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

(2021) JOURNAL OF ADVANCED NURSING. 77(3). p.1609-1623
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Abstract
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.
Keywords
General Nursing, instrument development, knowledge, nursing, psychometrics, reliability, skin tear, validity, PRESSURE ULCER, AGED CARE, PREVALENCE, EXTREMITIES, PREVENTION, PROGRAM, TOOL

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MLA
Van Tiggelen, Hanne, et al. “Development and Psychometric Property Testing of a Skin Tear Knowledge Assessment Instrument (OASES) in 37 Countries.” JOURNAL OF ADVANCED NURSING, vol. 77, no. 3, 2021, pp. 1609–23, doi:10.1111/jan.14713.
APA
Van Tiggelen, H., Alves, P., Ayello, E., Bååth, C., Baranoski, S., Campbell, K., … Beeckman, D. (2021). Development and psychometric property testing of a skin tear knowledge assessment instrument (OASES) in 37 countries. JOURNAL OF ADVANCED NURSING, 77(3), 1609–1623. https://doi.org/10.1111/jan.14713
Chicago author-date
Van Tiggelen, Hanne, Paulo Alves, Elizabeth Ayello, Carina Bååth, Sharon Baranoski, Karen Campbell, Ann Marie Dunk, et al. 2021. “Development and Psychometric Property Testing of a Skin Tear Knowledge Assessment Instrument (OASES) in 37 Countries.” JOURNAL OF ADVANCED NURSING 77 (3): 1609–23. https://doi.org/10.1111/jan.14713.
Chicago author-date (all authors)
Van Tiggelen, Hanne, Paulo Alves, Elizabeth Ayello, Carina Bååth, Sharon Baranoski, Karen Campbell, Ann Marie Dunk, Mary Gloeckner, Heidi Hevia, Samantha Holloway, Patricia Idensohn, Ayişe Karadağ, Diane Langemo, Kimberly LeBlanc, Karen Ousey, Andrea Pokorná, Marco Romanelli, Vera Lucia Conceição de Gouveia Santos, Steven Smet, Ann Williams, Kevin Woo, Ann Van Hecke, Sofie Verhaeghe, and Dimitri Beeckman. 2021. “Development and Psychometric Property Testing of a Skin Tear Knowledge Assessment Instrument (OASES) in 37 Countries.” JOURNAL OF ADVANCED NURSING 77 (3): 1609–1623. doi:10.1111/jan.14713.
Vancouver
1.
Van Tiggelen H, Alves P, Ayello E, Bååth C, Baranoski S, Campbell K, et al. Development and psychometric property testing of a skin tear knowledge assessment instrument (OASES) in 37 countries. JOURNAL OF ADVANCED NURSING. 2021;77(3):1609–23.
IEEE
[1]
H. Van Tiggelen et al., “Development and psychometric property testing of a skin tear knowledge assessment instrument (OASES) in 37 countries,” JOURNAL OF ADVANCED NURSING, vol. 77, no. 3, pp. 1609–1623, 2021.
@article{8683811,
  abstract     = {{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.}},
  author       = {{Van Tiggelen, Hanne and Alves, Paulo and Ayello, Elizabeth and Bååth, Carina and Baranoski, Sharon and Campbell, Karen and Dunk, Ann Marie and Gloeckner, Mary and Hevia, Heidi and Holloway, Samantha and Idensohn, Patricia and Karadağ, Ayişe and Langemo, Diane and LeBlanc, Kimberly and Ousey, Karen and Pokorná, Andrea and Romanelli, Marco and Santos, Vera Lucia Conceição de Gouveia and Smet, Steven and Williams, Ann and Woo, Kevin and Van Hecke, Ann and Verhaeghe, Sofie and Beeckman, Dimitri}},
  issn         = {{0309-2402}},
  journal      = {{JOURNAL OF ADVANCED NURSING}},
  keywords     = {{General Nursing,instrument development,knowledge,nursing,psychometrics,reliability,skin tear,validity,PRESSURE ULCER,AGED CARE,PREVALENCE,EXTREMITIES,PREVENTION,PROGRAM,TOOL}},
  language     = {{eng}},
  number       = {{3}},
  pages        = {{1609--1623}},
  title        = {{Development and psychometric property testing of a skin tear knowledge assessment instrument (OASES) in 37 countries}},
  url          = {{http://dx.doi.org/10.1111/jan.14713}},
  volume       = {{77}},
  year         = {{2021}},
}

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