Attitudes of Spanish Nurses towards Pressure Injury Prevention and Psychometric Characteristics of the Spanish Version of the APuP Instrument

Abstract

The prevention of pressure injuries in hospitalised patients is a critical point of care related to patient safety. Nurses play a key role in pressure injury (PI) prevention, making it important to assess not only their knowledge but also their attitude towards prevention. The main purpose of this study was to translate into Spanish and evaluate the psychometric properties of the Attitude towards Pressure ulcer Prevention instrument (APuP); a secondary aim was to explore the associations of attitude with other factors. A Spanish version was developed through a translation and back-translation procedure. The validation study was conducted on a sample of 438 nursing professionals from four public hospitals in Spain. The analysis includes internal consistency, confirmatory factorial analysis, and construct validity in known groups. The 12-item Spanish version of the APuP fit well in the 5-factor model, with a Cronbach’s alpha of 0.7. The mean APuP score was 39.98, which means a positive attitude. Registered nurses have a slightly better attitude than Assistant nurses. A moderate correlation (R = 0.32) between knowledge and attitude for the prevention of PI was found. As concluded, the Spanish version of the APuP questionnaire is a valid, reliable and useful tool to measure the attitude toward PI prevention in Spanish-speaking contexts. This version has 12 items grouped into 5 factors, and its psychometric properties are similar to those of the original instrument.

The Swedish version of the attitude towards pressure ulcer prevention instrument for use in an operating room context (APUP-OR): A nationwide psychometric evaluation

“…Adherence to PU prevention strategies is influenced by nurses' attitudes toward PU prevention [12][13][14][15]. Although the APuP instrument has been evaluated in various contexts [20][21][22], no psychometric evaluation has been conducted in a Swedish OR context.…”

“…The Cronbach's alpha of the instrument at the time of its development was 0.79 [20]. The APuP instrument has been evaluated in several cultural contexts [21,22] and it has been translated from English into Swedish. [21] However, the instrument has yet to be validated in a Swedish context with OR nurses.…”

Psychometric properties of the Chinese version of the attitude towards pressure ulcer prevention instrument: A cross‐sectional survey

“…Item 4 ("Too much attention goes to the prevention of pressure ulcers")-the overall correlation was poor and the value increased slightly to 0.7 after deletion. 12 According to the relevant research of Shadi Sohrabi Akhkand et al, 20 the Cronbach's α of the Persian version of pressure ulcer attitude questionnaire is 0.891. Some questions in the APuP instrument are not in line with Chinese reading and expression habits after being directly translated into Chinese.…”

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

“…The APuP questionnaire—the Spanish version developed and validated for this research 37 —has 12 items grouped in five factors; has a good content validity, moderate internal consistency (alpha=0.70) and good fit indices of the factor structure by confirmatory factor analysis (CFA). It has a 4-points Likert scale from complete disagreement to complete agreement and is aimed to measure the nurses’ attitudes towards the prevention.…”