Development and validation of the Pressure Injury Prevention Barriers questionnaire in hospital nurses in Spain

Objective: To develop and validate a new questionnaire to measure the nurses’ perceptions of the barriers towards the prevention of pressure injuries (PIs) at hospitals. Design: Validation study with mixed methods. Setting: Four university hospitals in southern Spain. Participants: The questionnaire...

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Detalhes bibliográficos
Autores: López-Franco, María Dolores, Parra-Anguita, Laura, Comino-Sanz, Inés, Pancorbo-Hidalgo, Pedro Luis
Formato: artículo
Estado:Versión aceptada para publicación
Fecha de publicación:2020
País:España
Recursos:Universidad de Jaén
Repositorio:RUJA. Repositorio Institucional de la Producción Científica de la Universidad de Jaén
OAI Identifier:oai:ruja.ujaen.es:10953/3575
Acesso em linha:https://bmjopen.bmj.com/content/10/12/e041376
https://hdl.handle.net/10953/3575
Access Level:acceso abierto
Palavra-chave:Pressure ulcers
Barriers
Questionnaire validation
Survey
Nursing
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spelling Development and validation of the Pressure Injury Prevention Barriers questionnaire in hospital nurses in SpainLópez-Franco, María DoloresParra-Anguita, LauraComino-Sanz, InésPancorbo-Hidalgo, Pedro LuisPressure ulcersBarriersQuestionnaire validationSurveyNursingObjective: To develop and validate a new questionnaire to measure the nurses’ perceptions of the barriers towards the prevention of pressure injuries (PIs) at hospitals. Design: Validation study with mixed methods. Setting: Four university hospitals in southern Spain. Participants: The questionnaire was developed based on a literature review. A panel of 14 wound care experts rated the content validity. A sample of 438 nurses (registered nurses and assistant nurses) participated in the survey. Main outcome measures: The psychometric properties of the Pressure Injury Prevention Barriers (PIPB) questionnaire evaluated were: content validity, internal consistency reliability and construct validity. Results: The final version of the questionnaire has 25 items grouped into four factors (management and organisation, motivation and priority, knowledge, and staff and collaboration). The confirmatory factor analysis showed good fit and error indices for the model (Comparative Fit Index=0.92, root mean square error of approximation=0.074). Cronbach’s alpha was 0.90 (overall), and 0.89 (factor 1), 0.75 (factor 2), 0.72 (factor 3) and 0.45 (factor 4). Construct validity was good, demonstrated by the expected association with the scores on patient safety culture and on considering PIs as an adverse effect of hospital stay, but not with attitude score. Conclusion: The PIPB questionnaire is an instrument useful for measuring nurses’ perceptions of the barriers to PIs prevention. The initial evidence shows that the questionnaire has good content validity, internal consistency and adequate construct validity. Relevance and comprehensiveness need to be assessed in further studies. It can be used both in research and in the evaluation of clinical settings to implementation of PIs preventive programmes in hospitals.BMJ202420242020info:eu-repo/semantics/articleinfo:eu-repo/semantics/acceptedVersionapplication/pdfhttps://bmjopen.bmj.com/content/10/12/e041376https://hdl.handle.net/10953/3575reponame:RUJA. Repositorio Institucional de la Producción Científica de la Universidad de Jaéninstname:Universidad de JaénInglésAtribución-NoComercial-SinDerivadas 3.0 Españahttp://creativecommons.org/licenses/by-nc-nd/3.0/es/info:eu-repo/semantics/openAccessoai:ruja.ujaen.es:10953/35752026-06-24T12:41:07Z
dc.title.none.fl_str_mv Development and validation of the Pressure Injury Prevention Barriers questionnaire in hospital nurses in Spain
title Development and validation of the Pressure Injury Prevention Barriers questionnaire in hospital nurses in Spain
spellingShingle Development and validation of the Pressure Injury Prevention Barriers questionnaire in hospital nurses in Spain
López-Franco, María Dolores
Pressure ulcers
Barriers
Questionnaire validation
