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Validity and Reliability of the Pieper-Zulkowski Pressure Ulcer Knowledge Test for Use in Turkey
Mine Yeşil1, İsmail Toygar, Fatma Eti Aslan
1Mine Yeşil, MSc, RN, is Nurse, Antalya Atatürk State Hospital, Antalya, Turkey. İsmail Toygar, PhD, RN, is Associate Professor, Fethiye Faculty of Health Sciences, Muğla Sitki Koçman University, Muğla, Turkey. Fatma Eti Aslan, PhD, RN, is Full Professor, Faculty of Health Sciences, Bahçeşehir University, İstanbul, Turkey. Acknowledgment: The authors thank all the nurses who participated in the study for their collaboration and thank the experts and translators for their contributions. The authors have disclosed no financial relationships related to this article. Submitted February 1, 2023; accepted in revised form March 16, 2023.
Objective:
To assess the validity and reliability of the Pieper-Zulkowski Pressure Ulcer Knowledge Test (PZ-PUKT) for use in Turkey.
Methods:
This methodological study was carried out at a state hospital from June to November 2022. The authors used the PZ-PUKT and nurse identification form for data collection. They assessed the validity and reliability of the PZ-PUKT for Turkish society by evaluating language validity, content validity index, exploratory factor analysis, confirmatory factor analysis, Cronbach α, Spearman-Brown Split-Half analysis, item-scale correlations, and test-retest correlations.
Results:
Item-level content validity indices ranged from .778 to 1.000 and the scale-level content validity index was .960. Factor loadings of the Turkish version of the PZ-PUKT ranged between .297 and .671. Cronbach α coefficients for the scale subsections were .838 for wounds, .851 for prevention, and .844 for staging; the Cronbach α coefficient was .936 for the total scale score.
Conclusions:
The PZ-PUKT is valid and reliable for use with nurses in Turkey. The authors recommend using the Turkish version of the tool in education and research to assess nurses' pressure injury knowledge.
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