Cross-cultural adaptation and validation of the PIEPER-ZULKOWSKI PRESSURE ULCER KNOWLEDGE TEST (PZ-PUKT V2) into galician
Supporting Agencies
- Programa Úlceras Fóra Sevizo Galego de Saúde
Abstract
Aim. Transculturally adapt the Pieper-Zulkowski Pressure Ulcer Knowledge Test V2 to the healthcare context of pressure injuries in Galicia and determine the psychometric properties of the questionnaire adapted to Galician.
Methods. Cross-cultural adaptation of the questionnaire following the steps of the International Society for Pharmacoeconomics and Outcomes Research, estimating face and content validity and cross-sectional observational study with descriptive, bivariate and psychometric analysis: Rasch, reliability, stability of the self-administered questionnaire PZ-PUKT 72 adapted to Galician.
Results.
The Galician PZ-PKUT has good conceptual-semantic equivalence to the original questionnaire, as well as very good face validity and content validity (x̄: 0.96; R: 0.87–1). A total of 121 health professionals participated, with a mean age of 44.6 years and 104 were women (86%). The total average score was 72.7%, with statistically significant differences between the score and sociodemographic variables. The items have a good fit of the Rasch model and a wide range of difficulty (R: -37.32–2.55). Cronbach's alpha 0.809. Intraclass Correlation Coefficient was 0.906 and the stability represented by the Bland-Altman diagram was acceptable.
Discussion. The Galician PZ-PUKT 72 has good face and content validity relate the original version, showing appropriate psychometric characteristics: good reliability if administered completely, temporal stability and construct validity. It requires studies that evaluate its properties in other samples and the possibility of dividing the instrument into 3 subscales. Although its feasibility is limited by being a long questionnaire, it is a valid and reliable instrument to measure knowledge about Pressure Injuries.
Downloads
References
Edsberg LE, Black JM, Goldberg M, McNichol L, Moore L, Sieggreen M. Revised National Pressure Ulcer Advisory Panel Pressure Injury Staging System: Revised Pressure Injury Staging System. J Wound Ostomy Cont Nurs. 2016;43(6):585-597. [citado 2021 diciembre 14] Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5098472/pdf/wocn-43-585.pdf. DOI: 10.1097/WON.0000000000000281.
García-Fernández FP, Soldevilla Agreda JJ, Pancorbo-Hidalgo PL, Verdú Soriano J, López-Casanova P, Rodríguez-Palma M. Clasificación-categorización de las lesiones relacionadas con la dependencia. Serie Documentos Técnicos. GNEAUPP no II [Internet]. 3a Edición. Grupo Nacional para el Estudio y Asesoramiento en Úlceras por Presión y Heridas Crónicas: Logroño; 2021 [citado 25 de febrero de 2022]. Disponible en: https://gneaupp.info/wp-content/uploads/2021/11/gneaupp.dt02.categorizacion-3ed.pdf
Pancorbo-Hidalgo PL, García-Fernández FP, Pérez-López C, Soldevilla Agreda JJ. Prevalencia de lesiones por presión y otras lesiones cutáneas relacionadas con la dependencia en población adulta en hospitales españoles: resultados del 5o Estudio Nacional de 2017. Gerokomos. 2019;30(2):76-86. Disponible en:: https://gerokomos.com/wp-content/uploads/2019/06/30-2-2019-076.pdf.
García-Fernández FP, Torra i Bou JE, Soldevilla Agreda JJ, Pancorbo-Hidalgo PL. Prevalencia de lesiones por presión y otras lesiones cutáneas relacionadas con la dependencia en centros de atención primaria de salud de España en 2017. Gerokomos. 2019;30(3):134-141. Disponible en: https://gerokomos.com/wp-content/uploads/2019/10/30-3-2019-134.pdf.
Soldevilla Agreda JJ, García-Fernández FP, Rodríguez Palma M, Torra i Bou JE, Pancorbo-Hidalgo PL. Prevalencia de lesiones por presión y otras lesiones cutáneas relacionadas con la dependencia en residencias de mayores y centros sociosanitarios de España en 2017. Gerokomos. 2019;30(4):192-199. Disponible en: https://gerokomos.com/wp-content/uploads/2019/12/30-4-2019-192.pdf.
