PURPOSE T in Swedish hospital wards and nursing homes : A psychometric evaluation of a new pressure ulcer risk assessment instrument
© 2020 The Authors. Journal of Clinical Nursing published by John Wiley & Sons Ltd..
AIM: To evaluate the psychometric characteristics of the Pressure Ulcer Risk Primary or Secondary Evaluation Tool (PURPOSE T); reliability (inter-rater and test-retest) and validity (convergent validity) in a Swedish context.
BACKGROUND: Pressure ulcers are considered as an adverse event and are a problem in healthcare worldwide. The first step in pressure ulcer prevention is to identify patients that are at risk. PURPOSE T is a new pressure ulcer risk assessment instrument that was developed in the UK using "golden standard" instrument method.
DESIGN: Observational, descriptive and comparative.
METHODS: A total of 235 patients and 28 registered nurses were recruited (May 2018-November 2018) from six hospital wards at a university hospital and two community nursing homes in Sweden. Blinded (ward/nursing home nurses and expert nurses) PURPOSE T assessments and follow-up retests were undertaken. Cross-tabulation and kappa statistics were used to examine the reliability, and phi correlation was used to test the convergent validity. The study followed the STROBE guideline.
RESULTS: The clinical evaluation showed "very good" (kappa) inter-rater and test-retest reliability for PURPOSE T assessment decision overall. The agreement of "at risk"/"not at risk" for both inter-rater and test-retest was also high, at least 95.5%. The convergent validity between PURPOSE T and other traditional assessment instruments was moderate.
CONCLUSION: The evaluation of PURPOSE T demonstrated good psychometric characteristics. Further research is needed to evaluate PURPOSE T's usability among registered nurses.
RELEVANCE TO CLINICAL PRACTICE: There is a lack of evidence-based validated pressure ulcer risk assessment instruments for use in health care. According to our findings, the Swedish version of PURPOSE T could be used in hospitals and nursing homes to identify patients in risk or with pressure ulcers.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2020 |
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| Erschienen: |
2020 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:29 |
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| Enthalten in: |
Journal of clinical nursing - 29(2020), 21-22 vom: 11. Nov., Seite 4066-4075 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Hultin, Lisa [VerfasserIn] |
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| Links: |
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| Themen: |
Evaluation |
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| Anmerkungen: |
Date Completed 29.06.2021 Date Revised 29.06.2021 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1111/jocn.15433 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM313135606 |
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| 245 | 1 | 0 | |a PURPOSE T in Swedish hospital wards and nursing homes |b A psychometric evaluation of a new pressure ulcer risk assessment instrument |
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| 500 | |a Date Revised 29.06.2021 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a © 2020 The Authors. Journal of Clinical Nursing published by John Wiley & Sons Ltd. | ||
| 520 | |a AIM: To evaluate the psychometric characteristics of the Pressure Ulcer Risk Primary or Secondary Evaluation Tool (PURPOSE T); reliability (inter-rater and test-retest) and validity (convergent validity) in a Swedish context | ||
| 520 | |a BACKGROUND: Pressure ulcers are considered as an adverse event and are a problem in healthcare worldwide. The first step in pressure ulcer prevention is to identify patients that are at risk. PURPOSE T is a new pressure ulcer risk assessment instrument that was developed in the UK using "golden standard" instrument method | ||
| 520 | |a DESIGN: Observational, descriptive and comparative | ||
| 520 | |a METHODS: A total of 235 patients and 28 registered nurses were recruited (May 2018-November 2018) from six hospital wards at a university hospital and two community nursing homes in Sweden. Blinded (ward/nursing home nurses and expert nurses) PURPOSE T assessments and follow-up retests were undertaken. Cross-tabulation and kappa statistics were used to examine the reliability, and phi correlation was used to test the convergent validity. The study followed the STROBE guideline | ||
| 520 | |a RESULTS: The clinical evaluation showed "very good" (kappa) inter-rater and test-retest reliability for PURPOSE T assessment decision overall. The agreement of "at risk"/"not at risk" for both inter-rater and test-retest was also high, at least 95.5%. The convergent validity between PURPOSE T and other traditional assessment instruments was moderate | ||
| 520 | |a CONCLUSION: The evaluation of PURPOSE T demonstrated good psychometric characteristics. Further research is needed to evaluate PURPOSE T's usability among registered nurses | ||
| 520 | |a RELEVANCE TO CLINICAL PRACTICE: There is a lack of evidence-based validated pressure ulcer risk assessment instruments for use in health care. According to our findings, the Swedish version of PURPOSE T could be used in hospitals and nursing homes to identify patients in risk or with pressure ulcers | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a evaluation | |
| 650 | 4 | |a nursing | |
| 650 | 4 | |a pressure ulcer | |
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| 650 | 4 | |a reliability | |
| 650 | 4 | |a risk assessment | |
| 650 | 4 | |a secondary prevention | |
| 650 | 4 | |a validity | |
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| 700 | 1 | |a Öhrvall, Margareta |e verfasserin |4 aut | |
| 700 | 1 | |a Coleman, Susanne |e verfasserin |4 aut | |
| 700 | 1 | |a Gunningberg, Lena |e verfasserin |4 aut | |
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