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

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.