Assessment tool for surgical hand washing skills: a scale development study.

IF 1.8 3区医学 Q2 SURGERY

BMC Surgery Pub Date : 2025-10-03 DOI:10.1186/s12893-025-03192-1

Kübra Şengör, Hatice Merve Alptekin, Öykü Kara, Rabia Görücü, Tuluha Ayoğlu, Nuray Akyüz

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Abstract

Purpose: Valid and reliable assessment tools are essential for evaluating surgical hand washing skills, which play a crucial role in preventing surgical site infections. This study aimed to develop and validate an objective assessment tool for evaluating surgical hand washing competency among nursing students.

Design: Methodological validation study.

Methods: This study was conducted between November and December 2023 at Istanbul University-Cerrahpaşa with 105 second-year nursing students enrolled in surgical nursing courses. Data were collected using a 13-item Assessment Tool for Surgical Hand Washing Skills (ATSHWS) and demographic questionnaire. Content validity was established through expert review, and reliability was assessed through inter-observer agreement and test-retest analysis.

Findings: Content validity was excellent (CVI: 0.976). Inter-observer reliability demonstrated strong agreement (ICC: 0.951, p<0.001), and test-retest reliability confirmed temporal stability.

Conclusions: The ATSHWS provides a valid and reliable method for objectively evaluating surgical hand washing skills among nursing students and may be useful for educational assessment and quality improvement initiatives.

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外科洗手技能评估工具：规模发展研究。

目的：有效可靠的评估工具是评估手术洗手技能的必要条件，对预防手术部位感染起着至关重要的作用。本研究旨在建立并验证一套客观评估护生手术洗手能力的工具。设计：方法学验证研究。方法：本研究于2023年11月至12月在伊斯坦布尔大学cerrahpa进行，共有105名外科护理专业的二年级护生。使用13项手术洗手技能评估工具（ATSHWS）和人口调查问卷收集数据。通过专家评审建立内容效度，通过观察者间一致度和重测分析评估信度。结果：内容效度极佳（CVI: 0.976）。结论：ATSHWS为客观评价护生手术洗手技能提供了有效可靠的方法，可用于教育评估和质量改进措施。

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