Zou Zhenya, Lv Shijiao, Gao Qian, Zhou Xiaoyang, Mao Jinbao
Operating Room, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, China.
School of Nursing, Shandong First Medical University & Shandong Academy of Medical Sciences, Taian, China.
Front Surg. 2024 Jan 4;10:1308181. doi: 10.3389/fsurg.2023.1308181. eCollection 2023.
To compile the awareness and implementation status of patients with intraoperative acquired pressure injuries prevention by operating room nurses and to test its reliability and validity.
This is an equipment development research based on recommendations for developing a reliable and valid questionnaire.
The research was carried out in two phases from February to November 2022. Through a panel discussion, expert consultation, and literature review, the questionnaire for operating room nurses on the current status of awareness and implementation of the prevention of intraoperative acquired pressure injuries was preliminarily formulated. The formal questionnaire was developed through validity analysis, reliability analysis and item analysis, and reliability and validity tests were conducted. Moreover, according to the questionnaire survey results, confirmatory factor analysis was carried out to construct the structural equation model.
The initial questionnaire consisted of five dimensions with 48 items, which was finalized to five dimensions with 38 items after reliability and validity testing and analysis. The five dimensions included implementation of intraoperative acquired pressure injuries prevention, intraoperative acquired pressure injuries preventing cognitive conditions, preoperative intraoperative acquired pressure injuries preventing cognitive conditions, basic knowledge of pressure injuries, and implementation of intraoperative acquired pressure injuries prevention in special patients. Cronbach's α of the overall questionnaire was 0.969 while that of each dimension was 0.846-0.959. The KMO value of structural validity was 0.945 ( < 0.001), and the contribution rate of cumulative variance was 70.694%. The fitting of confirmatory factor analysis was found to be generally ideal: /= 2.382, = 0.027, = 0.894, = 0.072, = 0.905, = 0.904.
The study and design of the questionnaire for operating room nurses on the current status of awareness and implementation of the prevention of intraoperative acquired pressure injuries are scientific and rational, providing a scientific basis for the standardized reform of hospitals and the optimization of the intraoperative acquired pressure injuries management system of the operating room.
汇编手术室护士对术中获得性压力性损伤预防的认知与实施现状，并检验其信效度。
这是一项基于开发可靠有效问卷建议的工具开发研究。
研究于2022年2月至11月分两个阶段进行。通过小组讨论、专家咨询和文献回顾，初步制定了手术室护士关于术中获得性压力性损伤预防认知与实施现状的问卷。通过效度分析、信度分析和项目分析开发正式问卷，并进行信效度检验。此外，根据问卷调查结果进行验证性因素分析以构建结构方程模型。
初始问卷由5个维度48个条目组成，经信效度测试与分析后最终确定为5个维度38个条目。这五个维度包括术中获得性压力性损伤预防的实施、术中获得性压力性损伤预防的认知情况、术前术中获得性压力性损伤预防的认知情况、压力性损伤基础知识以及特殊患者术中获得性压力性损伤预防的实施。问卷总体的Cronbach's α系数为0.969，各维度的Cronbach's α系数为0.846 - 0.959。结构效度的KMO值为0.945（<0.001），累积方差贡献率为70.694%。验证性因素分析的拟合情况总体理想：/=2.382，=0.027，=0.894，=0.072，=0.905，=0.904。
手术室护士关于术中获得性压力性损伤预防认知与实施现状问卷的研究与设计科学合理，为医院的规范化改革及手术室术中获得性压力性损伤管理体系的优化提供了科学依据。
