Abstract
AIMS: to perform the cultural adaptation of the STAR Skin Tear Classification System into the Portuguese language and to test the content validity and inter-rater reliability of the adapted version. METHODS: methodological study with a quantitative approach. The cultural adaptation was developed in three phases: translation, evaluation by a committee of judges and back-translation. The instrument was tested regarding content validity and inter-rater reliability. RESULTS: the adapted version obtained a regular level of concordance when it was applied by nurses using photographs of friction injuries. Regarding its application in clinical practice, the adapted version obtained a moderate and statistically significant level of concordance. CONCLUSION: the study tested the content validity and inter-rater reliability of the version adapted into the Portuguese language. Its inclusion in clinical practice will enable the correct identification of this type of injury, as well as the implementation of protocols for the prevention and treatment of friction injuries.
Highlights
MethodsSkin tear, as it is known internationally, is a traumatic wound resulting from friction or friction and shear, leading to the separation of the epidermis from the dermis or the separation of both from the underlying structures(1)
The theme is little known in Brazil, where skin tears were called lacerations(4)
Aiming for the systematization of the knowledge concerning this type of injury, the objective of this study was to carry out the cultural adaptation of the STAR for the Portuguese language of Brazil, as well as to test its content validity and inter-rater reliability
Summary
MethodsSkin tear, as it is known internationally, is a traumatic wound resulting from friction or friction and shear, leading to the separation of the epidermis from the dermis or the separation of both from the underlying structures(1). The theme is little known in Brazil, where skin tears were called lacerations(4). This seems to be mere semantics, the fact of not having it own nomenclature is an important barrier to the implementation of specific preventive measures, as well as appropriate treatment techniques. Payne and Martin were the first to propose the skin tear nomenclature and classification system(1). This classification is the most widely used, its measurement properties have not been demonstrated(1). The result was the STAR Skin Tear Classification System (STAR), a simple and easy to use, yet comprehensive instrument, with confirmed content validity and inter-rater reliability, and standardized terms and definitions(7)
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