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Development and psychometric property testing of a skin tear knowledge assessment instrument (OASES) in 37 countries
H. Van Tiggelen, P. Alves, E. Ayello, C. Bååth, S. Baranoski, K. Campbell, AM. Dunk, M. Gloeckner, H. Hevia, S. Holloway, P. Idensohn, A. Karadağ, D. Langemo, K. LeBlanc, K. Ousey, A. Pokorná, M. Romanelli, VLCG. Santos, S. Smet, A. Williams, K....
Language English Country Great Britain
Document type Journal Article
PubMed
33305504
DOI
10.1111/jan.14713
Knihovny.cz E-resources
- MeSH
- Humans MeSH
- Prospective Studies MeSH
- Surveys and Questionnaires MeSH
- Psychometrics MeSH
- Reproducibility of Results MeSH
- Health Knowledge, Attitudes, Practice * MeSH
- Check Tag
- Humans MeSH
- Publication type
- Journal Article MeSH
AIM: To develop and psychometrically evaluate a skin tear knowledge assessment instrument (OASES). DESIGN: Prospective psychometric instrument validation study. METHOD: The skin tear knowledge assessment instrument was developed based on a literature review and expert input (N = 19). Face and content validity were assessed in a two-round Delphi procedure by 10 international experts affiliated with the International Skin Tear Advisory Panel (ISTAP). The instrument was psychometrically tested in a convenience sample of 387 nurses in 37 countries (April-May 2020). Validity of the multiple-choice test items (item difficulty, discriminating index, quality of the response alternatives), construct validity, and test-retest reliability (stability) were analysed and evaluated in light of international reference standards. RESULTS: A 20-item instrument, covering six knowledge domains most relevant to skin tears, was designed. Content validity was established (CVI = 0.90-1.00). Item difficulty varied between 0.24 and 0.94 and the quality of the response alternatives between 0.01-0.52. The discriminating index was acceptable (0.19-0.77). Participants with a theoretically expected higher knowledge level had a significantly higher total score than participants with theoretically expected lower knowledge (p < .001). The 1-week test-retest intraclass correlation coefficient (ICC) was 0.83 (95% CI = 0.78-0.86) for the full instrument and varied between 0.72 (95% CI = 0.64-0.79) and 0.85 (95% CI = 0.81-0.89) for the domains. Cohen's Kappa coefficients of the individual items ranged between 0.21 and 0.74. CONCLUSION: The skin tear knowledge assessment instrument is supported by acceptable psychometric properties and can be applied in nursing education, research, and practice to assess knowledge of healthcare professionals about skin tears. IMPACT: Prevention and treatment of skin tears are a challenge for healthcare professionals. The provision of adequate care is based on profound and up-to-date knowledge. None of the existing instruments to assess skin tear knowledge is psychometrically tested, nor up-to-date. OASES can be used worldwide to identify education, practice, and research needs and priorities related to skin tears in clinical practice.
Advances in Skin and Wound Care Philadelphia Pennsylvania USA
Ayello Harris and Associates Inc Copake New York USA
CliniCare Medical Centre Ballito South Africa
College of Nursing University of North Dakota Grand Forks North Dakota USA
Department Health Care VIVES University College Roeselare Belgium
Department of Nursing Faculty of Medicine Masaryk University Brno Czech Republic
Dermatology Unit Department of Clinical and Experimental Medicine University of Pisa Pisa Italy
Faculty Emeritus School of Nursing Excelsior College Albany New York USA
Faculty of Health and Welfare Østfold University College Fredrikstad Norway
Ingram School of Nursing Faculty of Medicine McGill University Montreal QC Canada
Langemo and Associates Grand Forks North Dakota USA
Nursing Advisory Board Rasmussen College Romeoville Joliet Illinois USA
Nursing Department Ghent University Hospital Ghent Belgium
Nursing School Nursing Department Andres Bello University Santiago Chile
School of Health Sciences Örebro University Örebro Sweden
School of Nursing and Midwifery Monash University Clayton VIC Australia
School of Nursing and Midwifery Royal College of Surgeons in Ireland Dublin Ireland
School of Nursing Faculty of Health Queensland University of Technology Brisbane QLD Australia
School of Nursing Faculty of Health Sciences Queen's University Kingston ON Canada
School of Nursing Faculty of Health Sciences University of the Free State Bloemfontein South Africa
School of Nursing Koç University Istanbul Turkey
School of Nursing Medical Surgical Nursing Department University of São Paulo São Paulo Brazil
School of Nursing Portuguese Catholic University Porto Portugal
School of Physical Therapy Faculty of Health Sciences Western University London Ontario Canada
Tissue Viability Unit Canberra Health Services Canberra Hospital Canberra ACT Australia
UnityPoint Health Trinity Rock Island Illinois USA
Wound Care Center Ghent University Hospital Ghent Belgium
Wound Ostomy Continence Solutions LLC Falls Church Virginia USA
References provided by Crossref.org
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