Cultural Adaptation and Validation of the Attitude Scale for Pressure Injury Prevention Among Clinical Nurses

Abstract

To translate and validate psychometric analyses across different cultures. Pressure injuries are a concern in healthcare. Negative attitudes hamper prevention efforts, yet Taiwan lacks a reliable assessment tool. Translate the Pressure Injury Prevention Attitude Scale, originally developed by Moore and Price, into the Taiwanese version, verify the psychometric analysis, and evaluate clinical nurses' attitudes toward pressure injury prevention. Brislin's forward and backward translation, along with verification processes, were employed to ensure that the translated Taiwanese version is culturally and linguistically appropriate for Taiwan. Content validity was evaluated by a panel of seven experts specializing in pressure injury. Confirmatory factor analysis affirmed the validity of both positive and negative measures within the attitude scale items. A sample of 330 nurses from a regional teaching hospital participated in assessing the instrument's construct validity, internal consistency, and test-retest reliability. Data collection occurred between April and May 2021. The Attitudes Toward Pressure Injury Prevention-Taiwanese Version exhibited robust psychometric properties, demonstrating high item-level content validity and internal consistency as indicated by Cronbach's α. Additionally, it showed impressive test-retest reliability. Confirmatory factor analysis identified two distinct factors, reflecting positive and negative attitudes. The Attitudes Toward Pressure Injury Prevention Scale-Taiwanese Version effectively assesses nurses' attitudes towards PI prevention in Taiwan. It also informs future research on the relationship between attitudes, knowledge and clinical performance. The Attitudes Toward Pressure Injury Prevention-Taiwanese Version serves as a valuable tool for assessing nurses' attitudes in Taiwan, enhancing preventive measures and patient care. Managers and educators can utilize attitude measures on pressure injury prevention to shape training strategies.

Keywords: attitude; cross culture; nurse; pressure injury; prevention; psychometric properties; validation.

FIGURE 1

Step for translation and validation of the attitudes toward pressure injury prevention. ^aT‐APIPS, Taiwanese version of the Attitude toward the Pressure Injury Prevention Scale; I‐CVI, Item‐level Content Validity Index; S‐CVI/UA, Scale‐Level Content Validity Index/Universal Agreement; S‐CVI/Ave, Scale‐Level Content Validity Index/Average.