Mervis JS, Phillips TJ. Pressure ulcers: Pathophysiology, epidemiology, risk factors, and presentation. J Am Acad Dermatol. 2019;81(4):881-890. https://doi.org/10.1016/j.jaad.2018.12.069.
Hajhosseini B, Longaker MT, Gurtner GC. Pressure Injury. Ann Surg. 2020;271(4):671-679. https://doi.org/10.1097/SLA.0000000000003567.
Aydın AK, Karadağ A, Gül Ş, Avşar P, Baykara ZG. Nurses’ Knowledge and Practices Related to Pressure Injury: A Cross-sectional Study. J Wound Ostomy Continence Nurs. 2019;46(2):117-123. https://doi.org/10.1097/WON.0000000000000517.
Levine JM, Ayello EA, Zulkowski KM, Fogel J. Pressure ulcer knowledge in medical residents: an opportunity for improvement. Adv Skin Wound Care. 2012;25(3):115-117. https://doi.org/10.1097/01.ASW.0000412908.43335.46.
Karimian M, Khalighi E, Salimi E, Borji M, Tarjoman A, Mahmoudi Y. The effect of educational intervention on the knowledge and attitude of intensive care nurses in the prevention of pressure ulcers. Int J Risk Saf Med. 2020;31(2):89-95, https://doi.org/10.3233/JRS-191038.
Delmore B, Ayello EA, Smart H, Sibbald RG. Assessing Pressure Injury Knowledge Using the Pieper-Zulkowski Pressure Ulcer Knowledge Test. Adv Skin Wound Care. 2018;31(9):406-412. https://doi.org/10.1097/01.ASW.0000540071.45158.29.
Pieper B, Zulkowski K. The Pieper-Zulkowski Pressure Ulcer Knowledge Test. Adv Skin Wound Care. 2014;27(9):413-420. https://doi.org/10.1097/01.ASW.0000453210.21330.00.
Cifuentes Rodríguez JE, Guerrero Gamboa S. Prevención de lesiones por presión: conocimientos y actitudes del personal de enfermería. J Wound Care. 2020;29(LatAm sup 2):6-15. https://doi.org/10.12968/jowc.2020.29.LatAm_sup_2.6.
López-Franco MD, Pancorbo-Hidalgo PL. Instrumentos de medición de los conocimientos sobre prevención de úlceras por presión: revisión de la literatura. Gerokomos. 2019;30(2):98-106. Disponible en: https://gerokomos.com/wp-content/uploads/2019/12/30-4-2019-217.pdf.
Rabeh SAN, Palfreyman S, Souza CBL, Bernardes RM, Caliri MHL. Cultural adaptation of the Pieper-Zulkowski Pressure Ulcer Knowledge Test for use in Brazil. Rev Bras Enferm. 2018;71(4):1977-1984. https://doi.org/10.1590/0034-7167-2017-0029.
Nie W, Tang J, Zulkowski K, Wang L, Zan T. Psychometric Properties of the Chinese Version of the Pieper-Zulkowski Pressure Ulcer Knowledge Test in Nursing Practice: A Cross-sectional Survey. Adv Skin Wound Care. 2020;33(5):1-7. https://doi.org/10.1097/01.ASW.0000658596.35573.bc.
Moharramzadeh H, Heidarzadeh M, Aghamohammadi-Kalkhoran M. Investigating the Psychometric Properties of the Pieper-Zulkowski Pressure Ulcer Knowledge Test among Nurses in Iran. Adv Skin Wound Care. 2021;34(3):1-6. Disponible en: https://journals.lww.com/aswcjournal/Fulltext/2021/03000/Investigating_the_Psychometric_Properties_of_the.11.aspx.
Viejo-Fernández D, Raña-Lama CD, Rodríguez-Rodríguez G, Filgueira Bello R. Adaptación transcultural y validación del Pieper-Zulkowski Pressure Ulcer Knowledge Test (PZ-PUKT) al español. Gerokomos. 2023;34(3):201-209 https://gerokomos.com/wp-content/uploads/2023/10/34-3-2023-201.pdf.
Beaton DE, Bombardier C, Guillemin F, Ferraz MB. Guidelines for the Process of Cross-Cultural Adaptation of Self-Report Measures. Spine. 2000;25(24):3186-3191. https://doi.org/10.1097/00007632-200012150-00014.
