The Standardized Pressure Injury Prevention Protocol (SPIPP) Checklist 2.0: Content validation

Area of Science:

• Nursing
• Patient Safety
• Clinical Practice Guidelines

Background:

• Pressure injuries are a growing concern, with rising incidence rates.
• Checklists enhance adherence to evidence-based practices and standardize complex care processes.
• The original protocol required revision and validation to improve pressure injury prevention.

Purpose of the Study:

• To revise and test the content validity of the Standardized Pressure Injury Prevention Protocol Checklist 2.0.
• To update the checklist based on the International 2019 Clinical Practice Guideline.

Main Methods:

• Expert review and revision of checklist items by the National Pressure Injury Advisory Panel.
• Content validity testing using a panel of eight national experts.
• Analysis of individual item and total scale content validity index scores.

Main Results:

• The revised checklist achieved a high total scale content validity index of 0.93.
• Most items demonstrated strong content validity (0.875 to 1.0).
• One low-scoring item was removed, and others were revised based on expert feedback.

Conclusions:

• The Standardized Pressure Injury Prevention Protocol 2.0 offers a validated, evidence-based tool for pressure injury prevention.
• Integration into clinical workflows supports nurses and providers in sustainable prevention efforts.
• Standardized, early intervention is key to successful pressure injury prevention.