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医疗器械相关性压力性损伤知识和实践评估工具的开发和心理计量学特性测试。

Development and psychometric property testing of a Medical Device-related Pressure Injuries Knowledge and Practice Assessment Tool.

机构信息

Graduate School of Health Sciences, Koç University, Istanbul, Turkey.

Department of Fundamentals of Nursing, School of Nursing, Koç University, Istanbul, Turkey.

出版信息

Int J Nurs Pract. 2023 Jun;29(3):e13145. doi: 10.1111/ijn.13145. Epub 2023 Mar 8.

Abstract

AIMS

We aimed to develop and test the psychometric properties of a Medical Device-related Pressure Injuries Knowledge and Practice Assessment Tool.

BACKGROUND

Assessment of nurses' knowledge and practices is critical in the prevention of Medical Device-related Pressure Injuries.

DESIGN

This was an instrument development and testing study.

METHODS

The sample of the study consisted of nurses (n = 189). The study was conducted in three phases between January and February 2021. In the first phase, multiple-choice items contained within Aetiology/Risk Factors, Prevention Interventions, and Staging domains were created. In the second phase, content validity and criterion validity were evaluated, and the tool was pre-tested. The third phase examined item difficulty, discrimination index and distractor quality. The test-retest method was used for reliability.

RESULTS

The Content Validity Index was found to be 0.75, 0.86 and 0.96 for the domains of Aetiology/Risk Factors, Prevention and Staging, respectively. The item difficulty values of the items were between 0.18 and 0.96. A positive, strong and significant relationship was found between the results and a positive, moderate and significant relationship between the tools administered for the proof of scale validity. The Cronbach's alpha reliability coefficient was found to be 0.54.

CONCLUSIONS

The tool is a suitable measurement instrument for use in nursing education, research and clinical settings.

摘要

目的

我们旨在开发和测试一种医疗器械相关性压力性损伤知识和实践评估工具的心理测量学特性。

背景

评估护士的知识和实践对于预防医疗器械相关性压力性损伤至关重要。

设计

这是一项工具开发和测试研究。

方法

研究的样本由护士(n=189)组成。该研究于 2021 年 1 月至 2 月分三个阶段进行。在第一阶段,创建了包含在病因/危险因素、预防干预和分期领域内的多项选择题。在第二阶段,评估了内容效度和效标效度,并进行了工具预测试。第三阶段检查了项目难度、区分指数和干扰项质量。使用测试-重测法来评估可靠性。

结果

病因/危险因素、预防和分期领域的内容效度指数分别为 0.75、0.86 和 0.96。项目难度值在 0.18 至 0.96 之间。结果之间存在正相关、强相关和显著相关,证明了量表的有效性。工具之间也存在正相关、中度相关和显著相关。Cronbach's alpha 可靠性系数为 0.54。

结论

该工具是护理教育、研究和临床环境中使用的合适测量工具。

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