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ORIGINAL PAPER
Psychometric properties of the Pressure Ulcer Knowledge Test (PZ-PUKT) among nurses
 
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1
Institute of Health Sciences, College of Medical Sciences, University of Rzeszow, Rzeszow, Poland
 
2
Postgraduate Nursing and Midwifery Education Centre, Rzeszow, Poland
 
3
Podkarpackie Specialist Oncology Centre, Father B. Markiewicz Specialist Hospital, Brzozow, Poland
 
4
Collegium Medicum, Jan Kochanowski University, Kielce, Poland
 
5
Institute of Health Sciences, Faculty of Medicine, John Paul II Catholic University, Lublin, Poland
 
6
Department of Clinical Nursing, Faculty of Health Sciences, Collegium Medicum, Jagiellonian University, Krakow, Poland
 
7
Department of Perioperative Nursing, Department of Surgical Nursing and Chronic Wound Care, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Torun, Poland
 
 
Submission date: 2024-03-18
 
 
Final revision date: 2024-04-27
 
 
Acceptance date: 2024-06-07
 
 
Publication date: 2024-08-19
 
 
Corresponding author
Dorota Kozieł
Dorota Kozieł Collegium Medicum Jan Kochanowski University Kielce, Poland
 
 
Medical Studies 2024;40(3):248-262
 
KEYWORDS
TOPICS
ABSTRACT
Introduction::
Pressure ulcers pose a significant challenge to the healthcare system. Nurses can contribute to reducing the frequency of pressure ulcers if they possess up-to-date knowledge in this area. The use of a reliable research tool to assess nurses’ knowledge of pressure ulcer prevention and treatment provides opportunities to identify knowledge deficits in this area, leading to the implementation of evaluative actions.

Aim of the research::
Evaluation of the psychometric properties of the Pressure Ulcer Knowledge Test (PZ-PUKT) in a group of nurses.

Material and methods::
The study included 82 nurses practicing in primary healthcare settings during postgraduate training sessions. The PZ-PUKT, developed by Pieper and Zulkowski in the 2021 version, was utilised. The test was translated into Polish by 2 independent translators and subsequently evaluated for content validity based on Polish and international guidelines (the Polish Wound Management Society (PTLR) and the National Pressure Injury Advisory Panel (NPIAP)).

Results::
The level of knowledge among the participants was assessed as above average, with the accuracy of responses in the test exceeding 60%. The psychometric properties of the PZ-PUKT test were determined, and an analysis of item and internal consistency was conducted (Cronbach’s α = 0.726).

Conclusions::
The PZ-PUKT questionnaire meets the basic norms regarding the consistency and quality of question construction. It is recommended that the PZ-PUKT questionnaire be used for assessing the knowledge of nursing students and practicing nurses.
REFERENCES (29)
1.
Szewczyk M, Kózka M, Cierzniakowska K, Cwajda-Białasik J, Mościcka P, Jawień A, Sopata M, Bazaliński D, Spannbauer A, Kozłowska E, Popow A, Ślusarz R, Jabłońska R, Przybek-Mita J, Sierżantowicz R, Mrozikiewicz-Rakowska B, Polak A, Kuberka I, Jakubowska U, Bakowska M, Augusewicz Z, Samson I. Prophylaxis of the pressure ulcers – recommendations of the Polish Wound Management Association. Part I. Leczenie Ran. 2020; 17(3): 113-146.
 
2.
Chou CL, Lee WR, Yeh CC, Shih CC, Chen TL, Liao CC. Adverse outcomes after major surgery in patients with pressure ulcer: a nationwide population-based retrospective cohort study. PLoS One. 2015; 10(5): e0127731.
 
3.
Kottner J, Cuddigan J, Carville K, Balzer K, Berlowitz D, Law S, Litchford M, Mitchell P, Moore Z, Pittman J, Sigaudo-Roussel D, Yee CY, Haesler E. Prevention and treat­ment of pressure ulcers/injuries: the protocol for the second update of the international Clinical Practice Guideline 2019. J Tissue Viability. 2019; 28(2): 51-58.
 
4.
Cierzniakowska K, Łabuńska A, Szewczyk MT, Popow A, Jawień A. Analiza wybranych czynników wpływających na rozwój odleżyn. Leczenie Ran. 2010; 7(3–4): 71-77.
 
5.
Charalambous C, Koulouri A, Roupa Z, Vasilopoulos A, Kyriakou M, Vasiliou M. Knowledge and attitudes of nurses in a major public hospital in Cyprus towards pressure ulcer prevention. J Tissue Viability. 2019; 28(1): 40-45.
 
6.
Grešš Halász B, Bérešová A, Tkácová L, Magurová D, Lizáková L. Nurses’ knowledge and attitudes towards prevention of pressure ulcers. Int J Environ Res Public Health. 2021; 18: 1705.
 
7.
Sving E, Gunningberg L, Högman M, Mamhidir AG. Registered nurses’ attention to and perceptions of pressure ulcer prevention in hospital settings. J Clin Nurs. 2012; 21: 1293-1303.
 
