School of Nursing, Peking University, Beijing, China.
Faculty of Education Science and Technology, Shanxi Datong University, Datong, Shanxi Province, China.
J Tissue Viability. 2021 Aug;30(3):421-426. doi: 10.1016/j.jtv.2021.03.006. Epub 2021 Mar 28.
Nurses' attitude is a significant determinant of incontinence-associated dermatitis (IAD) prevention, and a positive attitude may benefit quality improvement projects. This research aimed to translate the attitude towards the prevention of incontinence-associated dermatitis instrument (C-APrIAD) into Chinese and test the reliability and validity among Chinese nurses.
The C-APrIAD was translated into Chinese using a standard procedure of backward-forward translation and cross-cultural adaption. Totally 170 nurses were recruited through the convenience sampling method from three tertiary hospitals in Tianjin, Shandong, and Heilongjiang province of China. Reliability (internal consistency, stability) and validity (content validity, structure validity, and convergent validity), were assessed. Convergent Validity was evaluated by correlation with the General Self-Efficacy Scale (GSES).
Of the 170 completed questionnaires, 158 (93%) were suitable for analysis. The item-total correlation coefficients ranged from 0.39 to 0.80. The content validity of C-APrIAD was 0.96. A factor analysis indicated the construct of a 14-item instrument in a four factors solution: (1) beliefs about the impact of IAD on patients, (2) beliefs about team responsibility to prevent IAD, (3) beliefs about personal responsibility to prevent IAD, and (4) beliefs about the effectiveness of IAD prevention products and procedures. The correlation coefficient between the GSES and C-APrIAD was 0.49 (P < 0.01). For the total instrument, the Cronbach's α coefficient was 0.87 and the test-retest reliability was 0.99.
The C-APrIAD is reliable and valid. The C-APrIAD may benefit nursing research as well as clinical practice to optimize interventions to improve IAD prevention.
护士的态度是失禁相关性皮炎（IAD）预防的重要决定因素，积极的态度可能有利于质量改进项目。本研究旨在将预防失禁相关性皮炎态度量表（C-APrIAD）翻译为中文，并在中国护士中测试其信度和效度。
采用反向翻译和跨文化调适的标准程序将 C-APrIAD 翻译为中文。通过便利抽样法从中国天津、山东和黑龙江的三家三级医院招募了 170 名护士。评估了信度（内部一致性、稳定性）和效度（内容效度、结构效度和收敛效度）。通过与一般自我效能感量表（GSES）的相关性评估收敛效度。
在 170 份完成的问卷中，有 158 份（93%）适合分析。项目总分相关系数范围为 0.39 至 0.80。C-APrIAD 的内容效度为 0.96。因子分析表明，14 项工具的结构为四个因素解决方案：（1）IAD 对患者影响的信念，（2）预防 IAD 的团队责任信念，（3）预防 IAD 的个人责任信念，以及（4）IAD 预防产品和程序有效性的信念。GSES 与 C-APrIAD 之间的相关系数为 0.49（P<0.01）。对于总仪器，克朗巴赫α系数为 0.87，测试-重测信度为 0.99。
C-APrIAD 是可靠和有效的。C-APrIAD 可能有益于护理研究以及临床实践，以优化干预措施，改善 IAD 预防。
