Borchert K, Bliss DZ, Savik K, Radosevich DM, et al.
Journal of wound, ostomy, and continence nursing : official publication of The Wound, Ostomy an.... Date of publication 2010 Sep 1;volume 37(5):527-35.
1. J Wound Ostomy Continence Nurs. 2010 Sep-Oct;37(5):527-35. doi:
10.1097/WON.0b013e3181edac3e.
The incontinence-associated dermatitis and its severity instrument: development
and validation.
Borchert K(1), Bliss DZ, Savik K, Radosevich DM.
Author information:
(1)School of Nursing, University of Minnesota, Minneapolis, MN, USA.
kmborchert@healtheast.org
PURPOSE: To develop and test the validity and interrater reliability of the
Incontinence-Associated Dermatitis and its Severity Instrument, a novel tool
describing incontinence-associated dermatitis and its severity.
METHODS: Investigators consulted 2 certified WOC nurse experts to determine face
validity of the instrument. Seven additional certified WOC nurses evaluated the
tool for content validity. The instrument was tested for interrater reliability
by attendees at the 2007 WOCN Society National Conference and employees at a
health care system in Minnesota. Criterion validity was determined by comparing
IAD severity scores of testers with those of the 2 WOC experts and PI.
RESULTS: Consultants determined that the instrument had face and content
validity. Two hundred forty-seven attendees at the WOCN Society's National
Conference (mean nursing experience 25±9 years [mean±SD]), 100 nursing staff in
Minnesota: 84 staff nurses (mean nursing experience 17±12 years), and 16 nursing
assistants (mean nursing experience 7±7 years) determined that the instrument
has content validity. There were no significant differences in scores of IAD
severity for the 4 cases among the 3 types of testers (P>.05). Overall agreement
between the 347 raters and the experts using intraclass correlation was 0.98
(P=.006).
CONCLUSION: The Incontinence-Associated Dermatitis and its Severity Instrument
demonstrated good validity and interrater reliability and its development
fulfills an unmet need in both research and clinical practice settings.
DOI: 10.1097/WON.0b013e3181edac3e
PMID: 20736860 [Indexed for MEDLINE]
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