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Swedish translation,cultural adaptation and psychometric evaluation of the pressure ulcer knowledge assessment tool for use in the operating room
Authors:Karin Falk-Brynhildsen  Charlotte Raepsaet  Camilla Wistrand  Carina Bååth  Christine Leo Swenne  Mervyn Gifford  Lena Gunningberg  Ann-Christin von Vogelsang  Catrine Björn  Dimitri Beeckman
Affiliation:1. Faculty of Medicine and Health, School of Health Sciences, Nursing Science Unit, Swedish Centre for Skin and Wound Research, Örebro University, Sweden;2. Skin Integrity Research Group (SKINT), University Centre for Nursing and Midwifery, Department of Public Health and Primary Care, Ghent University, Belgium;3. University Health Care Research Centre, Faculty of Medicine and Health, Örebro University, Sweden;4. Department of Health Sciences, Faculty of Health, Science and Technology, Karlstad University, Karlstad, Sweden

Faculty of Health, Welfare and Organisation, Östfold University College, Fredrikstad, Norway;5. Department of Public Health and Caring Sciences, Uppsala University, Sweden;6. Department of Neurosurgery, Karolinska University Hospital, Stockholm, Sweden

Department of Clinical Neuroscience, Karolinska Institute, Stockholm, Sweden;7. Centre for Research & Development, Uppsala University/Region Gävleborg, Sweden;8. Faculty of Medicine and Health, School of Health Sciences, Nursing Science Unit, Swedish Centre for Skin and Wound Research, Örebro University, Sweden

Skin Integrity Research Group (SKINT), University Centre for Nursing and Midwifery, Department of Public Health and Primary Care, Ghent University, Belgium

Abstract:The aim of this study was to psychometrically evaluate the Swedish operating room version of PUKAT 2.0. In total, 284 Swedish operating room nurses completed the survey of whom 50 completed the retest. The item difficulty P-value of 14 items ranged between 0.38 and 0.96 (median 0.65). Three items were found to be too easy (0.90–0.96). The D-value of 14 items ranged between 0.00 and 0.42 (median 0.46). Three items had a D-value lower than 0.20 (0.11–0.16) and eight items scored higher than 0.40 (0.45–0.61). The quality of the response alternatives (a-value) ranged between 0.00 and 0.42. This showed that nurses with a master's degree had a higher knowledge than nurses with a professional degree (respectively 9.4/14 versus 8.6/14; t = −2.4, df = 199, P = 0.02). The ICC was 0.65 (95% CI 0.45–0.78). The ICCs for the domains varied from 0.12 (95% CI = −0.16–0.39) to 0.59 (95% CI = 0.38–0.75). Results indicated that 11 of the original items contributed to the overall validity. However, the low participation in the test-retest made the reliability of the instrument low. An extended evaluation with a larger sample should be considered in order to confirm aspects of the psychometric properties of this instrument.
Keywords:knowledge  operating room nurse  pressure ulcer  psychometric evaluation  PUKAT2.0
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