DEVELOPMENT AND EVALUATION OF A SURGICAL WOUND ASSESSMENT TOOL

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Abstract

Objective: Develop and validate a surgical wound assessment tool for the Vietnamese nurses.

Material and methods: The SWAT was developed in three phases. Phase I: developed an initial SWAT based on international evidence-based guidelines and a comprehensive literature review, Vietnamese surgeons then evaluated the initial SWAT. Phase II: wound care nurse experts in Vietnam used an interactive Delphi process to refine and develop a final version of the SWAT. Phase III: the final version of the SWAT was then evaluated among 260 surgical patients to validate its construct validity and inter - ratter reliability.

Results: Phase I: The overall scale-content validity index was 0.98. The SWAT included 30 items. Phase II: six out of 30 items were excluded from the tool. Phase III: results of the Exploratory Factor Ananysis supported a threecomponent structure of the SWAT. The Intraclass Correlation Coefficient value of the overall scale was 0.81 (95% CI 0.68 - 0.89, p < 0.001), confirming excellent inter - rater reliability.

Conclusion: The SWAT is a reliable and valid tool for monitoring and evaluation the status of surgical wound healing and detecting early factors that may increase surgical wound complications.

https://doi.org/10.38103/jcmhch.79.8

References

World Union of Wound Healing Societies. Consensus

Document. Closed surgical incision management:

understanding the role of NPWT. Wounds International

[cited 2016 September]; Available from: http://www.

wuwhs2016.com/files/WUWHS_SI_consensus_Web.pdf.

World Health Organization. Global Guidelines for the

Prevention of Surgical Site Infection. 2016; Available

from: http://apps.who.int/iris/bitstream/10665/ 250680/1/

-eng.pdf?ua=1.

Thu LTA, Hung NV, Quang NN et al. A point-prevalence

study on healthcare- associated infections in Vietnam:

Public health implications. Infection Control and Hospital

Epidemiology. 2011. 32(10): 1039-1041.

Do HTT, Finlayson K, Edwards H. Surgical wound

assessment in Vietnam: a think-aloud technique and interview

analysis. Journal of Wound Care. 2020. 29(4): 4-13.

Do TTH, Development and validation of a surgical wound

assessment tool for use in Vietnam. 2019, Queensland

University of Technology.

Canadian Association of Wound Care. Best Practice

Recommendations for the Prevention and Management

of Surgical Wound Complications. 2017 2017/02/14];

Availablefrom:https://www.woundscanada.ca/docman/

public/554-bpr-prevention-and-management-of-surgicalwound - complications/file.

Wounds Australia, Standards for Wound Prevention and

Management. 2016, Cambridge Media: Osborne Park, WA.

Korol E, Johnston K, Waser N, et al. A systematic review of

risk factors associated with surgical site infections among

surgical patients. PloS one. 2013. 8(12): e83743.

Han JY, Choi-Kwon S. Adaptation of evidence-based

surgical wound care algorithm. Journal of Korean Academy

of Nursing. 2011. 41(6): 768-79.

Koo TK, Li MY. A Guideline of Selecting and Reporting

Intraclass Correlation Coefficients for Reliability Research.

Journal of Chiropractic Medicine. 2016. 15(2): 155-163.

Published 05-01-2025
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Issue No. 79 (2022)
Section Original article
DOI 10.38103/jcmhch.79.8
Keywords

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Copyright (c) 2022 Journal of Clinical Medicine Hue Central Hospital

Do, T. T. H., Nguyen, T. H., & Edwards Helen, FinlaysonKathleen. (2025). DEVELOPMENT AND EVALUATION OF A SURGICAL WOUND ASSESSMENT TOOL. Journal of Clinical Medicine Hue Central Hospital, (79). https://doi.org/10.38103/jcmhch.79.8