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Development and validation of the incontinence associated dermatitis knowledge, attitude and practice questionnaire.

Authors
  • Tay, Cheryl1
  • Yuh, Ang Shin2
  • Sheau Lan, Esther Loh3
  • Ong, Choo Eng4
  • Aloweni, Fazila5
  • Lopez, Violeta6
  • 1 National University of Singapore, Yong Loo Lin School of Medicine, Alice Lee Centre for Nursing Studies, Singapore. Electronic address: [email protected] , (Singapore)
  • 2 Singapore General Hospital, Nursing Department, Singapore. Electronic address: [email protected] , (Singapore)
  • 3 Singapore General Hospital, Nursing Department, Singapore. Electronic address: [email protected] , (Singapore)
  • 4 Singapore General Hospital, Nursing Department, Singapore. , (Singapore)
  • 5 Singapore General Hospital, Nursing Department, Singapore. Electronic address: [email protected] , (Singapore)
  • 6 National University of Singapore, Yong Loo Lin School of Medicine, Alice Lee Centre for Nursing Studies, Singapore; School of Nursing, Hubei University of Medicine, Shiyan, China. Electronic address: [email protected] , (China)
Type
Published Article
Journal
Journal of tissue viability
Publication Date
Nov 01, 2020
Volume
29
Issue
4
Pages
244–251
Identifiers
DOI: 10.1016/j.jtv.2020.06.004
PMID: 32773358
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

This study aimed to develop and test the validity and reliability of the Knowledge, Attitudes and Practices of Incontinence-associated Dermatitis Questionnaire (KAP-IAD-Q) for Nurses. A psychometric validation design was employed. Phase I of the study entailed the development of items through an extensive literature review and a double Delphi procedure with 11 experts specialised in wound, ostomy and continence to examine content validity of the KAP-IAD-Q. Phase II involved administering the KAP-IAD-Q to a convenience sample of 263 Registered Nurses from a public hospital in Singapore to evaluate its construct validity, internal consistency and test-retest reliability. The instrument showed acceptable content validity (S-CVI = 0.85). Exploratory factor analysis showed all 22 items demonstrated strong factor loadings >0.4 and the four factors KAP-IAD-Q explained 58.1% of total variance. The four factors were☹1) knowledge om IAD aetiology and identification, (2) knowledge on IAD risk factors; (3) attitudes, and (4) practices. The overall internal consistency was excellent (Cronbach's α = 0.913). The KAP-IAD-Q showed good overall test-retest reliability as well (ICC = 0.89 (95% CI 0.69-0.96, p < 0.001). The KAP-IAD-Q demonstrated good psychometric properties and is effective in measuring levels of IAD-related KAP among nurses. Further confirmation of the proposed factor structure is recommended. Future research should explore determinants of nurses' KAP and associations between IAD knowledge, attitudes and practices. Copyright © 2020 Tissue Viability Society. Published by Elsevier Ltd. All rights reserved.

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