title: Psychometric properties of the Dutch National Prevalence Measurement of Care Problems used to measure quality of pressure ulcer care in Indonesian hospitals.
abstract: OBJECTIVE
  To evaluate the psychometric properties of the Indonesian version of the Dutch National Prevalence Measurement of Care Problems. The questionnaire consists of 6 parts: patient characteristics (including pressure ulcer [PrU] risk; assessed by the Braden Scale) and care dependency (assessed by the Care Dependency Scale [CDS]), PrU categorization, prevention, treatment, and structural quality indicators at ward and hospital level.
  
  
  METHODS
  A 3-phase design was used, including questionnaire translation and psychometric testing. The questionnaire was translated into Indonesian on March 2012. Content validity was assessed by 18 Indonesian experts on July 2012. The interrater agreement and reliability of the PrU categories, Braden Scale, and CDS were assessed on October 2012 in 4 Indonesian large public general hospitals.
  
  
  RESULTS
  Most Indonesian experts (91.8%) rated the Indonesian version of the questionnaire as "good" on clarity of wording. The content validity indices of the questionnaire ranged from 0.50 to 1.00. The PrU categories assessed showed an interrater reliability of κ = 0.92 (95% confidence interval [CI], 0.87-0.97) and an interrater agreement of po = 98.6% (95% CI, 97.5-99.3). The interrater reliability intraclass correlation coefficient (1,1) of the Braden Scale sum score was 0.90 (95% CI, 0.85-0.93). The exact proportion of agreement sum score was 39%. The interrater reliability intraclass correlation coefficient (1,1) of the CDS sum score was 0.88 (95% CI, 0.83-0.92). There was a 45% exact agreement on the CDS sum scores.
  
  
  CONCLUSIONS
  The questionnaire can be used in Indonesian hospitals to measure the PrU prevalence and quality of PrU care.
authors.affiliation: Yufitriana Amir, MSc, is a Lecturer, Nursing Programme, Riau University, Pekanbaru, Indonesia; and a PhD student, School for Public Health and Primary Care (CAPHRI), Department of Health Services Research, Maastricht University, Maastricht, the Netherlands. Jan Kottner, PhD, is Scientific Director of the Clinical Research Center for Hair and Skin Science, Department of Dermatology and Allergy, Charite-Universitatsmedizin Berlin, Berlin, Germany. Jos M.G.A. Schols, MD, PhD, is Professor of Old Age Medicine, CAPHRI, Department of General Practice and Department of Health Services Research, Maastricht University, the Netherlands. Christa Lohrmann, PhD, RN, is Professor of Nursing Science and Head of Department of Nursing Science, Medical University of Graz, Graz, Austria. Ruud J.G. Halfens, PhD, is Associate Professor, CAPHRI, Department of Health Services Research, Maastricht University, Maastricht, the Netherlands.
authors.forename: Yufitriana
authors.initials: Y
authors.lastname: Amir
authors.forename: Jan
authors.initials: J
authors.lastname: Kottner
authors.forename: Jos M G A
authors.initials: JM
authors.lastname: Schols
authors.forename: Christa
authors.initials: C
authors.lastname: Lohrmann
authors.forename: Ruud J G
authors.initials: RJ
authors.lastname: Halfens
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D007214:Indonesia; D008297:Male; D008875:Middle Aged; D015588:Observer Variation; D003668:Pressure Ulcer / Q000453:epidemiology* / Q000209:etiology / Q000628:therapy*; D015995:Prevalence; D011594:Psychometrics; D019984:Quality Indicators, Health Care / Q000592:standards; D015203:Reproducibility of Results; D018570:Risk Assessment; D011795:Surveys and Questionnaires; D014175:Translating