Žepina Puzić Ana, Filej Bojana, Žulec Mirna, Bušac Vesna, Bertić Želimir, Jurčev Savičević Anamarija
Department of Health Studies, Šibenik University of Applied Sciences, 22000 Šibenik, Croatia.
Faculty of Health Sciences, University of Novo mesto, 8000 Novo mesto, Slovenia.
Healthcare (Basel). 2025 Jun 20;13(13):1479. doi: 10.3390/healthcare13131479.
: Understanding and preventing pressure ulcers is a key aspect of healthcare, with nurses playing a crucial role in their management and prevention through education and clinical practice to improve patient outcomes. : This quantitative, psychometric, cross-sectional study aimed to translate and culturally adapt the Pieper-Zulkowski Pressure Ulcer Knowledge Test and to evaluate the psychometric properties of the Croatian version of this measurement instrument. : A study was conducted in a state hospital in Šibenik, Croatia, on a sample of 268 participants. : The content validity of the instrument, with an S-CVI of 0.981, indicates excellent validity, while its internal consistency is acceptable, as reflected in an overall KR-20 of 0.79. The maximum split-half reliability is 0.87 and Guttman Lambda 6 reaches 0.89, indicating excellent internal consistency. The overall test-retest reliability is excellent (ICC = 0.91), with the Prevention subscale showing the highest reliability (ICC = 0.88), followed by Staging (ICC = 0.86) and Wound Description (ICC = 0.84). Item-level difficulty and discrimination index were also calculated. : The adapted, translated, and validated questionnaire represents a valuable tool for measuring knowledge about pressure ulcers among healthcare professionals, suitable for use in Croatian society. This instrument can be used to assess knowledge in clinical settings and evaluate the effectiveness of educational programs, providing valuable insights into the education and professional competence development of healthcare professionals.
了解和预防压疮是医疗保健的一个关键方面，护士在通过教育和临床实践对其进行管理和预防以改善患者预后方面发挥着至关重要的作用。本定量、心理测量学、横断面研究旨在翻译并在文化上适应皮珀 - 祖尔科夫斯基压疮知识测试，并评估该测量工具克罗地亚语版本的心理测量特性。在克罗地亚希贝尼克的一家国立医院对268名参与者进行了一项研究。该工具的内容效度（S - CVI为0.981）表明效度极佳，其内部一致性是可接受的，总体KR - 20为0.79就反映了这一点。最大分半信度为0.87，古特曼λ6达到0.89，表明内部一致性极佳。总体重测信度极佳（ICC = 0.91），预防子量表的信度最高（ICC = 0.88），其次是分期（ICC = 0.86）和伤口描述（ICC = 0.84）。还计算了项目级难度和区分指数。经过改编、翻译和验证的问卷是测量医疗保健专业人员压疮知识的宝贵工具，适用于克罗地亚社会。该工具可用于评估临床环境中的知识，并评估教育项目的有效性，为医疗保健专业人员的教育和专业能力发展提供有价值的见解。
