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Adaptation and Validation of a Turkish Language Version of Braden QD Scale for Predicting Risk of Medical

Zerrin Çiğdem1,2,3,4, Erhan Elmaoğlu1,2,3,4, Serkan Usgu1,2,3,4

  • 1Zerrin Çiğdem, PhD, MSc, RN, Department of Nursing, Faculty of Health Science, Istanbul Topkapı University, Istanbul, Turkey.

Journal of Wound, Ostomy, and Continence Nursing : Official Publication of the Wound, Ostomy and Continence Nurses Society
|March 26, 2025
PubMed

Insights

The Turkish Braden QD Scale is a valid and reliable tool for assessing medical device-related pressure injury risk in children. This pediatric risk assessment tool demonstrated strong reliability and validity in Turkish intensive care units.

Area of Science:

  • Pediatric Nursing
  • Medical Device Safety
  • Pressure Injury Prevention

Background:

  • Medical device-related pressure injuries (MDRPIs) pose a significant risk to pediatric patients in intensive care.
  • Accurate risk assessment tools are crucial for preventing MDRPIs in vulnerable pediatric populations.
  • The Braden QD Scale is a recognized tool for assessing pressure injury risk, but a validated Turkish version was needed.

Purpose of the Study:

  • To evaluate the validity and reliability of a Turkish language version of the Braden QD Scale (Braden QD-T).
  • To determine the scale's effectiveness in predicting MDRPI risk in pediatric patients.
  • To establish a culturally adapted and psychometrically sound risk assessment tool for Turkish pediatric intensive care settings.

Main Methods:

  • A validity and reliability study was conducted with 71 pediatric patients in intensive care units.
  • The Turkish version of the Braden QD Scale underwent construct and content validity assessments.
  • Reliability was measured using Cronbach's alpha (internal consistency), intra-class correlation, and interobserver reliability. ROC curve analysis assessed sensitivity and specificity.

Main Results:

  • The Braden QD-T demonstrated adequate construct validity (KMO=0.619) and excellent internal consistency (Cronbach's alpha=0.878).
  • Intra-class reliability was excellent (ICC=0.979-1.000), and interobserver reliability ranged from acceptable to excellent (0.661-0.984).
  • Content validity was fair (Kendall's W=0.217).

Conclusions:

  • The Turkish version of the Braden QD Scale is a valid and reliable tool for assessing MDRPI risk in pediatric patients.
  • The study supports the use of the Braden QD-T in Turkish pediatric intensive care units for risk stratification.
  • This validated tool can aid clinicians in implementing targeted preventive strategies for MDRPIs in children.
Abstract

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