University Centre forNursing and Midwifery


Development and psychometric validation of PUKAT 2·0: a knowledge assessment tool for pressure ulcer prevention.

project duration: 01/04/2016 - 01/04/2017


The aim of this study was to develop a tool to measure the knowledge of nurses on pressure ulcer prevention. PUKAT 2·0 is a revised and updated version of the Pressure Ulcer Knowledge Assessment Tool (PUKAT) developed in 2010 at Ghent University, Belgium. The updated version was developed using state-of-the-art techniques to establish evidence concerning validity and reliability. Face and content validity were determined through a Delphi procedure including both experts from the European Pressure Ulcer Advisory Panel (EPUAP) and the National Pressure Ulcer Advisory Panel (NPUAP) (n = 15). A subsequent psychometric evaluation of 342 nurses and nursing students evaluated the item difficulty, discriminating power and quality of the response alternatives. Furthermore, construct validity was established through a test-retest procedure and the known-groups technique. The content validity was good and the difficulty level moderate. The discernment was found to be excellent: all groups with a (theoretically expected) higher level of expertise had a significantly higher score than the groups with a (theoretically expected) lower level of expertise. The stability of the tool is sufficient (Intraclass Correlation Coefficient = 0·69). The PUKAT 2·0 demonstrated good psychometric properties and can be used and disseminated internationally to assess knowledge about pressure ulcer prevention. Click HERE for more information about this study.


Prof. dr. Dimitri Beeckman
Prof. dr. Dimitri Beeckman

Prof. dr. Dimitri Beeckman holds a BSc. in Nursing, an MSc. in Nursing and Midwifery, an MSc. in Education, and a PhD from Ghent University in Belgium. His doctoral thesis focused on pressure ulcer prevention and management of Incontinence- Associated Dermatitis (IAD). In 2010, he became a lecturer at the Florence Nightingale School of Nursing & Midwifery at King’s College London in the UK. Currently, he works as a Professor of Skin Integrity and Clinical Nursing at the University Centre of Nursing and Midwifery at Ghent University in Belgium. He is a Visiting Professor at the Faculty of Health and Medical Sciences at the University of Surrey (Guilford, UK) and at the School of Nursing and Midwifery at the Royal College of Surgeons in Ireland (Dublin, Ireland). Prof. Beeckman is Executive Board Member of the European Pressure Ulcer Advisory Panel (EPUAP) and serves as Chair of the Scientific Committee since 2013. He also co- chairs the EPUAP Education Workstream. In 2016, he was a member of the International Scientific Committee of the World Union of Wound Healing Societies Conference. In March 2017, he chaired the 1st European Pressure Ulcer Prevention and Management Masterclass in Ghent. He is specialized in skin integrity research, clinical trials, healthcare education, implementation science and instrument development and validation. In 2013-2014, he authored the Belgian guidelines for pressure ulcer prevention and treatment (supported by the Belgian Healthcare Knowledge Centre, KCE). In 2015, he authored the International Best Practice Document about prevention and management of Incontinence- Associated Dermatitis, published by Wounds International. He acts as policy advisor of the Belgian Federal Public Service Health, Food Chain Safety, and Environment. He authored and co- authored over 80 scientific publications in international peer- reviewed journals. He presented his research in > 50 countries all over the world. He is Consulting Editor of the Journal of Wound, Ostomy and Continence Nursing, the Journal of Tissue Viability, as well as Associate Editor of BMC Geriatrics. Prof. Beeckman holds different Fellowships such as Sigma Theta Tau International Honor Society of Nursing and the European Academy of Nursing Science.

staff members

Bénédicte Manderlier
Bénédicte Manderlier

Bénédicte Manderlier is a researcher at the University Centre for Nursing and Midwifery at Ghent University in Belgium. She holds a BSc. in Nursing and a MSc. in Nursing and Midwifery. Her research focuses on the prevention of pressure ulcers. Bénédicte has work experience as a nurse on a geriatric ward and a pediatric intensive care.