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Development and Exploratory Factor Analysis of the Pressure Injury Care Environment Support Tool
Jennifer Colwill1, Mary Montague2, James Bena2
1Cleveland Clinic Hillcrest Hospital, Mayfield Heights, OH, USA colwilj@ccf.org.
Journal of Nursing Measurement
|November 12, 2025
Summary
A new tool, the Pressure Injury Care Environment Support (PrICES) tool, shows promise in identifying hospital environmental factors that support patient care. It demonstrated high internal consistency and a clear four-factor structure in initial testing.
Area of Science:
- Nursing Research
- Healthcare Quality Improvement
- Patient Safety
Background:
- Hospital-acquired pressure injuries are a significant concern in healthcare.
- Identifying supportive elements within the hospital environment is crucial for prevention.
- A validated instrument was needed to assess these environmental factors.
Purpose of the Study:
- To conduct an exploratory factor analysis of the Pressure Injury Care Environment Support (PrICES) tool.
- To evaluate the psychometric properties of the PRICES tool for assessing hospital environments.
- To determine the underlying factor structure of the PRICES tool.
Main Methods:
- Cross-sectional survey methodology was employed.
- The PRICES tool was administered to registered nurses via email.
- Exploratory factor analysis, guided by the Kaiser Criterion, was performed on collected data.
Main Results:
- A total of 212 surveys were analyzed from 1,450 distributed.
- Exploratory factor analysis identified a four-factor structure.
- The tool explained 60% of the variability with high internal consistency (alpha = .91).
Conclusions:
- The PRICES tool demonstrated high internal consistency.
- A robust four-factor structure was identified for the PRICES tool.
- Further psychometric testing is recommended to validate the PRICES tool comprehensively.
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