenamics, Institute of Innovation on Fibre-Based Materials and Composites, University of Minho, 4800-058 Guimaraes, Portugal; (L.M.A.); (I.P.M.); (J.B.); (R.F.)
- Centre for Textile Science and Technology (2C2T), University of Minho, 4800-058 Guimaraes, Portugal; (R.B.); (M.C.)
| | - Fernanda Gomes
- CEB—Centre of Biological Engineering, LIBRO—Laboratório de Investigação em Biofilmes Rosário Oliveira, University of Minho, 4710-057 Braga, Portugal; (F.G.); (M.H.); (M.S.-S.); (A.C.P.)
- LABBELS—Associate Laboratory, 4710-057 Braga, Portugal
| | - Mariana Henriques
- CEB—Centre of Biological Engineering, LIBRO—Laboratório de Investigação em Biofilmes Rosário Oliveira, University of Minho, 4710-057 Braga, Portugal; (F.G.); (M.H.); (M.S.-S.); (A.C.P.)
- LABBELS—Associate Laboratory, 4710-057 Braga, Portugal
| | - Maria Sousa-Silva
- CEB—Centre of Biological Engineering, LIBRO—Laboratório de Investigação em Biofilmes Rosário Oliveira, University of Minho, 4710-057 Braga, Portugal; (F.G.); (M.H.); (M.S.-S.); (A.C.P.)
- LABBELS—Associate Laboratory, 4710-057 Braga, Portugal
| | - Alexandra C. Pinto
- CEB—Centre of Biological Engineering, LIBRO—Laboratório de Investigação em Biofilmes Rosário Oliveira, University of Minho, 4710-057 Braga, Portugal; (F.G.); (M.H.); (M.S.-S.); (A.C.P.)
- LABBELS—Associate Laboratory, 4710-057 Braga, Portugal
| | - Maria Bouçanova
- Impetus Portugal-Têxteis Sa (IMPETUS), 4740-696 Barcelos, Portugal;
| | - Vânia Isabel Fernande Sousa
- Physics Center of Minho and Porto Universities (CF-UM-PT), Campus of Azurém, University of Minho, 4804-533 Guimarães, Portugal; (V.I.F.S.); (C.J.T.)
| | - Carlos José Tavares
- Physics Center of Minho and Porto Universities (CF-UM-PT), Campus of Azurém, University of Minho, 4804-533 Guimarães, Portugal; (V.I.F.S.); (C.J.T.)
| | - Rochelne Barboza
- Centre for Textile Science and Technology (2C2T), University of Minho, 4800-058 Guimaraes, Portugal; (R.B.); (M.C.)
| | - Miguel Carvalho
- Centre for Textile Science and Technology (2C2T), University of Minho, 4800-058 Guimaraes, Portugal; (R.B.); (M.C.)
| | - Luísa Filipe
- Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), 3000-232 Coimbra, Portugal; (G.E.F.); (R.A.B.); (P.S.-C.); (L.F.); (L.B.S.); (J.A.A.); (P.P.); (A.S.-O.)
| | - Liliana B. Sousa
- Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), 3000-232 Coimbra, Portugal; (G.E.F.); (R.A.B.); (P.S.-C.); (L.F.); (L.B.S.); (J.A.A.); (P.P.); (A.S.-O.)
| | - João A. Apóstolo
- Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), 3000-232 Coimbra, Portugal; (G.E.F.); (R.A.B.); (P.S.-C.); (L.F.); (L.B.S.); (J.A.A.); (P.P.); (A.S.-O.)
| | - Pedro Parreira
- Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), 3000-232 Coimbra, Portugal; (G.E.F.); (R.A.B.); (P.S.-C.); (L.F.); (L.B.S.); (J.A.A.); (P.P.); (A.S.-O.)
| | - Anabela Salgueiro-Oliveira
- Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), 3000-232 Coimbra, Portugal; (G.E.F.); (R.A.B.); (P.S.-C.); (L.F.); (L.B.S.); (J.A.A.); (P.P.); (A.S.-O.)