Wild D, Grove A, Martin M, Eremenco S, McElroy S, Verjee-Lorenz A, et al. Principles of good practice for the translation and cultural adaptation process for patient-reported outcomes (PRO) measures: report of the ISPOR task force for translation and cultural adaptation. Value Health. 2005;8(2):94-104. https://doi.org/10.1111/j.1524-4733.2005.04054.x.
Pieper B, Mott M. Nurses’ knowledge of pressure ulcer prevention, staging, and description. Adv Wound Care. 1995;8(3):34, 38, 40 passim. PMID: 7795877.
National Pressure Injury Advisory Panel [Internet]. [citado 11 de diciembre de 2021]. Disponible en: https://npiap.com/
Bond T, Yan, Zi, Heene, Moritz. Applying the Rasch Model: Fundamental Measurement in the Human Sciences. 4th ed. New York, Abingdon OX: Routledge; 2021. 376 p.
Delmore B, Smith DJ, Savage E, Ayello EA. Evaluating the Impact of an Innovative Educational Program for Skin Care Champions Using the Pieper-Zulkowski Pressure Ulcer Knowledge Test. Adv Skin Wound Care. 2020;33(5):252-259. https://doi.org/10.1097/01.ASW.0000658580.19702.11.
Fulbrook P, Lawrence P, Miles S. Australian Nurses’ Knowledge of Pressure Injury Prevention and Management: A Cross-sectional Survey. J Wound Ostomy Continence Nurs. 2019;46(2):106-12, https://doi.org/10.1097/WON.0000000000000508.
Miyazaki MY, Caliri MHL, dos Santos CB. Knowledge on pressure ulcer prevention among nursing professionals. Rev Lat Am Enfermagem. 2010;18(6):1203-1211. https://doi.org/10.1590/s0104-11692010000600022.
Gul A, Andsoy II, Ozkaya B, Zeydan A. A Descriptive, Cross-sectional Survey of Turkish Nurses’ Knowledge of Pressure Ulcer Risk, Prevention, and Staging. Ostomy Wound Manage. 2017;63(6):40-46. PMID: 28657899.
Rocha LES, Ruas E de FG, Santos JAD, Lima C de A, Carneiro JA, Costa FM da. Prevenção de úlceras por pressão: avaliação do conhecimento dos profissionais de enfermagem. Cogitare Enferm. 2015;20(3):592-600. https://doi.org/doi:10.5380/ce.v20i3.41750.
Larcher Caliri MH, Miyazaki MY, Pieper B. Knowledge of pressure ulcers by undergraduate nursing students in Brazil. Ostomy Wound Manage. 2003;49(3):54-63. PMID: 12732751. Disponible en: https://www.hmpgloballearningnetwork.com/site/wmp/content/knowledge-pressure-ulcers-undergraduate-nursing-students-brazil
Barakat-Johnson M, Barnett C, Wand T, White K. Knowledge and Attitu es of Nurses Toward Pressure Injury Prevention: A Cross-Sectional Multisite Study. J Wound Ostomy Continence Nurs. 2018;45(3):233-237. https://doi.org/10.1097/WON.0000000000000430.
The works published in this magazine are subject to the following terms:
1. The Publications Service of the University of Murcia (the publisher) preserves the copyright of the published works, and encourages and allows the reuse of the works under the license for use stated in point 2.
© Servicio de Publicaciones, Universidad de Murcia, 2011 (© Publications Service, University of Murcia, 2011)
2. The works are published in the electronic edition of the journal under Creative Commons Reconocimiento-NoComercial-SinObraDerivada 3.0 España(texto legal) “ a Attribution-NonCommercial-NoDerivatives 3.0 Spain license (legal text)”. They can be copied, used, broadcasted, transmitted and publicly displayed, provided that: i) the authorship and original source of their publication (journal, publisher and URL) are cited; (ii) are not used for commercial purposes; iii) the existence and specifications of this license is mentioned.
3. Conditions of self-archiving. Authors are allowed and encouraged to electronically disseminate the pre-print (pre-reviewed ) and / or post-print (reviewed and accepted for publication) versions of their works prior to publication, as it ensures a wider circulation and dissemination which may lead to a possible increase in its mention and a higher scope among the academic community. RoMEO color: green.