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Attitudes towards pressure ulcer prevention: a psychometric evaluation of the Swedish version of the APuP instrument
Department of Health and Social Sciences, Dalarna University, Falun.
Faculty of Health, Sciences, and Technology, Department of Health Sciences, Karlstad University, Karlstad; County Council of Värmland, Värmland.
Department of Public Health and Caring Sciences, Caring Sciences, Uppsala University, Uppsala.
University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science. Department of Public Health and Caring Sciences, Caring Sciences, Uppsala University, Uppsala.ORCID iD: 0000-0003-1185-061X
2016 (English)In: International Wound Journal, ISSN 1742-4801, E-ISSN 1742-481X, Vol. 13, no 5, p. 655-662Article in journal (Refereed) Published
Abstract [en]

The primary aim was to conduct a psychometric evaluation of the Attitude towards Pressure ulcer Prevention (APuP) instrument in a Swedish context. A further aim was to describe and compare attitudes towards pressure ulcer prevention between registered nurses (RNs), assistant nurses (ANs) and student nurses (SNs). In total, 415 RNs, ANs and SNs responded to the questionnaire. In addition to descriptive and comparative statistics, confirmatory factor analyses were performed. Because of a lack of support for the instrument structure, further explorative and consecutive confirmatory tests were conducted. Overall, positive attitudes towards pressure ulcer prevention were identified for all three groups, but SNs reported lower attitude scores on three items and a higher score on one item compared to RNs and ANs. The findings indicated no support in this Swedish sample for the previously reported five-factor model of APuP. Further explorative and confirmative factor analyses indicated that a four-factor model was most interpretable: (i) Priority (five items), (ii) Competence (three items), (iii) Importance (three items) and (iv) Responsibility (two items). The five-factor solution could not be confirmed. Further research is recommended to develop a valid and reliable tool to assess nurses' attitudes towards pressure ulcer prevention working across different settings on an international level.

Place, publisher, year, edition, pages
2016. Vol. 13, no 5, p. 655-662
Keywords [en]
Attitude, Pressure ulcer prevention, Psychometric validity
National Category
Nursing
Identifiers
URN: urn:nbn:se:hig:diva-17355DOI: 10.1111/iwj.12338ISI: 000387667600061PubMedID: 25124833Scopus ID: 2-s2.0-84905781751OAI: oai:DiVA.org:hig-17355DiVA, id: diva2:738017
Projects
Pressure Ulcer Prevention (PUP)Available from: 2014-08-15 Created: 2014-08-15 Last updated: 2018-03-13Bibliographically approved

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Mårtensson, Gunilla

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