Wu Yu-Lin, Chen Tsai-Ling, Liao Wen-Chun, Huang Li-Chi, Chao Wen-Yi, Chuang Jui-Hsiang
Post-Baccalaureate Program in Nursing, College of Nursing, Taipei Medical University, Taipei City, Taiwan, ROC.
College of Nursing, Asia University, Taichung City, Taiwan, ROC.
Int Wound J. 2025 Jun;22(6):e70682. doi: 10.1111/iwj.70682.
To translate and validate psychometric analyses across different cultures. Pressure injuries are a concern in healthcare. Negative attitudes hamper prevention efforts, yet Taiwan lacks a reliable assessment tool. Translate the Pressure Injury Prevention Attitude Scale, originally developed by Moore and Price, into the Taiwanese version, verify the psychometric analysis, and evaluate clinical nurses' attitudes toward pressure injury prevention. Brislin's forward and backward translation, along with verification processes, were employed to ensure that the translated Taiwanese version is culturally and linguistically appropriate for Taiwan. Content validity was evaluated by a panel of seven experts specializing in pressure injury. Confirmatory factor analysis affirmed the validity of both positive and negative measures within the attitude scale items. A sample of 330 nurses from a regional teaching hospital participated in assessing the instrument's construct validity, internal consistency, and test-retest reliability. Data collection occurred between April and May 2021. The Attitudes Toward Pressure Injury Prevention-Taiwanese Version exhibited robust psychometric properties, demonstrating high item-level content validity and internal consistency as indicated by Cronbach's α. Additionally, it showed impressive test-retest reliability. Confirmatory factor analysis identified two distinct factors, reflecting positive and negative attitudes. The Attitudes Toward Pressure Injury Prevention Scale-Taiwanese Version effectively assesses nurses' attitudes towards PI prevention in Taiwan. It also informs future research on the relationship between attitudes, knowledge and clinical performance. The Attitudes Toward Pressure Injury Prevention-Taiwanese Version serves as a valuable tool for assessing nurses' attitudes in Taiwan, enhancing preventive measures and patient care. Managers and educators can utilize attitude measures on pressure injury prevention to shape training strategies.
跨不同文化翻译并验证心理测量分析。压力性损伤是医疗保健领域关注的问题。消极态度阻碍了预防工作，但台湾缺乏可靠的评估工具。将最初由摩尔和普莱斯开发的压力性损伤预防态度量表翻译成台湾版本，验证心理测量分析，并评估临床护士对压力性损伤预防的态度。采用布里斯林的正向和反向翻译以及验证过程，以确保翻译后的台湾版本在文化和语言上适合台湾。由七名压力性损伤专家组成的小组评估内容效度。验证性因素分析证实了态度量表项目中积极和消极测量的有效性。来自一家地区教学医院的330名护士参与评估该工具的结构效度、内部一致性和重测信度。数据收集于2021年4月至5月期间进行。台湾版压力性损伤预防态度量表具有强大的心理测量特性，如克朗巴哈α系数所示，显示出较高的项目层面内容效度和内部一致性。此外，它还显示出令人印象深刻的重测信度。验证性因素分析确定了两个不同的因素，反映了积极和消极态度。台湾版压力性损伤预防态度量表有效地评估了台湾护士对压力性损伤预防的态度。它还为未来关于态度、知识和临床绩效之间关系的研究提供了信息。台湾版压力性损伤预防态度量表是评估台湾护士态度、加强预防措施和患者护理的宝贵工具。管理人员和教育工作者可以利用压力性损伤预防的态度测量来制定培训策略。
