Development and psychometric evaluation of an instrument to assess Knowledge, Attitude and Practice of Family Caregivers at Preventing Pressure Injuries (KAP-PI) in Indonesian community-dwelling older adults

Abstract Background The prevalence of pressure injuries among community-dwelling older adults in countries worldwide is still a serious problem. In Indonesia, older adults mostly rely on family members for (medical) care. Therefore, involving family members in the prevention and treatment of pressur...

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Main Authors: Sheizi Prista Sari, Irma H. J. Everink, Christa Lohrmann, Yufitriana Amir, Eka Afrima Sari, Ruud J. G. Halfens, Dimitri Beeckman, Jos M. G. A. Schols
Format: Article
Language:English
Published: BMC 2022-08-01
Series:BMC Nursing
Subjects:
Online Access:https://doi.org/10.1186/s12912-022-00957-4
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author Sheizi Prista Sari
Irma H. J. Everink
Christa Lohrmann
Yufitriana Amir
Eka Afrima Sari
Ruud J. G. Halfens
Dimitri Beeckman
Jos M. G. A. Schols
author_facet Sheizi Prista Sari
Irma H. J. Everink
Christa Lohrmann
Yufitriana Amir
Eka Afrima Sari
Ruud J. G. Halfens
Dimitri Beeckman
Jos M. G. A. Schols
author_sort Sheizi Prista Sari
collection DOAJ
description Abstract Background The prevalence of pressure injuries among community-dwelling older adults in countries worldwide is still a serious problem. In Indonesia, older adults mostly rely on family members for (medical) care. Therefore, involving family members in the prevention and treatment of pressure injuries (PIs) could potentially decrease its prevalence rates. However, family members are usually not trained for such tasks. Hence, it is essential to first get more insight into the current state of affairs on family members’ knowledge, attitude and actual practice of preventing PIs. Due to the lack of an existing instrument to measure knowledge, attitude and practice of family caregivers in preventing PIs, this study focuses on the development and evaluation of psychometric properties of such an instrument. Methods Three phases of instrument development and evaluation were used, including item generation, instrument construction and psychometric testing of the instrument. A total of 372 family caregivers of community-dwelling older adults who randomly selected participated in this study. Principal factor analysis, confirmatory factor analysis and Cronbach’s alpha were performed to evaluate factor structure and internal consistency of the Knowledge, Attitude and Practice of Family Caregivers at Preventing Pressure Injuries (KAP-PI) instrument. Results The final version of the KAP-PI-instrument consists of a 12-item knowledge domain, a 9-item attitude domain, and a 12-item practice domain with Cronbach’s Alpha values of 0.83, 0.93 and 0.89, respectively. The instrument appeared to be both reliable and valid. Conclusion The KAP-PI instrument can be used in family nursing or community nursing practice, education, and research to assess knowledge, attitude and practice of pressure injury prevention of family caregivers.
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spelling doaj.art-cc24068d23414c8b8d02524a6471bcbb2022-12-22T02:45:51ZengBMCBMC Nursing1472-69552022-08-0121112410.1186/s12912-022-00957-4Development and psychometric evaluation of an instrument to assess Knowledge, Attitude and Practice of Family Caregivers at Preventing Pressure Injuries (KAP-PI) in Indonesian community-dwelling older adultsSheizi Prista Sari0Irma H. J. Everink1Christa Lohrmann2Yufitriana Amir3Eka Afrima Sari4Ruud J. G. Halfens5Dimitri Beeckman6Jos M. G. A. Schols7Faculty of Nursing, Universitas PadjadjaranDepartment of Health Services Research, Care and Public Health Research Institute (CAPHRI), Maastricht UniversityDepartment of Nursing Science, Medical University of GrazFaculty of Nursing, Universitas RiauFaculty of Nursing, Universitas PadjadjaranDepartment of Health Services Research, Care and Public Health Research Institute (CAPHRI), Maastricht UniversitySkin Integrity Research Group (SKINT), Department of Public Health and Primary Care, University Centre for Nursing and Midwifery, Ghent UniversityDepartment of Health Services Research, Care and Public Health Research Institute (CAPHRI), Maastricht UniversityAbstract Background The prevalence of pressure injuries among community-dwelling older adults in countries worldwide is still a serious problem. In Indonesia, older adults mostly rely on family members for (medical) care. Therefore, involving family members in the prevention and treatment of pressure injuries (PIs) could potentially decrease its prevalence rates. However, family members are usually not trained for such tasks. Hence, it is essential to first get more insight into the current state of affairs on family members’ knowledge, attitude and actual practice of preventing PIs. Due to the lack of an existing instrument to measure knowledge, attitude and practice of family caregivers in preventing PIs, this study focuses on the development and evaluation of psychometric properties of such an instrument. Methods Three phases of instrument development and evaluation were used, including item generation, instrument construction and psychometric testing of the instrument. A total of 372 family caregivers of community-dwelling older adults who randomly selected participated in this study. Principal factor analysis, confirmatory factor analysis and Cronbach’s alpha were performed to evaluate factor structure and internal consistency of the Knowledge, Attitude and Practice of Family Caregivers at Preventing Pressure Injuries (KAP-PI) instrument. Results The final version of the KAP-PI-instrument consists of a 12-item knowledge domain, a 9-item attitude domain, and a 12-item practice domain with Cronbach’s Alpha values of 0.83, 0.93 and 0.89, respectively. The instrument appeared to be both reliable and valid. Conclusion The KAP-PI instrument can be used in family nursing or community nursing practice, education, and research to assess knowledge, attitude and practice of pressure injury prevention of family caregivers.https://doi.org/10.1186/s12912-022-00957-4KnowledgeAttitudePracticePressure injuryPressure ulcerPrevention
spellingShingle Sheizi Prista Sari
Irma H. J. Everink
Christa Lohrmann
Yufitriana Amir
Eka Afrima Sari
Ruud J. G. Halfens
Dimitri Beeckman
Jos M. G. A. Schols
Development and psychometric evaluation of an instrument to assess Knowledge, Attitude and Practice of Family Caregivers at Preventing Pressure Injuries (KAP-PI) in Indonesian community-dwelling older adults
BMC Nursing
Knowledge
Attitude
Practice
Pressure injury
Pressure ulcer
Prevention
title Development and psychometric evaluation of an instrument to assess Knowledge, Attitude and Practice of Family Caregivers at Preventing Pressure Injuries (KAP-PI) in Indonesian community-dwelling older adults
title_full Development and psychometric evaluation of an instrument to assess Knowledge, Attitude and Practice of Family Caregivers at Preventing Pressure Injuries (KAP-PI) in Indonesian community-dwelling older adults
title_fullStr Development and psychometric evaluation of an instrument to assess Knowledge, Attitude and Practice of Family Caregivers at Preventing Pressure Injuries (KAP-PI) in Indonesian community-dwelling older adults
title_full_unstemmed Development and psychometric evaluation of an instrument to assess Knowledge, Attitude and Practice of Family Caregivers at Preventing Pressure Injuries (KAP-PI) in Indonesian community-dwelling older adults
title_short Development and psychometric evaluation of an instrument to assess Knowledge, Attitude and Practice of Family Caregivers at Preventing Pressure Injuries (KAP-PI) in Indonesian community-dwelling older adults
title_sort development and psychometric evaluation of an instrument to assess knowledge attitude and practice of family caregivers at preventing pressure injuries kap pi in indonesian community dwelling older adults
topic Knowledge
Attitude
Practice
Pressure injury
Pressure ulcer
Prevention
url https://doi.org/10.1186/s12912-022-00957-4
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