Development and psychometric property testing of a skin tear knowledge assessment instrument (OASES) in 37 countriesNursing Advisory Board, Rasmussen College, Romeoville/Joliet, Illinois, USA.
School of Physical Therapy, Faculty of Health Sciences, Western University, London, Ontario, Canada.
Tissue Viability Unit, Canberra Health Services, Canberra Hospital, Canberra, ACT, Australia; Synergy Nursing and Midwifery Research Centre, Faculty of Health, University of Canberra and ACT Health, Canberra, ACT, Australia.
UnityPoint Health Trinity, Rock Island, Illinois, USA.
Nursing School, Nursing Department, Andres Bello University, Santiago, Chile.
Centre for Medical Education, School of Medicine, College of Biomedical and Life Sciences, Cardiff University, Wales, UK.
Centre for Medical Education, School of Medicine, College of Biomedical and Life Sciences, Cardiff University, Wales, UK; CliniCare Medical Centre, Ballito, South Africa; School of Nursing, Faculty of Health Sciences, University of the Free State, Bloemfontein, South Africa.
School of Nursing, Koç University, Istanbul, Turkey.
College of Nursing, University of North Dakota, Grand Forks, North Dakota, USA; Langemo and Associates, Grand Forks, North Dakota, USA.
School of Physical Therapy, Faculty of Health Sciences, Western University, London, Ontario, Canada; Wound Ostomy Continence Institute/Association of Nurses Specialized in Wound Ostomy Continence, Ottawa, ON, Canada; Ingram School of Nursing, Faculty of Medicine, McGill University, Montreal, QC, Canada.
Institute of Skin Integrity and Infection Prevention, Department of Nursing and Midwifery, University of Huddersfield, Huddersfield, UK; School of Nursing & Midwifery, Royal College of Surgeons in Ireland (RCSI), Dublin, Ireland; School of Nursing, Faculty of Health, Queensland University of Technology, Brisbane, QLD, Australia.
Department of Nursing, Faculty of Medicine, Masaryk University, Brno, Czech Republic; Czech National Centre for Evidence Based Healthcare and Knowledge Translation (Cochrane Czech Republic, Czech CEBHC JBI Centre of Excellence, Masaryk University GRADE Centre), Institute of Biostatistics and Analyses, Faculty of Medicine, Masaryk University, Brno, Czech Republic.
Dermatology Unit, Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy.
School of Nursing, Medical-Surgical Nursing Department, University of São Paulo, São Paulo, Brazil; School of Nursing, Portuguese Catholic University, Porto, Portugal.
Skin Integrity Research Group (SKINT), University Centre for Nursing and Midwifery, Department of Public Health and Primary Care, Ghent University, Ghent, Belgium; Wound Care Center, Ghent University Hospital, Ghent, Belgium.
Wound Ostomy Continence Solutions, LLC, Falls Church, Virginia, USA.
School of Physical Therapy, Faculty of Health Sciences, Western University, London, Ontario, Canada; School of Nursing, Faculty of Health Sciences, Queen's University, Kingston, ON, Canada.
University Centre for Nursing and Midwifery, Department of Public Health and Primary Care, Ghent University, Ghent, Belgium; Nursing Department, Ghent University Hospital, Ghent, Belgium.
University Centre for Nursing and Midwifery, Department of Public Health and Primary Care, Ghent University, Ghent, Belgium; Department Health Care, VIVES University College, Roeselare, Belgium.
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2021 (English)In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 77, no 3, p. 1609-1623Article in journal (Refereed) Published
Abstract [en]
AIM: To develop and psychometrically evaluate a skin tear knowledge assessment instrument (OASES).
DESIGN: Prospective psychometric instrument validation study.
METHOD: The skin tear knowledge assessment instrument was developed based on a literature review and expert input (N = 19). Face and content validity were assessed in a two-round Delphi procedure by 10 international experts affiliated with the International Skin Tear Advisory Panel (ISTAP). The instrument was psychometrically tested in a convenience sample of 387 nurses in 37 countries (April-May 2020). Validity of the multiple-choice test items (item difficulty, discriminating index, quality of the response alternatives), construct validity, and test-retest reliability (stability) were analysed and evaluated in light of international reference standards.
RESULTS: A 20-item instrument, covering six knowledge domains most relevant to skin tears, was designed. Content validity was established (CVI = 0.90-1.00). Item difficulty varied between 0.24 and 0.94 and the quality of the response alternatives between 0.01-0.52. The discriminating index was acceptable (0.19-0.77). Participants with a theoretically expected higher knowledge level had a significantly higher total score than participants with theoretically expected lower knowledge (p < .001). The 1-week test-retest intraclass correlation coefficient (ICC) was 0.83 (95% CI = 0.78-0.86) for the full instrument and varied between 0.72 (95% CI = 0.64-0.79) and 0.85 (95% CI = 0.81-0.89) for the domains. Cohen's Kappa coefficients of the individual items ranged between 0.21 and 0.74.
CONCLUSION: The skin tear knowledge assessment instrument is supported by acceptable psychometric properties and can be applied in nursing education, research, and practice to assess knowledge of healthcare professionals about skin tears.
IMPACT: Prevention and treatment of skin tears are a challenge for healthcare professionals. The provision of adequate care is based on profound and up-to-date knowledge. None of the existing instruments to assess skin tear knowledge is psychometrically tested, nor up-to-date. OASES can be used worldwide to identify education, practice, and research needs and priorities related to skin tears in clinical practice.
Place, publisher, year, edition, pages
John Wiley & Sons, 2021. Vol. 77, no 3, p. 1609-1623
Keywords [en]
Instrument development, knowledge, nursing, psychometrics, reliability, skin tear, validity
National Category
Nursing
Identifiers
URN: urn:nbn:se:oru:diva-88077DOI: 10.1111/jan.14713ISI: 000597215400001PubMedID: 33305504Scopus ID: 2-s2.0-85097508851OAI: oai:DiVA.org:oru-88077DiVA, id: diva2:1511077
2020-12-172020-12-172023-12-08Bibliographically approved