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Eirinidou P, Gerogianni G, Vasilopoulos G, Kalemikerakis I, Kalogianni A, Kaba E, Fasoi G, Zartaloudi A, Kelesi M. Nurses' Knowledge Concerning Prevention and Treatment of Pressure Ulcers. ADVANCES IN EXPERIMENTAL MEDICINE AND BIOLOGY 2023; 1425:603-608. [PMID: 37581833 DOI: 10.1007/978-3-031-31986-0_58] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 08/16/2023]
Abstract
Pressure ulcers have high prevalence in patients and can be prevented with proper nursing interventions. The aim of this study was to evaluate nurses' knowledge about prevention and treatment of pressure ulcers. The present study was conducted with 111 nurses working in a General hospital in Greece. In this study, nurses had adequate knowledge about prevention and treatment of pressure ulcers. Respondents answered correctly in questions about staging of pressure ulcers (98.2%, 98.2%, 99.1%, 97.3%, 93.7%), the role of changing position in prevention of pressure ulcer (97.3%), the use of foam mattress (85.6%) and stretched sheets (92.8%), the use of antiseptic solution (95.5%, 85.6%), and interventions to reduce pressure on patients' heels (88.3%). A number of participants had adequate level of knowledge in the questions about the role of diet in healing of pressure ulcers (71.2%), products or devices for prevention or treatment of pressure ulcers (61.3%, 36.9%), healing of pressure ulcers (58.6%, 46.8%), prevention of bone pressure ulcers (31.5%), cleaning of a pressure ulcer (52.3%), and the role of low blood pressure as a risk factor for pressure ulcer (55.9%). However, the development of educational programs can help nurses to improve their knowledge about prevention and treatment of pressure ulcers.
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Affiliation(s)
| | | | | | | | | | - Evridiki Kaba
- Department of Nursing, University of West Attica, Athens, Greece
| | - Georgia Fasoi
- Department of Nursing, University of West Attica, Athens, Greece
| | | | - Martha Kelesi
- Department of Nursing, University of West Attica, Athens, Greece
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Botterman L, De Cock I, Blot SI, Labeau SO. A knowledge test on pressure injury in adult intensive care patients: Development, validation, and item analysis. J Tissue Viability 2022; 31:718-725. [PMID: 36085122 DOI: 10.1016/j.jtv.2022.08.007] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2022] [Revised: 08/22/2022] [Accepted: 08/28/2022] [Indexed: 10/14/2022]
Abstract
BACKGROUND Pressure injuries are a major problem in critically ill patients, but both students' and intensive care nurses' knowledge about these injuries leaves room for improvement. As no knowledge test is currently available that focuses on pressure injuries in adult intensive care patients, we aimed to develop such tool, establish the content validity, and perform item analysis using Classical test theory. METHODS Test development followed established multiple-choice question-writing guidelines. Content validation used a Delphi procedure including eight international experts. Item analysis (question difficulty and discrimination power, and quality of the distractors) was based on the test results of a convenience sample who completed the test online, based on ready knowledge. RESULTS Four Delphi validation rounds resulted in a 24-item multiple-choice test within seven categories: Epidemiology, Aetiology, Prevention, Classification, Risk factors and risk assessment, Wound care, and Skin care. The content validity index was 0.96. The median score of 12 students and 38 qualified nurses was 12.5/24 (interquartile range 11-14.25; range 4-17; 52%). Least correct answers were in the categories Classification and Wound care. Item analysis revealed several knowledge gaps and misconceptions. CONCLUSIONS The test has excellent content validity. The sample's overall score was low. Item analysis identified various training needs. Future users are recommended to further validate the test and establish its reliability, and to tailor it to their individual context and evaluation requirements.
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Affiliation(s)
- Laurien Botterman
- School of Healthcare, Nurse Education Programme, HOGENT University of Applied Sciences and Arts, Ghent, Belgium.
| | - Irene De Cock
- School of Healthcare, Nurse Education Programme, HOGENT University of Applied Sciences and Arts, Ghent, Belgium.
| | - Stijn I Blot
- School of Healthcare, Nurse Education Programme, HOGENT University of Applied Sciences and Arts, Ghent, Belgium; Department of Internal Medicine & Pediatrics, Faculty of Medicine and Health Science, Ghent University, Ghent, Belgium.
| | - Sonia O Labeau
- School of Healthcare, Nurse Education Programme, HOGENT University of Applied Sciences and Arts, Ghent, Belgium.
