Validation of ELPO-PT: A Risk Assessment Scale for Surgical Positioning Injuries in the Portuguese Context.

IF 2.4 Q1 NURSING

Nursing Reports Pub Date : 2024-10-30 DOI:10.3390/nursrep14040236

Andreia Salvini, Elsa Silva, Carmen Passos, Tânia Manuel, Camila Moraes, Clementina Sousa, Paulo Alves

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引用次数: 0

Abstract

Background/objectives: Surgical procedures carry inherent risks, including injuries from surgical positioning, which impact patient safety and healthcare quality. An instrument to assess and prevent these injuries is essential. This study aimed to validate and culturally adapt the ELPO-PT for the Portuguese population to ensure its applicability and effectiveness in assessing the risk of injury from surgical positioning.

Methods: A validation study was conducted with 126 adult patients undergoing surgical procedures at a central hospital in northern Portugal. Statistical analyses, including the calculation of Cronbach's alpha coefficient, assessed the internal reliability of the scale. Additionally, sensitivity and specificity analyses evaluated the ELPO-PT's diagnostic accuracy in identifying patients at risk of developing positioning-related injuries.

Results: The validation showed a Cronbach's alpha coefficient of 0.782, indicating reasonable internal reliability. Sensitivity analysis revealed an 85% accuracy rate in identifying patients at risk of positioning injuries, while specificity analysis demonstrated a 90% accuracy rate for patients not at risk.

Conclusions: The ELPO-PT is a valid and reliable instrument for aiding nurses in clinical decision-making, with significant sensitivity and specificity in identifying the risk of positioning-related injuries, including pressure ulcers, in adult patients during the intraoperative period. Its implementation is expected to be beneficial in healthcare settings, contributing to the prevention of complications associated with surgical positioning.

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ELPO-PT的验证：葡萄牙手术定位损伤风险评估量表》。

背景/目的：外科手术具有固有风险，包括手术体位造成的损伤，这会影响患者安全和医疗质量。评估和预防这些损伤的工具至关重要。本研究旨在验证 ELPO-PT 并对其进行文化适应性调整，以确保其在评估手术体位损伤风险方面的适用性和有效性：在葡萄牙北部一家中心医院对 126 名接受外科手术的成年患者进行了验证研究。统计分析（包括计算克朗巴赫α系数）评估了量表的内部可靠性。此外，灵敏度和特异性分析还评估了 ELPO-PT 在识别有发生体位相关损伤风险的患者方面的诊断准确性：验证结果显示，Cronbach's alpha 系数为 0.782，表明内部信度合理。敏感性分析表明，识别有体位损伤风险的患者的准确率为85%，而特异性分析表明，识别无风险患者的准确率为90%：ELPO-PT是一种有效、可靠的工具，可帮助护士做出临床决策，在识别术中成人患者与体位相关的损伤（包括压疮）风险方面具有显著的灵敏度和特异性。预计该工具的应用将有益于医疗机构，有助于预防与手术体位相关的并发症。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Nursing Reports NURSING-

CiteScore

2.50

自引率

4.20%

发文量

期刊介绍： Nursing Reports is an open access, peer-reviewed, online-only journal that aims to influence the art and science of nursing by making rigorously conducted research accessible and understood to the full spectrum of practicing nurses, academics, educators and interested members of the public. The journal represents an exhilarating opportunity to make a unique and significant contribution to nursing and the wider community by addressing topics, theories and issues that concern the whole field of Nursing Science, including research, practice, policy and education. The primary intent of the journal is to present scientifically sound and influential empirical and theoretical studies, critical reviews and open debates to the global community of nurses. Short reports, opinions and insight into the plight of nurses the world-over will provide a voice for those of all cultures, governments and perspectives. The emphasis of Nursing Reports will be on ensuring that the highest quality of evidence and contribution is made available to the greatest number of nurses. Nursing Reports aims to make original, evidence-based, peer-reviewed research available to the global community of nurses and to interested members of the public. In addition, reviews of the literature, open debates on professional issues and short reports from around the world are invited to contribute to our vibrant and dynamic journal. All published work will adhere to the most stringent ethical standards and journalistic principles of fairness, worth and credibility. Our journal publishes Editorials, Original Articles, Review articles, Critical Debates, Short Reports from Around the Globe and Letters to the Editor.