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Validity and Reliability of the Revised Skin Management Needs Assessment Checklist: A Methodological Study.

Seda Şahan1, Günay Elif İsmailoğlu, Eda Ergin

  • 1Seda Şahan, PhD, is Assistant Professor, Nursing Department, Health Sciences Faculty, Izmir Bakircay University, İzmir, Türkiye. Elif Günay İsmailoğlu, PhD, is Associate Professor, Nursing Department, Health Sciences Faculty, Izmir Bakircay University, İzmir, Türkiye. Eda Ergin, PhD, is Associate Professor, Nursing Department, Health Sciences Faculty, Izmir Bakircay University, İzmir, Türkiye. Emine Korkmaz, PhD, is Assistant Professor, Nursing Department, Kirsehir Ahi Evran University, Health Sciences Faculty, Kirşehir, Türkiye.

Advances in Skin & Wound Care
|July 1, 2025
PubMed
Summary

The revised Skin Management Needs Assessment Checklist (SMnac) has been successfully adapted into Turkish. This validated and reliable tool is now available for assessing skin management needs in Turkish-speaking populations.

Keywords:
Rasch analysespatientpressure injuryreliabilityskin managementvalidity

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Area of Science:

  • Nursing Research
  • Health Assessment Tools
  • Psychometrics

Background:

  • Effective skin management is crucial for patient care, particularly for those at risk of pressure injuries.
  • Standardized assessment tools are essential for consistent and objective evaluation of patient needs.
  • The original Skin Management Needs Assessment Checklist (SMnac) requires culturally and linguistically appropriate versions for diverse populations.

Purpose of the Study:

  • To translate and culturally adapt the revised Skin Management Needs Assessment Checklist (SMnac) into Turkish.
  • To evaluate the reliability and validity of the Turkish version of the SMnac using the Rasch measurement model.
  • To provide a psychometrically sound instrument for assessing skin management needs in Turkish patients.

Main Methods:

  • Methodological study involving forward-backward translation, expert review, and pilot testing.
  • Data collected from 201 patients using demographic forms, the Braden Scale, and the Turkish SMnac.
  • Rasch measurement model applied to assess construct validity, internal consistency reliability, and item fit.
  • Content Validity Index calculated based on expert evaluations.

Main Results:

  • The Content Validity Index for the Turkish SMnac was 0.87.
  • Rasch analysis indicated good reliability, with a Person Reliability Index of 0.87 and an Item Reliability Index of 0.94.
  • Three items were removed from the scale following adaptation and psychometric analyses, resulting in a refined Turkish version.

Conclusions:

  • The Turkish version of the revised Skin Management Needs Assessment Checklist (SMnac) demonstrates adequate content validity.
  • The study confirms the reliability and validity of the Turkish SMnac for use in clinical practice and research.
  • This adapted tool facilitates comprehensive skin management needs assessment in the Turkish healthcare setting.