J Pediatr Nurs. 2025 Sep 3;85:370-377. doi: 10.1016/j.pedn.2025.08.015. Online ahead of print.
ABSTRACT
AIM: To evaluate the validity and reliability of the Pediatric Pressure Ulcer Prediction and Evaluation Tool (PPUPET) in the Turkish population and compare it with Braden QD-T.
MATERIALS AND METHODS: The study was conducted methodologically to test the validity and reliability of PPUPET in Turkish on 228 pediatric patients hospitalized in the pediatric intensive care unit of a public hospital in the Southeastern Anatolia Region of Turkey. Data were collected from pediatric patients and their files who were hospitalized in the pediatric intensive care unit of the hospital under investigation for at least 3 days between July 2023 and October 2023, and using a Personal Information Form, PPUPET, and the Braden QD-T Scale. Kaiser-Meyer-Olkin (KMO) analysis, exploratory factor analysis, and confirmatory factor analysis (CFA) were performed, and CFA fit indices were evaluated to assess the construct validity of the scale. Internal consistency (item-total correlation coefficient and Cronbach alpha value) and interobserver consistency were evaluated as reliability analyses using the parallel form method and ROC curve analysis to evaluate the discriminative feature. Guidelines for reporting reliability and agreement studies (GRRAS) were adhered to in the study.
RESULTS: Half (50.9 %) of the children included in the study were male, 66.7 % were not at risk of pressure injuries according to the Braden QD-T Scale, and 64.9 % were not at risk of pressure injuries according to PPUPET. The content validity index of the scale items for which language validity was evaluated using the Davis method ranged between 0.80 and 1.00, and the content validity ratio was found as 0.92. The KMO coefficient was found as 0.791 and the Bartlett sphericity test χ2 value was 226.354 (p < 0.001). In our study, the Cronbach alpha reliability coefficient was 0.835 and the internal consistency coeffiecient value between observers was 0.992.
CONCLUSION: In the study, it was determined that PPUPET was a valid and reliable assessment tool for the Turkish population.
PMID:40907092 | DOI:10.1016/j.pedn.2025.08.015
