Burston Adam, Butterworth Jacob, Mehicic Aldiana, Fulbrook Paul
Nursing Research and Practice Development Centre, The Prince Charles Hospital, Chermside, Queensland, Australia.
School of Nursing, Midwifery and Paramedicine (Brisbane), Faculty of Health Sciences, Australian Catholic University, Brisbane, Queensland, Australia.
J Clin Nurs. 2025 Oct;34(10):4055-4073. doi: 10.1111/jocn.17862. Epub 2025 Jun 16.
To analyse existing knowledge on the psychometric properties of the Braden Scale when used within the acute care setting.
Systematic review and narrative synthesis.
A database search was conducted in June 2023 and updated in February 2024, seeking studies testing the psychometric properties of the Braden scale in the acute care setting. Data were sourced from five electronic databases (CINAHL, EMBASE, MEDLINE, Scopus and Web of Science). Study selection, data extraction and assessment of risk of bias were completed, with two reviewers independently conducting each stage and an independent reviewer arbitrating discrepancies. Data were extracted using a customised template and synthesised narratively. Risk of bias was assessed using the COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) checklist.
Thirty-seven studies met the inclusion criteria. Internal consistency was reported between 0.64 and 0.78 (Cronbach's alpha). Inter-rater reliability was high, reported as ranging from 0.946 to 0.964 (intra-class correlations) or 0.86 to 0.949 (Pearson's correlation). Most validity studies tested predictive validity with wide variances reported.
The Braden Scale is reliable for assessing the risk of PI in acute care, but the validity of the scale is variable. Further research investigating validity beyond predictive validity is required.
Nurses working in acute care can use the Braden Scale with confidence of scale reliability. However, validity is variable and warrants a cautious approach. The true value resides in the capacity to trigger recognition of pressure injury risk.
The protocol was registered a priori with the International Prospective Register of Systematic Reviews PROSPERO ref: CRD42023407545.
分析Braden量表在急性护理环境中使用时其心理测量特性的现有知识。
系统评价与叙述性综合分析。
于2023年6月进行数据库检索，并于2024年2月更新，搜索在急性护理环境中测试Braden量表心理测量特性的研究。数据来源于五个电子数据库（CINAHL、EMBASE、MEDLINE、Scopus和Web of Science）。完成了研究选择、数据提取和偏倚风险评估，由两名评审员独立进行每个阶段，一名独立评审员仲裁差异。使用定制模板提取数据并进行叙述性综合分析。使用基于共识的健康测量工具选择标准（COSMIN）清单评估偏倚风险。
37项研究符合纳入标准。内部一致性报告为0.64至0.78（Cronbach's alpha）。评分者间信度较高，报告范围为0.946至0.964（组内相关系数）或0.86至0.949（Pearson相关系数）。大多数效度研究测试了预测效度，报告的差异较大。
Braden量表在评估急性护理中压力性损伤风险方面是可靠的，但该量表的效度存在差异。需要进一步研究除预测效度之外的其他效度。
在急性护理环境中工作的护士可以放心使用Braden量表，因为量表具有可靠性。然而，效度存在差异，需要谨慎对待。其真正价值在于能够引发对压力性损伤风险的识别。
该方案已预先在国际前瞻性系统评价注册库PROSPERO注册，注册号：CRD42023407545。
