Akademik Veri Yönetim Sistemi
NURSING IN CRITICAL CARE, cilt.30, sa.5, ss.1-12, 2025 (SCI-Expanded, SSCI, Scopus)
Background: Pressure injuries are a major concern in intensive care units (ICUs), as critically ill patients are at high risk dueto immobility and compromised health conditions. Accurate and reliable risk assessment tools, such as the Risk AssessmentPressure Injury Scale for the Intensive Care Unit (RAPS-ICU), are essential for early detection and prevention of pressure inju-ries in clinical practice.Aim: This study aimed to determine the Turkish validity and reliability of the RAPS-ICU.Study Design: This was a tool validation study conducted with 62 patients hospitalised in the ICU of a Training and ResearchHospital in Turkey. The RAPS-ICU was translated into Turkish, and its construct validity was evaluated using the content va-lidity ratio (CVR) and content validity index (CVI). Further validation involved exploratory and confirmatory factor analyses(EFA, CFA). Reliability was assessed through internal consistency, inter-rater reliability, item-total correlation, and test–retestreliability.Results: The Kaiser–Meyer–Olkin (KMO) value for the scale was 0.804, indicating sample adequacy. All item discriminationvalues were above 0.20, with factor loadings between 0.35 and 0.90. Cronbach's alpha coefficient was 0.825. Standard factor load-ings ranged from 0.23 to 0.93, with root mean square error of approximation (RMSEA) = 0.086, comparative fit index (CFI) = 0.98,normed fit index (NFI) = 0.94, goodness-of-fit index (GFI) = 0.93, and standardised root mean square residual (SRMR) = 0.061.The CVI was 0.88, and the CVR exceeded the criterion value. The test–retest reliability coefficient was 0.933, and inter-raterreliability ranged from 0.78 to 0.87.Conclusions: The Turkish version of the RAPS-ICU demonstrated established validity and reliability.Relevance to Clinical Practice: The validated Turkish version of the RAPS-ICU provides a reliable and accurate tool forassessing pressure injury risk in intensive care settings. Its high reliability and validity support its use in clinical practice toenhance early detection and prevention strategies, ultimately improving patient outcomes. By integrating the RAPS-ICU intoroutine assessments, intensive care nurses can make more informed decisions regarding pressure injury prevention, optimisingnursing care planning and patient safety in Turkish ICUs.