Knowledge, attitudes, and practices (KAP) of nurses towards wound cleansing: design and evaluation of measurement properties of a questionnaire
Notice bibliographique
Résumé
Wound cleansing is a fundamental component of chronic wound management; yet, high-quality evidence to guide practice is limited. Understanding nurses’ knowledge, attitudes, and practices (KAP) is essential, but no instrument with published evidence of acceptable measurement properties exists. To develop a KAP questionnaire on wound cleansing for community nurses and evaluate its measurement properties. A multi-phase study was conducted, including literature/consensus item generation; a two-round international Delphi process; pilot cognitive interviews; and field testing in Canada. Knowledge was assessed for item and construct validity; attitude for internal consistency (Cronbach’s α); and all KAP items for stability using test-retest reliability. 26 experts supported content relevance; feedback led to targeted revisions. Field testing involved 130 nurses (83.1% homecare; > 80% with ≥ 5 years of wound care experience). Several knowledge items were too easy (≥ 0.90); none negatively discriminated. Exploratory principal components analysis of attitudes yielded three components (63% of variance); internal consistency ranged from α = 0.41 to α = 0.76. In the subsample (n = 30), knowledge κ values ranged from slight/fair to substantial; some items ceiling effects (uniform responses, κ undefined). Attitude and practice item-level intraclass correlation coefficients varied (0.07 – 0.95), with several ≥ 0.75 and others < 0.60. Known-groups comparison supported higher knowledge among formally educated nurses. Evidence supports content validity and a clarified attitudes structure; internal consistency and stability were acceptable for some elements but below the threshold for others. Future refinement and confirmatory testing are warranted. • Wound cleansing is critical yet under-researched; recommendations rely heavily on expert consensus, contributing to clinical uncertainty and practice variation. • A KAP questionnaire on wound cleansing was developed and its measurement properties evaluated (Delphi, cognitive interviews, field testing) in line with COSMIN methodology. • Evidence supported content validity and a three-component attitude structure; internal consistency was acceptable for one component (α = 0.76) and low for another (α = 0.41). • Known-groups analysis showed higher knowledge among nurses with formal education; item-level stability was mixed (several ICC ≥ 0.75; others < 0.60; ceiling effects on some knowledge items). • Findings identify targets for refinement (over-easy/weakly discriminating items; ambiguous wording) and underscore the need for empirical studies on effective irrigation pressures in chronic wounds; the instrument shows promise for education and quality improvement pending further testing.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,013 | 0,004 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,000 | 0,000 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».