Please use this identifier to cite or link to this item: https://scholarbank.nus.edu.sg/handle/10635/154115
Title: KNOWLEDGE, ATTITUDES AND PRACTICES OF INCONTINENCE-ASSOCIATED DERMATITIS QUESTIONNAIRE (KAP-IAD-Q) FOR NURSES: PSYCHOMETRIC TESTING
Authors: TAY CHERYL
Keywords: Attitude
Knowledge
Incontinence-associated dermatitis
Instrument
Nursing
Reliability
Practice
Psychometric
Validity
Issue Date: 25-May-2019
Citation: TAY CHERYL (2019-05-25). KNOWLEDGE, ATTITUDES AND PRACTICES OF INCONTINENCE-ASSOCIATED DERMATITIS QUESTIONNAIRE (KAP-IAD-Q) FOR NURSES: PSYCHOMETRIC TESTING. ScholarBank@NUS Repository.
Abstract: Background: Incontinence-associated dermatitis (IAD) refers to skin damage associated with urinary and/ or faecal exposure and is a significant problem in healthcare settings. It gives rise to detrimental effects on patients’ quality of life and clinical care costs. Nurses’ knowledge deficits and negative attitudes may compromise the adherence to and effectiveness of IAD prevention and management guidelines, undermining efforts to reduce IAD incidence. However, there is currently a lack of tools and studies evaluating IAD-related knowledge, attitudes and practices (KAP) among nurses. Aim: This study aimed to develop and test the validity and reliability of the Knowledge, Attitudes and Practices of Incontinence-associated Dermatitis Questionnaire (KAP-IAD-Q) for Nurses. Method: A psychometric validation design was employed. Phase I of the study entailed the development of items through an extensive literature review and a double Delphi procedure with 11 wound nursing experts to examine content validity of the KAP-IAD-Q. Phase II involved administering the KAP-IAD-Q to a convenience sample of 263 Registered Nurses from a hospital in Singapore to evaluate its construct validity, internal consistency and test-retest reliability. Results: The instrument showed acceptable content validity (S-CVI=0.85). Exploratory factor analysis suggested construct validity of the 22-item fourfactor KAP-IAD-Q. The factors were: (1) risk factor knowledge, (2) aetiology and identification knowledge, (3) attitudes (4) practices, which explained 58.1% of variance in the responses obtained. All items demonstrated strong factor loadings >0.4. The KAP-IAD-Q showed excellent overall internal consistency (Cronbach’s α=0.91) and good overall test-retest reliability (ICC=0.89 (95%CI 0.69-0.96, p<0.001)). Conclusion: The KAP-IAD-Q demonstrated good psychometric properties and is effective in measuring levels of IAD-related KAP among nurses. Further confirmation of the proposed factor structure is recommended. Future research should explore determinants of nurses’ KAP and associations between IAD knowledge, attitudes and practices.
URI: https://scholarbank.nus.edu.sg/handle/10635/154115
Appears in Collections:Bachelor's Theses

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