Development and psychometric property testing of a skin tear knowledge assessment instrument (OASES) in 37 countries

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Development and psychometric property testing of a skin tear knowledge assessment instrument (OASES) in 37 countries

Van Tiggelen, Hanne (author): University of Ghent, BEL,Skin Integrity Research Group (SKINT), University Centre for Nursing and Midwifery, Department of Public Health and Primary Care, Ghent University, Ghent, Belgium

Alves, Paulo (author): Centre for Interdisciplinary Research in Health, Institute of Health Sciences, Catholic University of Portugal, Porto, Portugal

Ayello, Elizabeth (author): Adv Skin & Wound Care, USA.;Excelsior College, USA.;Harris & Associates Inc, USA,Advances in Skin & Wound Care, Philadelphia, Pennsylvania, USA; Faculty Emeritus, School of Nursing, Excelsior College, Albany, New York, USA; Ayello, Harris & Associates, Inc., Copake, New York, USA

Bååth, Carina, 1959- (author): Karlstads universitet,Institutionen för hälsovetenskaper (from 2013),Department of Health Sciences, Faculty of Health, Science and Technology, Karlstad University, Karlstad, Sweden; Faculty of Health and Welfare, Østfold University College, Fredrikstad, Norway

Baranoski, Sharon (author): Nursing Advisory Board, Rasmussen College, Romeoville/Joliet, Illinois, USA

Campbell, Karen (author): Western University, CAN,School of Physical Therapy, Faculty of Health Sciences, Western University, London, Ontario, Canada

Dunk, Ann Marie (author): 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

Gloeckner, Mary (author): UnityPoint Health Trinity, Rock Island, Illinois, USA

Hevia, Heidi (author): Nursing School, Nursing Department, Andres Bello University, Santiago, Chile

Holloway, Samantha (author): Centre for Medical Education, School of Medicine, College of Biomedical and Life Sciences, Cardiff University, Wales, UK

Idensohn, Patricia (author): 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

Karadag, Ayise (author): Koc University, TUR,School of Nursing, Koç University, Istanbul, Turkey

Langemo, Diane (author): College of Nursing, University of North Dakota, Grand Forks, North Dakota, USA; Langemo and Associates, Grand Forks, North Dakota, USA

LeBlanc, Kimberly (author): Western Univ, CAN.;Assoc Nurses Specialized Wound Ost Continence, Wound Ost Continence Inst, CANa.;McGill University, CAN,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

Ousey, Karen (author): University Huddersfield,GBR;Royal College Surgery, IRL;Queensland University of Technology, AUS,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

Pokorna, Andrea (author): 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

Romanelli, Marco (author): Dermatology Unit, Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy

Conceicao de Gouveia Santos, Vera Lucia (author): Univ Sao Paulo, BRA.;Portuguese Catholic University, PRT,School of Nursing, Medical-Surgical Nursing Department, University of São Paulo, São Paulo, Brazil; School of Nursing, Portuguese Catholic University, Porto, Portugal

Smet, Steven (author): University of Ghent, BEL;Ghent University Hospital, BEL,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

Williams, Ann (author): Wound Ost Continence Solut LLC, USA.,Wound Ostomy Continence Solutions, LLC, Falls Church, Virginia, USA

Woo, Kevin (author): 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

Van Hecke, Ann (author): Univ Ghent, BEL;Ghent University Hospital, BEL,University Centre for Nursing and Midwifery, Department of Public Health and Primary Care, Ghent University, Ghent, Belgium; Nursing Department, Ghent University Hospital, Ghent, Belgium

Verhaeghe, Sofie (author): University Ghent, BEL;VIVES University College, BEL,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

Beeckman, Dimitri, Visiting Professor, 1982- (author): Örebro universitet,Institutionen för hälsovetenskaper,Skin Integrity Research Group (SKINT), University Centre for Nursing and Midwifery, Department of Public Health and Primary Care, Ghent University, Ghent, Belgium; School of Nursing & Midwifery, Royal College of Surgeons in Ireland (RCSI), Dublin, Ireland; Faculty of Health Sciences, Department of Clinical Research, Research Unit of Plastic Surgery, Odense, Denmark; School of Nursing and Midwifery, Monash University, Clayton, VIC., Australia,University Ghent, BEL;Royal College Surgery, IRL: Örebro universitetniv, Sch Hlth Sci, Orebro;Fac Health Science, DEN.;Monash University, AUS

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2020-12-10
2021
English.
In: Journal of Advanced Nursing. - : John Wiley & Sons. - 0309-2402 .- 1365-2648. ; 77:3, s. 1609-1623

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Journal article (peer-reviewed)

Abstract Subject headings

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.

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Development and psychometric property testing of a skin tear knowledge assessment instrument (OASES) in 37 countries

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