CarePartners ET NOW, Waterloo, Ontario, Canada.
J Wound Ostomy Continence Nurs. 2010 May-Jun;37(3):253-9. doi: 10.1097/WON.0b013e3181d73aab.
A group of 3 WOC nurses and a nurse researcher, in partnership with the author of the Bates Wound Assessment Tool (BWAT), sought to validate wound photographs depicting each characteristic of the instrument.
The BWAT contains 13 items that assess wound size, depth, edges, undermining, necrotic tissue type, amount of necrotic, granulation and epithelialization tissue, exudate type and amount, surrounding skin color, edema, and induration. These are rated using a modified Likert scale; a score of 1 indicates the healthiest and 5 indicates the most unhealthy attribute for each characteristic. In 2001, the PSST was revised and renamed the Bates-Jensen Wound Assessment Tool to reflect the global use of the tool with wound types beyond pressure ulcers.
Phase 1 involved the selection of digitalized wound photographs for 11 of the BWAT wound characteristics by the researchers. The photographs needed to be of high resolution and good quality for eventual publication and validated by the original BWAT author as being representative of the intended characteristic. In phase 2, a face-to-face validation exercise was completed to include, edit, or exclude these photographs. Corrections were made; additional photographs were obtained for the remaining characteristics and to replace those not validated. Phase 3 involved an electronic survey that achieved validation online.
Phase 2 participants consisted of 15 WOC nurses with a mean of 11.5 years of experience with wounds. Phase 3 had 8 WOC nurses and 1 master's prepared wound care specialist, with approximately 10 years of experience. One third of participants in each phase were familiar with the BWAT. In a separate exercise to rate photographs that would be used for testing the implementation of the pictorial guide, 7 WOC nurses and 2 RNs who used the BWAT regularly and 2 researchers participated in a face-to-face discussion.
A total of 214 photographs were reviewed in this study. Seventy-three percent (n = 55) of the photographs for the pictorial guide were endorsed in phase 2, and 100% (n = 53) in phase 3 to demonstrate the 65 BWAT characteristics. In addition, photographs that could be used for a competency exercise and for pre- and posttests were also rated by the panels.
The photographic content of the BWAT pictorial guide has been validated by a small group of wound care experts. The purpose of the exercise was to create a visual learning aid to enhance the education around wound assessment and as a resource for nurses in practice. Now published in a pocket guide format, it is a standardized way to teach BWAT wound assessment skills in a consistent format.
一组 3 名 WOC 护士和一名护士研究人员与 Bates 伤口评估工具（BWAT）的作者合作，旨在验证描述该工具每个特征的伤口照片。
BWAT 包含 13 个项目，用于评估伤口大小、深度、边缘、潜行、坏死组织类型、坏死量、肉芽组织和上皮化组织、渗出物类型和量、周围皮肤颜色、水肿和硬结。这些项目使用改良的 Likert 量表进行评分；1 分表示每个特征最健康，5 分表示最不健康。2001 年，PSST 进行了修订，并更名为 Bates-Jensen 伤口评估工具，以反映该工具在全球范围内用于压力性溃疡以外的伤口类型。
第 1 阶段涉及由研究人员选择 11 个 BWAT 伤口特征的数字化伤口照片。这些照片需要具有高分辨率和高质量，以便最终出版，并由 BWAT 的原始作者验证是否代表预期的特征。在第 2 阶段，完成了面对面的验证练习，以包括、编辑或排除这些照片。进行了更正；为其余特征获得了额外的照片，并替换了未验证的照片。第 3 阶段涉及在线完成的电子调查，以实现验证。
第 2 阶段的参与者包括 15 名 WOC 护士，平均有 11.5 年的伤口护理经验。第 3 阶段有 8 名 WOC 护士和 1 名硕士级别的伤口护理专家，他们有大约 10 年的伤口护理经验。每个阶段有三分之一的参与者熟悉 BWAT。在一个单独的测试照片的使用以测试图形指南的实施的练习中，7 名经常使用 BWAT 的 WOC 护士和 2 名注册护士以及 2 名研究人员参加了面对面的讨论。
本研究共审查了 214 张照片。在第 2 阶段，有 73%（n=55）的图片指南照片得到了认可，在第 3 阶段，有 100%（n=53）的照片得到了认可，以展示 65 个 BWAT 特征。此外，小组还对可用于能力测试以及预测试和后测试的照片进行了评分。
由一小群伤口护理专家对 BWAT 图形指南的照片内容进行了验证。该练习的目的是创建一个视觉学习辅助工具，以增强伤口评估方面的教育，并为实践中的护士提供资源。现在以袖珍指南的形式出版，这是一种以标准化的方式教授 BWAT 伤口评估技能的方法，采用一致的格式。
