International Journal of Nursing Studies
Volume 39, Issue 2 , Pages 215-228 , February 2002

Establishing the validity of pressure ulcer risk assessment scales: a novel approach using illustrated patient scenarios

  • Dinah Gould

      Affiliations

    • Faculty of Health, South Bank University, Southwark Campus, 103 Borough Road, London SE1 0AA, UK
    • Corresponding Author InformationCorresponding author. Tel.: +44-20-7815-8002; fax: +44-20-7815-7998
  • ,
  • Len Goldstone

      Affiliations

    • Faculty of Health, South Bank University, Southwark Campus, 103 Borough Road, London SE1 0AA, UK
  • ,
  • John Gammon

      Affiliations

    • Swansea Institute of Higher Education, Townhill, Swansea, UK
  • ,
  • Daniel Kelly

      Affiliations

    • UCL Hospitals, London, UK
  • ,
  • Anna Maidwell

      Affiliations

    • Faculty of Health, South Bank University, Southwark Campus, 103 Borough Road, London SE1 0AA, UK

Received 11 December 2000 ,Accepted 18 February 2001.

References 

  1. Barrett E. Putting risk calculators in their place. Nursing Times. 1987;83(6):65–70
  2. Bergstrom N, Braden B, Laguzza A, Holman V. The Braden Scale for predicting pressure sore risk. Nursing Research. 1987;36:205–210
  3. Bridel J. Risk assessment. Journal of Tissue Viability. 1994;4:84–85
  4. Carlowe J. Pressure sore prevention policies. Nursing Times. 1998;94(12):60–62
  5. Clark, M., Farrar, S., 1992. Comparison of pressure sore risk calculators. In: Proceedings of the First International Conference on Advances in Wound Management. Macmillan, London.
  6. Clark M, Watts S, Chapman R, Field K, Carey G. The Financial Cost of Pressure Sores to the National Health Service Nursing Practice Unit. Guildford, Surrey: University of Surrey; 1992;
  7. Cook M, Hale C, Watson B. Inter-rater reliability and the assessment of pressure sore risk using an adapted Waterlow scale. Clinical Effectiveness in Nursing. 1999;3:66–74
  8. Coolican H. Research Methods and Statistics in Psychology. London: Hodder and Stoughton; 1994;
  9. Davies K, Strickland J, Lawrence V, Duncan A, Rowe J. The hidden mortality from pressure sores. Journal of Tissue Viability. 1991;1:18–19
  10. Dealey C. Risk assessment of pressure sores. A comparative study of Norton and Waterlow scores. Care, Science and Practice. 1989;7(1):5–7
  11. Deeks J. Pressure sore prevention (using and evaluating risk assessment tools). British Journal of Nursing. 1996;5(5):313–320
  12. Defloor T. The risk of pressure sores (a conceptual scheme). Journal of Clinical Nursing. 1999;8:206–216
  13. Edwards B. Seeing is believing—picture building (a key component of telephone triage). Journal of Clinical Nursing. 1998;7:51–57
  14. Edwards M. The levels of reliability and validity of the Waterlow Pressure sore Risk Calculator. Journal of Wound Care. 1995;4(8):373–378
  15. Edwards M. Pressure sore risk calculators (some methodological issues). Journal of Clinical Nursing. 1995;5:307–312
  16. Flanagan M. Pressure sore risk assessment scales. Journal of Wound Care. 1993;2:172–187
  17. Flanagan M. Choosing pressure sore risk assessment tools. Professional Nurse Supplement. 1997;12(6):S3–S7
  18. Flaskerud JH. Use of vignettes to elicit responses towards broad concepts. Nursing Research. 1979;28:210–212
  19. Goldstone L, Roberts BV. A preliminary discriminant function analysis of elderly orthopaedic patients who will or will not contract a pressure sore. International Journal of Nursing Studies. 1980;17:17–27
  20. Gosnell DJ. An assessment tool to identify pressure sores. Nursing Research. 1973;22:55–59
  21. Gould D. Pressure sore prevention and treatment (an example of nurses’ failure to implement research findings). Journal of Advanced Nursing. 1986;10:389–394
  22. Gould D. Infection control (a survey to determine nurses’ knowledge in the clinical setting). Nursing Standard. 1995;9(36):35–38
  23. Hibbs P. The economics of pressure sore prevention. Decubitus. 1988;1(3):32–39
  24. Ingram R. Power analysis and sample size estimation. Nursing Times Researcher. 1998;3:132–140
  25. Jones R. Scoring the risk scores (Letter). Journal of Tissue Viability. 1994;4:65–67
  26. Lamond D, Farnell S. The treatment of pressure sores (a comparison of novice and expert nurses’ knowledge, information use and decision accuracy). Journal of International Nursing. 1998;27:280–286
  27. Lanza ML. A methodological approach to enhance external validity in simulation based research. Issues in Mental Health Nursing. 1990;11:407–422
  28. Lincoln R, Roberts R, Maddox A, Levine S, Patterson C. Use of the Norton Pressure Sore Risk Assessment Scoring System with elderly patients in acute care. Journal of Enterostomal Therapy. 1986;13:132–138
  29. McCormack H. A pressure risk scale for use with older people. Professional Nurse. 1996;10:673–675
  30. Milward P. Scoring pressure sore risk in the community. Nursing Standard. 1993;8(7):50–55
  31. Morison M. Early assessment of pressure sore risk. Professional Nurse. 1989;6(1):428–431
  32. National Health Service Centre for Reviews and Dissemination (NHS CRD), 1995. The prevention and treatment of pressure sores. Effective Health Care 2 (1), 1–16.
  33. Norton C, McClaren R, Exton-Smith AN. An Investigation of Geriatric Nursing Problems in Hospital. Edinburgh: Churchill Livingstone; 1975;
  34. Norton D, McLaren R, Exton-Smith AN. An Investigation of Geriatric Nursing Problems in Hospital. Edinburgh: Churchill Livingstone; 1962;
  35. Siegal S, Castellan NJ. Non-parametric Statistics for the Behavioural Sciences. New York: McGraw-Hill; 1988;
  36. Taylor AG, Skelton JA, Butcher J. Duration of pain condition and physical pathology as determinants of nurses’ assessments of patients in pain. Nursing Research. 1984;33:4–8
  37. Tingle J. Pressure sores (counting the legal cost of nursing neglect). British Journal of Nursing. 1997;6(13):757–758
  38. Torrance C. Pressure Sores. Aetiology, Treatment and Prevention. London: Croom Helm; 1983;
  39. Touche Ross, 1993. Report on the cost of pressure sores to the Health Service. In: Department of Health Guidance ‘Pressure sores A Key Quality Indicator’. Health Publications Unit, EL(94)3 NHS Management Executive, Heywood, Lancs.
  40. Waltz CF, Strickland OL, Lenz ER. Measurement in Nursing Research. Philadelphia: Davis Co; 1991;
  41. Waterlow J. A risk assessment card. Nursing Times. 1985;81(49):5155
  42. Yorkshire Clinical Trials and Research Unit Protocol, 1994. A randomised controlled trial comparing a dry polymer gel pad with a standard operating table mattress. Yorkshire Clinical Trials and Research Unit, YCO, Hospital Lane, Leeds LS16 6QB.

PII: S0020-7489(01)00012-8

International Journal of Nursing Studies
Volume 39, Issue 2 , Pages 215-228 , February 2002