Survey
Nursing
title_short Development and validation of the Pressure Injury Prevention Barriers questionnaire in hospital nurses in Spain
title_full Development and validation of the Pressure Injury Prevention Barriers questionnaire in hospital nurses in Spain
title_fullStr Development and validation of the Pressure Injury Prevention Barriers questionnaire in hospital nurses in Spain
title_full_unstemmed Development and validation of the Pressure Injury Prevention Barriers questionnaire in hospital nurses in Spain
title_sort Development and validation of the Pressure Injury Prevention Barriers questionnaire in hospital nurses in Spain
dc.creator.none.fl_str_mv López-Franco, María Dolores
Parra-Anguita, Laura
Comino-Sanz, Inés
Pancorbo-Hidalgo, Pedro Luis
author López-Franco, María Dolores
author_facet López-Franco, María Dolores
Parra-Anguita, Laura
Comino-Sanz, Inés
Pancorbo-Hidalgo, Pedro Luis
author_role author
author2 Parra-Anguita, Laura
Comino-Sanz, Inés
Pancorbo-Hidalgo, Pedro Luis
author2_role author
author
author
dc.subject.none.fl_str_mv Pressure ulcers
Barriers
Questionnaire validation
Survey
Nursing
topic Pressure ulcers
Barriers
Questionnaire validation
Survey
Nursing
description Objective: To develop and validate a new questionnaire to measure the nurses’ perceptions of the barriers towards the prevention of pressure injuries (PIs) at hospitals. Design: Validation study with mixed methods. Setting: Four university hospitals in southern Spain. Participants: The questionnaire was developed based on a literature review. A panel of 14 wound care experts rated the content validity. A sample of 438 nurses (registered nurses and assistant nurses) participated in the survey. Main outcome measures: The psychometric properties of the Pressure Injury Prevention Barriers (PIPB) questionnaire evaluated were: content validity, internal consistency reliability and construct validity. Results: The final version of the questionnaire has 25 items grouped into four factors (management and organisation, motivation and priority, knowledge, and staff and collaboration). The confirmatory factor analysis showed good fit and error indices for the model (Comparative Fit Index=0.92, root mean square error of approximation=0.074). Cronbach’s alpha was 0.90 (overall), and 0.89 (factor 1), 0.75 (factor 2), 0.72 (factor 3) and 0.45 (factor 4). Construct validity was good, demonstrated by the expected association with the scores on patient safety culture and on considering PIs as an adverse effect of hospital stay, but not with attitude score. Conclusion: The PIPB questionnaire is an instrument useful for measuring nurses’ perceptions of the barriers to PIs prevention. The initial evidence shows that the questionnaire has good content validity, internal consistency and adequate construct validity. Relevance and comprehensiveness need to be assessed in further studies. It can be used both in research and in the evaluation of clinical settings to implementation of PIs preventive programmes in hospitals.
publishDate 2020
dc.date.none.fl_str_mv 2020
2024
2024
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/acceptedVersion
format article
status_str acceptedVersion
dc.identifier.none.fl_str_mv https://bmjopen.bmj.com/content/10/12/e041376
https://hdl.handle.net/10953/3575
url https://bmjopen.bmj.com/content/10/12/e041376
https://hdl.handle.net/10953/3575
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.rights.none.fl_str_mv Atribución-NoComercial-SinDerivadas 3.0 España
http://creativecommons.org/licenses/by-nc-nd/3.0/es/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Atribución-NoComercial-SinDerivadas 3.0 España
http://creativecommons.org/licenses/by-nc-nd/3.0/es/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv BMJ
publisher.none.fl_str_mv BMJ
dc.source.none.fl_str_mv reponame:RUJA. Repositorio Institucional de la Producción Científica de la Universidad de Jaén
instname:Universidad de Jaén
instname_str Universidad de Jaén
reponame_str RUJA. Repositorio Institucional de la Producción Científica de la Universidad de Jaén
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