臺灣版預防壓力性損傷自覺障礙跨文化翻譯與心理計量分析

Cross-Cultural Translation and Psychometric Analysis of the Taiwanese Version of Prevention of Pressure Injury Perceived Barrier

目的：為了解護理人員於臨床進行預防壓力性損傷之障礙，本研究翻譯臺灣版護理人員對壓力性損傷預防的自覺障礙量表(Perceived Barriers towards Pressure Injury Prevention for Nurses-Taiwanese Version, PBPIP-T)並檢定其信效度。方法：本研究透過Brislin’s跨文化翻譯過程，發展壓力性損傷預防的自覺障礙量表，再進行描述性訪談，萃取出自覺障礙原因後，接著檢驗量表之信效度。結果：經由翻譯模式得出開放性問卷內容，共三題：您在臨床工作時，「請描述會妨礙您進行壓力性損傷風險評估的原因」、「請描述會妨礙您進行壓力性損傷預防的原因」、「請描述會妨礙您去紀錄預防壓力性損傷照護計畫的原因」，再經由訪談七位護理人員萃取出有意義的主題，分別為5項、9項及4項。最後進行心理計量分析。結論：本研究測得臺灣版護理人員對預防壓力性損傷的自覺障礙量表有良好的內在一致性與內容效度，可應用在臨床做為評估護理人員自覺障礙的量表。

Objectives. The aim of this study was to understand the perceived barriers by nurses in preventing pressure injuries in clinical practice. The Perceived Barriers Towards Pressure Injury Prevention for Nurses-Taiwanese Version (PBPIP-T) scale was translated and its reliability and validity were assessed in this study.
Methods. The study developed perceived barriers toward pressure injury prevention scale using Brislin’s cross-cultural translation process, followed by descriptive interviews to extract perceived barrier reasons. Subsequently, the reliability and validity of the scale were examined.
Results. After identifying the cause of the perceived barriers, the scale's reliability and validity were tested. The content of the open-ended questionnaire was obtained through the translation model, with three questions in total: ''Please describe the reasons that will hinder you from carrying out pressure injury risk assessment,'' ''carrying out pressure injury prevention,'' and ''documenting pressure injury prevention care planning,'' and then extract meaningful themes through interviews with seven nurses, which are five items, nine items, and four items respectively.
Conclusion. Finally, the psychometric analysis found that the Taiwanese version of the Nurses' Perceived Barriers Scale for Preventing Pressure Injury has good internal consistency and content validity. It can be used as a scale to evaluate clinical practice.