8.
Dalvand S, Ebadi A, Gheshlagh RG. Nurses’ knowledge on pressure injury prevention: a systematic review and meta-analysis based on the Pressure Ulcer Knowledge Assessment Tool. Clin Cosmet Investigat Dermatol. 2018; 11: 613.
 
9.
Graves N, Zheng H. The prevalence and incidence of chronic wounds: a literature review. AWMA 2014; 22(1): 4.
 
10.
Morehead D, Blain B. Driving hospital-acquired pressure ulcers to zero. Crit Care Nurs Clin N Am. 2014; 26(4): 559-567.
 
11.
Koivunen M, Hjerppe A, Luotola E, Kauko T, Asikainen P. Risks and prevalence of pressure ulcers among patients in an acute hospital in Finland. J Wound Care. 2018; 27 (Suppl 2): 4-10.
 
12.
Wu J, Wang B, Zhu L, Jia X. Nurses’ knowledge on pressure ulcer prevention: an updated systematic review and meta-analysis based on the Pressure Ulcer Knowledge Assessment Tool. Front Public Health. 2022; 10: 964680.
 
13.
Köse I, Öztunç G. Knowledge of nurses working in intensive care units in relation to preventive interventions for pressure ulcer. Int J Caring Sci. 2016; 9(2): 677-686.
 
14.
Cwajda-Białasik J, Mościcka P, Szewczyk M. Selected aspects of prevention of pressure ulcers. Pieleg Chirur Angiol 2017; 11(2): 41-48.
 
15.
Rodrigues AM, Ferreira PL, Ferré-Grau C. Providing informal home care for pressure ulcer patients: how it affects carers’ quality of life and burden. J Clin Nurs. 2016; 25(19-20): 3026-3035.
 
16.
de Avila Soares RS, Saul AM, Timm AM, da Silva RM, Bin A, Durgante VL. Educational intervention as a process of knowledge construction in the care of pressure ulcers. J Nurs UFPE On Line 2014; 8(6): 1658-1665.
 
17.
Silva JLG, Oliveira-Kumakura ARS. Clinical simulation to teach nursing care for wounded patients. Rev Bras Enferm. 2018; 71 (Suppl 4): 1785-1790.
 
18.
Beeckman D, Vanderwee K, Demarré L, Paquay L, Van Hecke A, Defloor T. Pressure ulcer prevention: development and psychometric validation of a knowledge assessment instrument. Int J Nurs Stud. 2010; 47: 399-410.
 
19.
Pieper B, Zulkowski K. The Pieper-Zulkowski pressure ulcer knowledge test. Adv Skin Wound Care. 2014; 27: 413-419.
 
20.
Moharramzadeh H, Heidarzadeh M, Aghamohammadi-Kalkhoran M. Investigating the psychometric properties of the Pieper-Zulkowski Pressure Ulcer Knowledge Test among nurses in Iran. Adv Skin Wound Care. 2021; 34(3): 1-6.
 
21.
Rabeh S, Palfreyman S, Souza C, Bernardes R, Caliri M. Cultural adaptation of the Pieper-Zulkowski pressure ulcer knowledge test for use in Brazil. Rev Bras Enferm. 2018; 71(4): 1977-1984.
 
22.
Delmore A, Ayello E, Smart H, Sibbald R. Assessing pressure injury knowledge using the Pieper-Zulkowski pressure ulcer knowledge test. Adv Skin Wound Care. 2018; 31(9): 406-412.
 
23.
WMA Declaration of Helsinki – Ethical principles for medical research involving human subjects. Available from: https://www.wma.net/policies-p... (accessed: 26.01.2024).
 
24.
Polit DF, Beck CT, Owen SV. Is the CVI an acceptable indicator of content validity? Appraisal and recommendations. Res Nurs Health. 2007; 30(4): 459-467.
 
25.
Tavakol M, Dennick R. Post-examination analysis of objective tests. Med Teach. 2011; 33(6): 447-458.
 
26.
Nie W, Tang J, Zulkowski K, Wang L, Zan T. Psychometric properties of the Chinese version of the Pieper-Zulkowski Pressure Ulcer Knowledge Test in nursing practice: a cross-sectional survey. Adv Skin Wound Care. 2020; 33: 1-7.
 
27.
Rabeh SAN, Palfreyman S, Souza CBL, Bernardes RM, Caliri MHL. Cultural adaptation of the Pieper-Zulkowski Pressure Ulcer Knowledge Test for use in Brazil. Rev Bras Enferm. 2018; 71(4): 1977-1984.
 
28.
Panczyk M, Iwanow L, Gaworska-Krzemińska A, Grochans E, Kózka M, Kulik H, Lewko J, Marcysiak M, Młynarska K, Nowak-Starz G, Uchmanowicz I, Ramos-Morcillo AJ, Ruzafa-Martínez M, Gotlib J. Validation study and setting norms of the evidence based practice competence questionnaire for nursing students: a cross-sectional study in Poland. Nurse Educ Today. 2020; 88: 104383.
 
29.
Ozdoba P, Dziurka M, Dziubaszewska R, Dobrowolska B. Nursing based on professional values: selected psychometric properties of the Polish version of the Nurses Professional Values Scale-Three (NPVS-3-POL). Medical Studies. 2023; 19(3): 230-237.
 
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ISSN:1899-1874
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