Swedish translation and validation of the international skin tear advisory panel skin tear classification system

Abstract

The aims of this study were to translate the International Skin Tear Advisory Panel (ISTAP) classification system for skin tears into Swedish and to validate the translated system. The research process consisted of two phases. Phase I involved the translation of the classification system, using the forward-back translation method, and a consensus survey. The survey dictated that the best Swedish translation for "skin tear" was "hudfliksskada." In Phase 2, the classification system was validated by health care professionals attending a wound care conference held in the spring of 2017 in Sweden. Thirty photographs representing three types of skin tear were presented to participants in random order. Participants were directed to classify the skin tear types in a data collection sheet. The results indicated a moderate level of agreement on classification of skin tears by type. Achieving moderate agreement for the ISTAP skin tear tool is an important milestone as it demonstrates the validity and reliability of the tool. Skin tear classification typing is a complex skill that requires training and time to develop. More education is required for all health care specialists on the classification of skin tears.

ISTAP classification for skin tears: Validation for Brazilian Portuguese

“…This study was performed with a sample of 270 professionals from the health area (241 nurses) and obtained a moderate concordance ( k = 0.46), similar to the original study . The ISTAP Skin Tear Classification validation study in Sweden was conducted with 84 health professionals (59 nurses), showing moderate concordance ( k = 0.50) . For the Italian validation, the sample of 209 health professionals (197 nurses and 12 who were not nurses) also showed moderate concordance ( k = 0.46) .…”

“…19 The ISTAP Skin Tear Classification validation study in Sweden was conducted with 84 health professionals (59 nurses), showing moderate concordance (k = 0.50). 26 For the Italian validation, the sample of 209 health professionals (197 nurses and 12 who were not nurses) also showed moderate concordance (k = 0.46). 27 In the version adapted to Canadian French, the concordance was satisfactory (k = 0.69) in a sample of 92 nurses.…”

“…With the adaptation of the ISTAP Skin Tear Classification, Brazil joins Denmark, Sweden, Italy, and Canada, with cultural adaptations in French and English . The first country to adapt the classification system was Denmark, which, like the original study, used the 30 photograph database to validate the instrument.…”

Developing the APS-SE: Translation and Cultural Adaptation of the Abbey Pain Scale (APS) to A Swedish Care Context.

“…Hud iksskada is a validated Swedish translation of the term 'skin tears' (21). The interviewees were divided, however; not everyone grasped the translation, and some needed additional explanation.…”

Standardizing the classification of skin tears: validity and reliability testing of the International Skin Tear Advisory Panel Classification System in 44 countries

“…5 Since 2013, the ISTAP Classification System has been translated and its psychometric properties have been measured in Denmark, Sweden, French Canada and Brazil. 10,[40][41][42] It is acknowledged that further psychometric testing with larger samples of healthcare professionals across settings and countries is required. 39 The aim of this study was to evaluate the validity and reliability of the ISTAP Classification System internationally.…”