
Development and psychometric validation of PUKAT 2·0, a knowledge assessment tool for pressure ulcer prevention
Author(s) -
Manderlier Bénédicte,
Van Damme Nele,
Vanderwee Katrien,
Verhaeghe Sofie,
Van Hecke Ann,
Beeckman Dimitri
Publication year - 2017
Publication title -
international wound journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.867
H-Index - 63
eISSN - 1742-481X
pISSN - 1742-4801
DOI - 10.1111/iwj.12758
Subject(s) - medicine , intraclass correlation , content validity , construct validity , delphi method , face validity , reliability (semiconductor) , criterion validity , psychometrics , clinical psychology , artificial intelligence , power (physics) , computer science , physics , quantum mechanics
The aim of this study was to develop a tool to measure the knowledge of nurses on pressure ulcer prevention. PUKAT 2·0 is a revised and updated version of the Pressure Ulcer Knowledge Assessment Tool ( PUKAT ) developed in 2010 at Ghent University, Belgium. The updated version was developed using state‐of‐the‐art techniques to establish evidence concerning validity and reliability. Face and content validity were determined through a Delphi procedure including both experts from the European Pressure Ulcer Advisory Panel ( EPUAP ) and the National Pressure Ulcer Advisory Panel ( NPUAP ) ( n = 15). A subsequent psychometric evaluation of 342 nurses and nursing students evaluated the item difficulty, discriminating power and quality of the response alternatives. Furthermore, construct validity was established through a test–retest procedure and the known‐groups technique. The content validity was good and the difficulty level moderate. The discernment was found to be excellent: all groups with a (theoretically expected) higher level of expertise had a significantly higher score than the groups with a (theoretically expected) lower level of expertise. The stability of the tool is sufficient (Intraclass Correlation Coefficient = 0·69). The PUKAT 2·0 demonstrated good psychometric properties and can be used and disseminated internationally to assess knowledge about pressure ulcer prevention.