NURSING COMPETENCY SCALE IN PRESSURE INJURY PREVENTION: A SCALE DEVELOPMENT STUDY (NCSPIP)

Nursing Competency Scale in Pressure Injury Prevention: A Scale Development Study

Pressure injuries remain an important patient safety problem and are associated with prolonged hospitalization, increased healthcare costs, pain, and reduced quality of care. Nurses play a key role in the prevention of pressure injuries through risk assessment, skin care, positioning, nutritional management, and evidence-based preventive interventions.

The purpose of this study is to develop and evaluate the psychometric properties of the Nursing Competency Scale in Pressure Injury Prevention. The scale is intended to assess nurses' competencies regarding pressure injury prevention in line with updated international guidelines. The study will be conducted with nurses working in a training and research hospital in Türkiye.

The scale development process will include item generation, expert evaluation for content validity, pilot testing, exploratory factor analysis, confirmatory factor analysis, criterion validity, internal consistency analysis, and test-retest reliability assessment.

Study Overview

• Status: Not yet recruiting
• Conditions: Pressure Injury; Nursing Competency

Detailed Description

Pressure injuries are among the most common preventable adverse events in healthcare settings and continue to be a major patient safety concern worldwide. They are associated with prolonged hospitalization, increased healthcare costs, infection risk, pain, and decreased quality of life. Nurses play a central role in pressure injury prevention through evidence-based interventions such as risk assessment, skin care management, repositioning, nutritional support, and preventive care practices.

Recent updates in the international pressure injury prevention guidelines have introduced important changes regarding risk assessment, medical device-related pressure injuries, prophylactic dressings, nutritional management, and evidence-based preventive strategies. However, currently available instruments assessing nurses' attitudes or competencies toward pressure injury prevention are largely based on older guideline recommendations and may not adequately reflect current clinical standards.

The aim of this methodological study is to develop and psychometrically evaluate the Nursing Competency Scale in Pressure Injury Prevention. The study will be conducted among nurses working in a training and research hospital in Türkiye. The scale development process will include literature review, item pool generation, expert evaluation for content validity, pilot testing, exploratory factor analysis, confirmatory factor analysis, criterion validity analysis, internal consistency assessment, item-total correlation analysis, and test-retest reliability evaluation.

The developed scale is expected to provide a valid and reliable instrument for evaluating nurses' competencies in pressure injury prevention according to updated international guidelines and evidence-based nursing practices.

• Study Type: Observational
• Enrollment (Estimated): 300

Contacts and Locations

• Study Contact: Name: Volkan Daşlı, RN; Phone Number: +90 531 773 47 42; Email: volkan.dasli2023@gmail.com

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult; Older Adult
• Accepts Healthy Volunteers: Yes

• Sampling Method: Non-Probability Sample

Study Population

The study population consists of nurses working in a training and research hospital in Türkiye.

Description

Inclusion Criteria:

• Working as a nurse in the related institution
• Voluntarily agreeing to participate in the study
• Being 18 years of age or older

Exclusion Criteria:

• Not working as a nurse in the related institution
• Not voluntarily agreeing to participate in the study
• Incomplete completion of the data collection forms

Study Plan

How is the study designed?

Number of groups / cohorts

1

Cohorts and Interventions

Group / Cohort
Nurses; Nurses working in a training and research hospital who voluntarily agree to participate in the study.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Validity and Reliability of the Nursing Competency Scale in Pressure Injury Prevention	The primary outcome of this study is the development and psychometric evaluation of the Nursing Competency Scale in Pressure Injury Prevention, including content validity, construct validity, criterion validity, internal consistency, and test-retest reliability.	From baseline to study completion (approximately 9 months)

Collaborators and Investigators

• Sponsor: University of Yalova

Study record dates

Study Major Dates

• Study Start (Estimated): May 20, 2026
• Primary Completion (Estimated): January 30, 2027
• Study Completion (Estimated): January 30, 2027

Study Registration Dates

• First Submitted: May 10, 2026
• First Submitted That Met QC Criteria: May 10, 2026
• First Posted (Actual): May 15, 2026

Study Record Updates

• Last Update Posted (Actual): May 15, 2026
• Last Update Submitted That Met QC Criteria: May 10, 2026
• Last Verified: May 1, 2026

More Information

Terms related to this study

• Keywords: Pressure Injury Prevention; Nurses; Pressure Injury; Scale Development; Psychometric Evaluation; Medical Device-Related Pressure Injury; Nursing Competency
• Additional Relevant MeSH Terms: Skin Diseases; Skin Ulcer; Skin and Connective Tissue Diseases; Pressure Ulcer
• Other Study ID Numbers: volkandasli; 2026/200 (Other Identifier: Yalova University)

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO
• IPD Plan Description: Individual participant data will not be shared.

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No