Development and validation of the Pressure Injury Prevention Barriers questionnaire in hospital nurses in Spain
Autor: | María Dolores López-Franco, Inés María Comino-Sanz, Pedro L. Pancorbo-Hidalgo, Laura Parra-Anguita |
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Jazyk: | angličtina |
Rok vydání: | 2020 |
Předmět: |
Adult
Male medicine.medical_specialty Psychometrics Nurses Nursing risk management health & safety Patient safety Young Adult Cronbach's alpha Surveys and Questionnaires Content validity Medicine Humans wound management Reliability (statistics) Aged Pressure injury business.industry Construct validity Reproducibility of Results General Medicine Middle Aged Prevention barriers Confirmatory factor analysis Spain Family medicine Female business Factor Analysis Statistical |
Zdroj: | BMJ Open BMJ Open, Vol 10, Iss 12 (2020) |
ISSN: | 2044-6055 |
Popis: | ObjectiveTo develop and validate a new questionnaire to measure the nurses’ perceptions of the barriers towards the prevention of pressure injuries (PIs) at hospitals.DesignValidation study with mixed methods.SettingFour university hospitals in southern Spain.ParticipantsThe questionnaire was developed based on a literature review. A panel of 14 wound care experts rated the content validity. A sample of 438 nurses (registered nurses and assistant nurses) participated in the survey.Main outcome measuresThe psychometric properties of the Pressure Injury Prevention Barriers (PIPB) questionnaire evaluated were: content validity, internal consistency reliability and construct validity.ResultsThe final version of the questionnaire has 25 items grouped into four factors (management and organisation, motivation and priority, knowledge, and staff and collaboration). The confirmatory factor analysis showed good fit and error indices for the model (Comparative Fit Index=0.92, root mean square error of approximation=0.074). Cronbach’s alpha was 0.90 (overall), and 0.89 (factor 1), 0.75 (factor 2), 0.72 (factor 3) and 0.45 (factor 4). Construct validity was good, demonstrated by the expected association with the scores on patient safety culture and on considering PIs as an adverse effect of hospital stay, but not with attitude score.ConclusionThe PIPB questionnaire is an instrument useful for measuring nurses’ perceptions of the barriers to PIs prevention. The initial evidence shows that the questionnaire has good content validity, internal consistency and adequate construct validity. Relevance and comprehensiveness need to be assessed in further studies. It can be used both in research and in the evaluation of clinical settings to implementation of PIs preventive programmes in hospitals. |
Databáze: | OpenAIRE |
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