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STOLT M, KOTTORP A, SUHONEN R. The use and quality of reporting of Rasch analysis in nursing research: a methodological scoping review. Int J Nurs Stud 2022; 132:104244. [DOI: 10.1016/j.ijnurstu.2022.104244] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/14/2021] [Revised: 03/28/2022] [Accepted: 03/31/2022] [Indexed: 11/24/2022]
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Validity and reliability of the Turkish version of The Pressure Injury Prevention Knowledge Questionnaire(PIPK). J Tissue Viability 2022; 31:30-37. [PMID: 34801351 DOI: 10.1016/j.jtv.2021.11.002] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/16/2021] [Revised: 11/05/2021] [Accepted: 11/07/2021] [Indexed: 01/12/2023]
Abstract
AIM This study aimed to evaluate the validity and reliability of the Turkish version of the Pressure Injury Prevention Knowledge Questionnaire (PIPK). METHOD A methodological study design was used. The instrument was translated into Turkish and back-translated into English. After evaluating the language equivalence and content validity of the scale, test-retest reliability, internal consistency and construct validity were examined. The research was conducted with a total of 324 nurses working in a state hospital and two private hospitals who volunteered to participate in the research. Number, percentage distributions, intraclass correlation coefficient (ICC), Kappa coefficient test, Man Whitney U test and Rasch analysis were used to evaluate the data. RESULTS Content validity was evaluated by 11 experts in wound care and the CVI(content validity index was found 0.90. The correlation coefficient between the groups was found to be ICC 0.979 in the Kappa coefficient test performed for the reliability analysis. When the in- and out-of-fit difficulty index values of the scale were examined, it was found that the averages of these values varied between "0.72" and "1.38" values. CONCLUSIONS The Pressure Injury Prevention Knowledge Questionnaire (PIPK) was found to be a valid and reliable tool for intercultural studies revealing the nursing knowledge of prevention on PIs. It is recommended to conduct studies that test the validity and reliability of the scale in different samples.
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Dalli ÖE, Yildirim Y, Çalişkan G, Girgin NK. Reliability and validity of the Turkish version of pressure ulcer knowledge assessment tool-updated version (PUKAT 2.0). J Tissue Viability 2021; 31:52-57. [PMID: 34429220 DOI: 10.1016/j.jtv.2021.08.001] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/15/2021] [Revised: 07/21/2021] [Accepted: 08/05/2021] [Indexed: 11/24/2022]
Abstract
OBJECTIVE This study aimed to determine the reliability and validity of the Turkish version of the measurement tool developed and updated by Manderlier et al. to evaluate the nurses' evidence-based knowledge about pressure ulcers. MATERIALS AND METHODS A methodological study design was used. The instrument was translated to Turkish and back-translated to English. A group of faculty members, including physicians and nurses who are experts in the subject area, evaluated the content validity of the tool with the Lawshe technique. A group of 240 nurses who met the inclusion criteria were reached, and then a pilot study was conducted with 35 nurses by using the test-retest method to determine the invariance of the tool over time. The nurses in the pilot study were excluded from the overall sample, and the evaluations were performed with 205 nurses. Item difficulty index and discrimination index were used for the validity of the items since they were multiple-choice items; Kuder-Richardson 20 analysis was used to determine the internal consistency. RESULTS The translated and modified instrument demonstrated acceptable psychometric properties as follows: 1) overall content validity index was 0.90, 2) overall test-retest reliability was 0.83 (0.70-0.92 for the sub-themes), 3) item difficulty indexes were 35-75%, 4) discrimination indexes were 0.44-0.92, and 5) overall Cronbach's alfa for the internal consistency was 0.72. CONCLUSIONS Similar to the earlier version, the Turkish version of PUKAT 2.0 was demonstrated to be a valid and reliable tool to evaluate the nurses' knowledge of evidence-based current information about pressure ulcers.
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Affiliation(s)
- Öznur Erbay Dalli
- Uludag University Faculty of Medicine, Department of Anesthesiology and Reanimation, Division of Intensive Care, Nilüfer, BURSA, 16059, TURKEY.
| | - Yasemin Yildirim
- Ege University Faculty of Nursing, Department of Internal Medicine Nursing, Bornova, İZMİR, 35100, TURKEY.
| | - Gülbahar Çalişkan
- Bursa City Hospital, Department of Anesthesiology and Reanimation, Division of Intensive Care, Nilüfer, BURSA, 16059, TURKEY.
| | - Nermin Kelebek Girgin
- Uludag University Faculty of Medicine, Department of Anesthesiology and Reanimation, Division of Intensive Care, Nilüfer, BURSA, 16059, TURKEY.
