Harputlu Deniz, Kerstens Sander, Özdemir Funda, Dikken Jeroen
Ankara University, Faculty of Nursing, Aktaş Mahallesi, Plevne Caddesi, No:5, 06080, Ankara, Altındağ, Turkey.
Faculty of Health, Nutrition & Sport & Health Innovation Centre of Expertise, The Hague University of Applied Sciences, Johanna Westerdijkplein 75, 2521, EN, The Hague, the Netherlands.
BMC Nurs. 2022 May 10;21(1):111. doi: 10.1186/s12912-022-00882-6.
In Turkey, nursing care in hospitals has gradually included more older patients, resulting in a need for knowledgeable geriatric nurses. It is unknown, however, whether the nursing workforce is ready for this increase. Therefore, the aim of this study is to validate the Knowledge about Older Patients Quiz (KOPQ) in the Turkish language and culture, to describe Turkish hospital nurses' knowledge about older patients, and to compare levels of knowledge between Turkish and Dutch hospital nurses.
First, the KOPQ was translated, resulting in the KOPQ-TR. Then, content validity was assessed by 10 geriatric experts using the Lynn method, a pilot test among 10 nurses was conducted, and a Rasch analysis was performed using data from 135 nurses working in two Turkish hospitals. Finally, a comparison between Turkish and Dutch nurses' levels of knowledge was performed.
The results of the qualitative validation (i.e., content validity by experts and nurses), model fit, item reliability and the item separation index of the KOPQ-TR proved excellent, indicating good content and construct validity. However, the Person Separation Index and Person Reliability of the Rash analysis did not meet the criteria for adequate scale and psychometric validation. The levels of knowledge among Turkish nurses were significantly lower than those of Dutch nurses.
The KOPQ-TR is promising for use in Turkey, although psychometric validation should be repeated using a better targeted sample with a larger ability variance to adequately assess the Person Separation Index and Person Reliability. Currently, education regarding care for older patients is not sufficiently represented in Turkish nursing curricula. However, the need to do so is evident, as the results demonstrate that knowledge deficits and an increase in older patients admitted to the hospital will eventually occur. International comparison and cooperation provides an opportunity to learn from other countries that currently face the challenge of an aging (hospital) population.
在土耳其，医院的护理工作逐渐涵盖了更多老年患者，这就需要知识渊博的老年护理护士。然而，护理人员是否为此做好了准备尚不清楚。因此，本研究的目的是在土耳其语言和文化背景下验证老年患者知识测验（KOPQ），描述土耳其医院护士对老年患者的知识掌握情况，并比较土耳其和荷兰医院护士的知识水平。
首先，对KOPQ进行翻译，得到KOPQ-TR。然后，由10位老年专家采用Lynn方法评估内容效度，在10名护士中进行预测试，并使用来自两家土耳其医院的135名护士的数据进行拉施分析。最后，对土耳其和荷兰护士的知识水平进行比较。
KOPQ-TR的定性验证结果（即专家和护士的内容效度）、模型拟合、项目信度和项目区分指数均表现出色，表明具有良好的内容效度和结构效度。然而，拉施分析的人员区分指数和人员信度未达到充分量表和心理测量学验证的标准。土耳其护士的知识水平明显低于荷兰护士。
KOPQ-TR在土耳其有应用前景，尽管应使用能力差异更大的更具针对性的样本重复进行心理测量学验证，以充分评估人员区分指数和人员信度。目前，土耳其护理课程中对老年患者护理的教育内容不足。然而，这样做的必要性是显而易见的，因为结果表明最终会出现知识缺陷和老年住院患者增加的情况。国际比较与合作提供了一个向其他目前面临（医院）人口老龄化挑战的国家学习的机会。
