Turkish Reliability and Validity of The Ostomy Skin Tool
Abstract
Deniz Harputlu and Süheyla A. Ozsoy
Background: Peristomal skin disorders are common problem. In respect of studies related to incidence of peristomal skin complication 12 to 76% of ostomy patients experience some type of peristomal skin problems. Objective: The aim of this study is to explore Turkish validity and reliability of Ostomy Skin Tool (OST).
Methods: This is a methodological study planned to evaluate Turkish reliability and validity of OST. The OST consists of two parts. The first part of this tool is DET (Discolouration, Erosion, Tissue overgrowth) score tool, and second part is AIM (Assessment, Intervention and Monitoring) guide. For the DET Score tool reliability and validity, thirty peristomal skin photographs obtained from a stoma care unit archives were presented twice to two ostomy care nurses to determine intra and inter nurse assessment variability. For the AIM guide validity, content validity index calculated according to Lawshe’s content validity ratio.
Results: The inter nurse agreement and the intra nurse agreement evaluated with Linear Weighting Kappa. According to the inter nurse assessment, there was a moderate to a substantial agreement (0,51-0,77). According to intra nurse assessment there was a perfect agreement (0,83-1). AIM Guide content validity index was found 0.99. According to this ratio, there is an agreement between experts and all the items were found essential.
Conclusions: The Ostomy Skin Tool is valid and reliable tool. Implications for Practice: Turkish version of OST could provide a richer contribition to the assessment and intervention of peristomal skin condition in all settings to the ostomy care nurses.