Pressure Ulcer Prevention Care Bundle: A Cross-sectional, Content Validation Study

Area of Science:

• Nursing
• Patient Safety
• Healthcare Quality Improvement

Background:

• A care bundle is an organized set of interventions to improve care quality.
• Pressure ulcers are a significant concern in healthcare settings, necessitating effective prevention strategies.

Purpose of the Study:

• To determine the content validity of a previously developed pressure ulcer prevention care bundle.
• To assess the comprehensiveness, feasibility, and effectiveness of the care bundle in preventing pressure ulcers.

Main Methods:

• A cross-sectional study was conducted in a Turkish university hospital's intensive care units (ICUs).
• 95 nurses were invited to assess a 48-statement care bundle based on pressure ulcer guidelines.
• Data were collected using demographic information, Likert scale ratings, and agreement responses, analyzed using descriptive statistics and content validity index (CVI).

Main Results:

• 68 nurses completed the survey (71.6% response rate), with most being women with bachelor's degrees and 5-10 years of experience.
• The care bundle achieved an overall mean content validation score of 3.9 ± 0.1, deemed valid after minor wording adjustments.
• Nurses found the bundle comprehensive, feasible, necessary, and helpful for clinical decisions, though some noted concerns about complexity and implementation.

Conclusions:

• The validated care bundle can assist nurses in implementing appropriate interventions for pressure ulcer prevention.
• Future research should involve larger nurse cohorts and construct validation studies to further establish the bundle's efficacy.