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Pérez-López C, López-Franco MD, Comino-Sanz IM, Pancorbo-Hidalgo PL. Validation of the Pressure Injury Prevention Knowledge questionnaire in nursing students: Rasch analysis. ENFERMERIA CLINICA 2021; 31:12-20. [PMID: 32962908 DOI: 10.1016/j.enfcli.2020.07.001] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/13/2020] [Revised: 06/23/2020] [Accepted: 07/08/2020] [Indexed: 02/02/2023]
Abstract
OBJECTIVE The aim of our study is to measure the knowledge of nursing students at the University of Jaén about evidence-based recommendation for the prevention of pressure injuries. METHOD A cross-sectional observational and validation study was carried in 2019, using an online survey. All the students registered on the Nursing Degree programme of the University of Jaén were invited to participate. The psychometric properties of the Pressure Injury Prevention Knowledge questionnaire (PIPK) were tested by a Rasch analysis. With the analysis, the percentage of correct and wrong answers was calculated, the global score and the association with some educational variables. RESULTS The PIPK questionnaire showed adequate psychometric characteristics (alpha=.89) and good fit to the Rasch model. The average knowledge score on pressure injury prevention obtained was 21.0 (this is 67.7% of the maximum). Higher scores were obtained by the students that had finished some clinical placements; those with more placements; had attended a meeting about pressure injuries and those in a higher year of the programme. CONCLUSIONS The PIPK questionnaire is a valid and reliable instrument for measuring the knowledge of nursing students about pressure injuries prevention. The nursing students of the University of Jaén obtained a score in the questionnaire higher than 50%.
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Affiliation(s)
- Cristina Pérez-López
- Grupo de Investigación Enfermería e Innovación en Cuidados de Salud, Universidad de Jaén, Jaén, España
| | - María Dolores López-Franco
- Grupo de Investigación Enfermería e Innovación en Cuidados de Salud, Universidad de Jaén, Jaén, España; Departamento de Enfermería, Facultad de Ciencias de la Salud, Universidad de Jaén, Jaén, España.
| | - Inés María Comino-Sanz
- Grupo de Investigación Enfermería e Innovación en Cuidados de Salud, Universidad de Jaén, Jaén, España; Departamento de Enfermería, Facultad de Ciencias de la Salud, Universidad de Jaén, Jaén, España
| | - Pedro Luis Pancorbo-Hidalgo
- Grupo de Investigación Enfermería e Innovación en Cuidados de Salud, Universidad de Jaén, Jaén, España; Departamento de Enfermería, Facultad de Ciencias de la Salud, Universidad de Jaén, Jaén, España
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Attitudes of Spanish Nurses towards Pressure Injury Prevention and Psychometric Characteristics of the Spanish Version of the APuP Instrument. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17228543. [PMID: 33217957 PMCID: PMC7698736 DOI: 10.3390/ijerph17228543] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/27/2020] [Revised: 10/30/2020] [Accepted: 11/16/2020] [Indexed: 02/08/2023]
Abstract
The prevention of pressure injuries in hospitalised patients is a critical point of care related to patient safety. Nurses play a key role in pressure injury (PI) prevention, making it important to assess not only their knowledge but also their attitude towards prevention. The main purpose of this study was to translate into Spanish and evaluate the psychometric properties of the Attitude towards Pressure ulcer Prevention instrument (APuP); a secondary aim was to explore the associations of attitude with other factors. A Spanish version was developed through a translation and back-translation procedure. The validation study was conducted on a sample of 438 nursing professionals from four public hospitals in Spain. The analysis includes internal consistency, confirmatory factorial analysis, and construct validity in known groups. The 12-item Spanish version of the APuP fit well in the 5-factor model, with a Cronbach's alpha of 0.7. The mean APuP score was 39.98, which means a positive attitude. Registered nurses have a slightly better attitude than Assistant nurses. A moderate correlation (R = 0.32) between knowledge and attitude for the prevention of PI was found. As concluded, the Spanish version of the APuP questionnaire is a valid, reliable and useful tool to measure the attitude toward PI prevention in Spanish-speaking contexts. This version has 12 items grouped into 5 factors, and its psychometric properties are similar to those of the original instrument.
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