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The Swedish version of the attitude towards pressure ulcer prevention instrument for use in an operating room context (APUP-OR) : a nationwide psychometric evaluation

(2022) JOURNAL OF TISSUE VIABILITY. 31(1). p.46-51
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Abstract
Introduction: To assess operating room (OR) nurses' attitudes towards pressure ulcer prevention, the Attitude towards Pressure Ulcer Prevention (APuP) instrument was developed. Aim: The aim of this study was to psychometrically evaluate the Attitude towards Pressure Ulcer Prevention (APuP) instrument in a Swedish OR context. Materials and methods: A psychometric evaluation study was conducted, using a convenience sample, between February and August 2020. Validity (content, construct, discriminatory power) and reliability (stability and internal consistency) were evaluated. Results: The first survey (test) was completed by 284 Swedish OR nurses, of whom n = 50 (17.6%) completed the second survey (retest). A Principal Component Analysis was conducted for the 13-item instrument. The KMO value for this model was 0.62. Bartlett's test for sphericity was statistically significant (p 0.001). Five factors were identified which accounted for 56% of the variance in responses related to attitudes toward pressure ulcer prevention. The Cronbach's a for the instrument "attitude towards Pressure Ulcer Prevention" was 0.66. The intraclass correlation coefficient was 0.49 (95% CI = 0.25-0.67). Conclusion: This Swedish version of the APuP- OR is the first step in the development of an instrument to measure OR nurses' attitudes towards PU prevention in a Swedish OR context. The reliability of the instrument was low and the validity moderate. A larger sample and the revision or addition of items related to the context of the operating room should be considered in order to confirm aspects of the psychometric properties.
Keywords
Dermatology, Pathology and Forensic Medicine, NURSES ATTITUDES, PERCEIVED BARRIERS, KNOWLEDGE, INJURY, RISK, MULTICENTER

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MLA
Falk-Brynhildsen, Karin, et al. “The Swedish Version of the Attitude towards Pressure Ulcer Prevention Instrument for Use in an Operating Room Context (APUP-OR) : A Nationwide Psychometric Evaluation.” JOURNAL OF TISSUE VIABILITY, vol. 31, no. 1, 2022, pp. 46–51, doi:10.1016/j.jtv.2021.12.005.
APA
Falk-Brynhildsen, K., Raepsaet, C., Wistrand, C., Leo Swenne, C., Gifford, M., Gunningberg, L., … Beeckman, D. (2022). The Swedish version of the attitude towards pressure ulcer prevention instrument for use in an operating room context (APUP-OR) : a nationwide psychometric evaluation. JOURNAL OF TISSUE VIABILITY, 31(1), 46–51. https://doi.org/10.1016/j.jtv.2021.12.005
Chicago author-date
Falk-Brynhildsen, Karin, Charlotte Raepsaet, Camilla Wistrand, Christine Leo Swenne, Mervyn Gifford, Lena Gunningberg, Carina Bååth, Ann-Christin von Vogelsang, Catrine Björn, and Dimitri Beeckman. 2022. “The Swedish Version of the Attitude towards Pressure Ulcer Prevention Instrument for Use in an Operating Room Context (APUP-OR) : A Nationwide Psychometric Evaluation.” JOURNAL OF TISSUE VIABILITY 31 (1): 46–51. https://doi.org/10.1016/j.jtv.2021.12.005.
Chicago author-date (all authors)
Falk-Brynhildsen, Karin, Charlotte Raepsaet, Camilla Wistrand, Christine Leo Swenne, Mervyn Gifford, Lena Gunningberg, Carina Bååth, Ann-Christin von Vogelsang, Catrine Björn, and Dimitri Beeckman. 2022. “The Swedish Version of the Attitude towards Pressure Ulcer Prevention Instrument for Use in an Operating Room Context (APUP-OR) : A Nationwide Psychometric Evaluation.” JOURNAL OF TISSUE VIABILITY 31 (1): 46–51. doi:10.1016/j.jtv.2021.12.005.
Vancouver
1.
Falk-Brynhildsen K, Raepsaet C, Wistrand C, Leo Swenne C, Gifford M, Gunningberg L, et al. The Swedish version of the attitude towards pressure ulcer prevention instrument for use in an operating room context (APUP-OR) : a nationwide psychometric evaluation. JOURNAL OF TISSUE VIABILITY. 2022;31(1):46–51.
IEEE
[1]
K. Falk-Brynhildsen et al., “The Swedish version of the attitude towards pressure ulcer prevention instrument for use in an operating room context (APUP-OR) : a nationwide psychometric evaluation,” JOURNAL OF TISSUE VIABILITY, vol. 31, no. 1, pp. 46–51, 2022.
@article{8732728,
  abstract     = {{Introduction: To assess operating room (OR) nurses' attitudes towards pressure ulcer prevention, the Attitude towards Pressure Ulcer Prevention (APuP) instrument was developed.

Aim: The aim of this study was to psychometrically evaluate the Attitude towards Pressure Ulcer Prevention (APuP) instrument in a Swedish OR context.

Materials and methods: A psychometric evaluation study was conducted, using a convenience sample, between February and August 2020. Validity (content, construct, discriminatory power) and reliability (stability and internal consistency) were evaluated.

Results: The first survey (test) was completed by 284 Swedish OR nurses, of whom n = 50 (17.6%) completed the second survey (retest). A Principal Component Analysis was conducted for the 13-item instrument. The KMO value for this model was 0.62. Bartlett's test for sphericity was statistically significant (p 0.001). Five factors were identified which accounted for 56% of the variance in responses related to attitudes toward pressure ulcer prevention. The Cronbach's a for the instrument "attitude towards Pressure Ulcer Prevention" was 0.66. The intraclass correlation coefficient was 0.49 (95% CI = 0.25-0.67).

Conclusion: This Swedish version of the APuP- OR is the first step in the development of an instrument to measure OR nurses' attitudes towards PU prevention in a Swedish OR context. The reliability of the instrument was low and the validity moderate. A larger sample and the revision or addition of items related to the context of the operating room should be considered in order to confirm aspects of the psychometric properties.}},
  author       = {{Falk-Brynhildsen, Karin and Raepsaet, Charlotte and Wistrand, Camilla and Leo Swenne, Christine and Gifford, Mervyn and Gunningberg, Lena and Bååth, Carina and von Vogelsang, Ann-Christin and Björn, Catrine and Beeckman, Dimitri}},
  issn         = {{0965-206X}},
  journal      = {{JOURNAL OF TISSUE VIABILITY}},
  keywords     = {{Dermatology,Pathology and Forensic Medicine,NURSES ATTITUDES,PERCEIVED BARRIERS,KNOWLEDGE,INJURY,RISK,MULTICENTER}},
  language     = {{eng}},
  number       = {{1}},
  pages        = {{46--51}},
  title        = {{The Swedish version of the attitude towards pressure ulcer prevention instrument for use in an operating room context (APUP-OR) : a nationwide psychometric evaluation}},
  url          = {{http://doi.org/10.1016/j.jtv.2021.12.005}},
  volume       = {{31}},
  year         = {{2022}},
}

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