Translation and Content Validity of the Skin Tear Knowledge Assessment Instrument (OASES) Into Chilean Spanish

Area of Science:

• Nursing
• Clinical Assessment
• Health Education

Background:

• Skin tears are a common issue in healthcare settings, particularly among vulnerable populations.
• Effective assessment of healthcare professionals' knowledge is crucial for implementing evidence-based prevention strategies.
• Existing knowledge assessment tools may not be culturally relevant or linguistically appropriate for diverse populations.

Purpose of the Study:

• To translate and culturally adapt the Skin Tears Knowledge Assessment Instrument (OASES) into Chilean Spanish.
• To validate the content of the Chilean Spanish version of the OASES using expert review and content validity ratio (CVR).
• To provide a reliable and culturally appropriate tool for assessing skin tear knowledge among healthcare professionals in Chile.

Main Methods:

• A simplified cultural adaptation methodology was employed, including forward translation by bilingual translators.
• An expert panel of 10 judges, including 8 wound care specialists, reviewed the translated instrument.
• Content validity was assessed using the content validity ratio (CVR), followed by back-translation and review by an original author.

Main Results:

• Initial review identified 7 items with low agreement (CVR 0-0.4), which were revised.
• After revision, 112 items achieved a CVR of 1, and 1 item reached a CVR of 0.8, indicating high content validity.
• The final Chilean Spanish version was approved by an original author of the OASES instrument.

Conclusions:

• The Chilean Spanish OASES is a linguistically and culturally validated tool for assessing skin tear knowledge.
• This validated instrument can enhance training quality and support skin tear prevention efforts in Chilean clinical settings.
• Future adaptations for other Spanish-speaking countries could promote a unified approach to skin tear management in Latin America.