The Chinese version of the skin tear knowledge assessment instrument (OASES): Cultural adaptation and validation |
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| Affiliation: | 1. Nursing Department, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou, China;2. Nursing Department, School of Medicine, Zhejiang University, Hangzhou, China;3. Department of Nursing, Jiangsu Province Hospital of Chinese Medicine, Nanjing, China;4. Kangda College of Nanjing Medical University, Lianyungang, China;1. Skin Integrity Research Group (SKINT), University Centre for Nursing and Midwifery, Department of Public Health and Primary Care, Ghent University, Ghent, Belgium;2. Wounds Research Lab - Centre for Interdisciplinary Research in Health, Catholic University of Portugal, Porto, Portugal;3. RedC Consultancy, Bradford, United Kingdom;4. Department of Biomedical Engineering, Faculty of Engineering, Tel Aviv University, Tel Aviv, Israel;5. Diabetic Foot Unit, Universidad Complutense de Madrid, Madrid, Spain;6. University of Miami Hospital Miller School of Medicine, Dr. Phillip Frost Department of Dermatology and Cutaneous Surgery, Miami, FL, USA;7. Interdisciplinary Consortium on Advanced Motion Performance (iCAMP), Division of Vascular Surgery and Endovascular Therapy, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, TX, USA;8. School of Health Sciences, University of Melbourne, Melbourne, Victoria, Australia;9. Podiatry Department, Salford Royal NHS Foundation Trust, Salford Care Organisation, Salford, United Kingdom;10. Nurse Practitioner, Warrnambool, Victoria, Australia;11. School of Nursing, Queen''s University, Kingston, Ontario, Canada;12. Swedish Centre for Skin and Wound Research, Faculty of Health and Medicine, School of Health Sciences, Örebro University, Örebro, Sweden;13. Research Unit of Plastic Surgery, Department of Clinical Research, Faculty of Health Sciences, Odense, Denmark;14. School of Nursing & Midwifery, Royal College of Surgeons in Ireland (RCSI), Dublin, Ireland;1. Thoracic Surgery, Health Research and Application Center, Trakya University, Edirne, Turkey;2. Department of Surgical Nursing, Faculty of Health Sciences, Trakya University, Edirne, Turkey;1. NHMRC Wiser Wounds Centre in Research Excellence, Griffith University, Gold Coast, Australia;2. Menzies Health Institute Queensland, Griffith University, Gold Coast, Australia;3. Gold Coast University Hospital, Gold Coast, Australia;4. The Princess Alexandra Hospital, Brisbane, Australia;5. Department of Biostatistics, Faculty of Medicine, Istanbul Aydin University, Istanbul, Turkey;1. Istanbul University-Cerrahpasa, Cerrahpasa Medical Faculty Hospital, Ostomy and Wound Care Unit, Istanbul, Turkey;2. Istanbul University-Cerrahpasa, Cerrahpasa Medical Faculty Hospital, Sad? Sun ?ntensive Care Unit, Istanbul, Turkey;1. School of Nursing and Midwifery, University of Galway, Galway, Ireland;2. Alliance for Research and Innovation in Wounds, University of Galway, Galway, Ireland;3. Geneva School of Health Science, HES-SO University of Applied Sciences and Arts, Western, Switzerland;4. Faculty of Medicine Nursing and Health Sciences, Monash University, Australia;5. Discipline of Podiatric Medicine, School of Health Science, University of Galway, Galway, Ireland;6. Advance Glycoscience Research Cluster, School of Natural Sciences, University of Galway, Galway, Ireland;7. CÚRAM, SFI Research Centre for Medical Devices, Ireland;8. Care Directorate, University Hospital Geneva, Switzerland;9. School of Public Health, Physiotherapy and Sports Science, University College Dublin, Ireland;10. Irish Research Council (IRC), Government of Ireland, Dublin, Ireland;11. Centre for Diabetes, Endocrinology and Metabolism, Galway University Hospital, Galway, Ireland;12. Centre for Pain Research, University of Galway, Ireland;1. Assistance Publique - Hôpitaux de Paris. Sorbonne Université, DMU APPROCHES, Hôpital Tenon, Service de Médecine Intensive Réanimation, Paris, France;2. Assistance Publique - Hôpitaux de Paris. Sorbonne Université, Department of Clinical Pharmacology and Clinical Research Platform Paris-East (URCEST-CRC-CRB), Hôpital Saint-Antoine, Paris, France |
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| Abstract: | BackgroundSkin tear knowledge is an important predictor of the decreased incidence and management of skin tears, and the knowledge level among Chinese nurses is unknown so far. A validated instrument for measuring skin tear knowledge is urgent.ObjectiveTo culturally adapt the skin tear knowledge assessment instrument (OASES) into Chinese and verify its validity and reliability in the Chinese context.MethodsThe cultural adaptation process for OASES into Chinese was established on Beaton's translation model. Content validity was determined by the 8-expert group in wound care. A nationwide psychometric validation study was performed on a convenience sample of 3333 nurses from 113 tertiary hospitals, of whom 98 nurses finished the test-retest procedure for reliability analysis. Item validity (item difficulty and discriminating index) and construct validity (known-groups technique) were tested.ResultsThe content validity index was 0.88–1.00. The item validity was as follows: Item difficulty ranged from 0.16 to 0.86, with an average value of 0.52; the discriminating index varied between 0.05 and 0.61. The known-group technique demonstrated excellent construct validity with a significant difference between predefined groups with theoretically expected higher knowledge scores and theoretically expected lower knowledge scores (P < 0.001). For the test-retest reliability, the Intraclass correction coefficient (ICC) during a 14-day interval for the overall tool was 0.79 (95% CI = 0.71–0.86), and Cohen's kappa value for each item varied from 0.17 to 0.62.ConclusionsThe Chinese version of OASES was validated to be suitable for skin tear knowledge assessment with acceptable psychometric properties, through which the knowledge and training priorities of skin tear among Chinese nurses can be quantified. |
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| Keywords: | Skin tear Knowledge Reliability Validity Nursing |
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