West China School of Nursing (Dang and Li and Dr Ran), and Innovation Center for Wound Repair, Diabetic Foot Care Center, Department of Endocrinology and Metabolism, West China Hospital (Dang and R. Li and Dr Ran), Sichuan University, Chengdu, China; School of Nursing, Lanzhou University, Lanzhou, China (Dang, Zhai, Ding, Gao, and Dr H. Li); Lanzhou University Second Hospital, Lanzhou, China (Zhai and Gao); and Henan Provincial People's Hospital, Zhengzhou, China (Ding).
J Nurs Care Qual. 2023;38(4):E59-E65. doi: 10.1097/NCQ.0000000000000708. Epub 2023 Mar 14.
Currently, there is no instrument available to assess intensive care unit (ICU) nurses' knowledge, attitudes, and practices (KAP) of central line-associated bloodstream infection (CLABSI) prevention practices.
To develop and validate a CLABSI questionnaire to measure ICU nurses' KAP (CLABSI-KAP-Q).
Data were collected from 255 nurses at 4 hospitals in Gansu Province, China. Questions on the CLABSI-KAP-Q were generated through a review of the literature, interviews with nurses, and multiple rounds of content validity evaluation by experts. The validity and reliability of the CLABSI-KAP-Q were assessed with exploratory factor analysis, confirmatory factor analysis, internal consistency, and correlation coefficients.
The final version of the CLABSI-KAP-Q consisted of 32 items. The reliability was represented by a Cronbach α of 0.946, while the test-retest reliability was 0.945. The overall content validity was 0.95.
The CLABSI-KAP-Q is shown to be valid and reliable and recommended for use in clinical practice.
目前，尚无评估重症监护病房（ICU）护士有关中心静脉导管相关性血流感染（CLABSI）预防措施的知识、态度和实践（KAP）的工具。
开发并验证一种用于测量 ICU 护士 KAP（CLABSI-KAP-Q）的 CLABSI 问卷。
数据来自中国甘肃省 4 家医院的 255 名护士。通过文献回顾、与护士访谈以及专家进行多轮内容有效性评估，生成 CLABSI-KAP-Q 中的问题。采用探索性因子分析、验证性因子分析、内部一致性和相关系数评估 CLABSI-KAP-Q 的有效性和可靠性。
CLABSI-KAP-Q 的最终版本包含 32 个项目。可靠性用 Cronbach α 表示为 0.946，重测信度为 0.945。总体内容有效性为 0.95。
CLABSI-KAP-Q 具有有效性和可靠性，建议在临床实践中使用。
