Validity and Reliability of A Wound Suturing Training Tool Perception Questionnaire in Nursing Education
DOI:
https://doi.org/10.37287/ijghr.v7i6.286Keywords:
nursing skills, questionnaire, reliability, suture pad, validityAbstract
The use of simulation-based training tools such as suture pads is essential in improving clinical skills among nursing students and professionals. To evaluate their effectiveness, a valid and reliable assessment instrument is required. This study aimed to examine the validity and reliability of a questionnaire designed to assess nurses' perceptions of a wound suturing training tool (suture pad) that simulates human skin characteristics. A descriptive quantitative study was conducted involving 100 nurses, with 50 participants from RSUD Ahmad Yani Metro and 50 from RS Mutiara Hati Pringsewu. The questionnaire consisted of 16 items across four domains: physical and sensory aspects, ease and comfort of use, effectiveness and benefits, and general satisfaction. Validity was tested using Pearson Product-Moment correlation with a significance level of 5% (R table = 0.1946), while reliability was measured using Cronbach’s Alpha. The analysis results showed that 14 out of 16 questionnaire items had R calculated values greater than the R table and significance values less than 0.05, indicating that they were valid. Two items (numbers 14 and 15) were found to be invalid as they did not meet these criteria. The Cronbach’s Alpha value demonstrated a high level of internal consistency, indicating that the questionnaire had good reliability. The developed questionnaire is both valid and reliable for measuring perceptions of suture pad usage in clinical skill training. It can serve as an effective evaluation tool to support the development and refinement of simulation-based learning in nursing education.
References
Ahmed, I., & Ishtiaq, S. (2021). Reliability and validity: Importance in Medical Research. JPMA. The Journal of the Pakistan Medical Association, 71(10), 2401–2406. https://doi.org/10.47391/JPMA.06-861
Alves de Oliveira, M., Arcanjo, A., Castro, F., Fernandes, J. C. H., & Fernandes, G. V. O. (2024). Evaluating and Comparing the Tensile Strength and Clinical Behavior of Monofilament Polyamide and Multifilament Silk Sutures: A Systematic Review. Surgeries, 5(2), 350–366. https://doi.org/10.3390/surgeries5020029
Antonopoulos, I., Tzortzis, A.-S., Pechlivanidou, E., & Troupis, T. (2023). A Simplified Three-Layered Suturing Training Pad for Undergraduate Medical Students: A Technical Note. Cureus, 15(10), 1–5. https://doi.org/10.7759/cureus.47330
Baillie, S., Christopher, R., Catterall, A. J., Kruydenberg, A., Lawrenson, K., Wonham, K., Kilfeather, P., & Warman, S. (2020). Comparison of a silicon skin pad and a tea towel as models for learning a simple interrupted suture. Journal of Veterinary Medical Education, 47(4), 516–522. https://doi.org/10.3138/JVME.2018-0001
Byrne, M., & Aly, A. (2019). The surgical suture. Aesthetic Surgery Journal, 39, S67–S72. https://doi.org/10.1093/asj/sjz036
Chao, K., Elsensohn, A. N., Singh, G., & Jiang, S. I. B. (2022). Suture materials and techniques for optimal cutaneous wound cosmesis: A systematic review. Journal of the American Academy of Dermatology, 86(5), 1136–1137. https://doi.org/10.1016/j.jaad.2021.04.035
Dennis, C., Sethu, S., Nayak, S., Mohan, L., Morsi, Y., & Manivasagam, G. (2016). Suture materials - Current and emerging trends. Journal of Biomedical Materials Research - Part A, 104(6), 1544–1559. https://doi.org/10.1002/jbm.a.35683
Faris, A., Khalid, L., Hashim, M., Yaghi, S., Magde, T., Bouresly, W., Hamdoon, Z., Uthman, A. T., Marei, H., & Al-Rawi, N. (2022). Characteristics of suture materials used in oral surgery: systematic review. International Dental Journal, 72(3), 278–287. https://doi.org/10.1016/j.identj.2022.02.005
Gonzalez-Navarro, A. R., Quiroga-Garza, A., Acosta-Luna, A. S., Salinas-Alvarez, Y., Martinez-Garza, J. H., de la Garza-Castro, O., Gutierrez-de la O, J., de la Fuente-Villarreal, D., Elizondo-Omaña, R. E., & Guzman-Lopez, S. (2021). Comparison of suturing models: the effect on perception of basic surgical skills. BMC Medical Education, 21(1), 1–11. https://doi.org/10.1186/s12909-021-02692-x
Gusman, D. N. (2012). Suture materials and techniques. In Lower Extremity Soft Tissue & Cutaneous Plastic Surgery (pp. 77–100). Elsevier Health Sciences. https://doi.org/10.1016/B978-0-7020-3136-6.00009-6
Halim, F., Widysanto, A., Wahjoepramono, P. O. P., Candrawinata, V. S., Budihardja, A. S., Irawan, A., Sudirman, T., Christina, N., Koerniawan, H. S., Tobing, J. F. L., Sungono, V., Marlina, M., & Wahjoepramono, E. J. (2024). Objective Comparison of the First-Person–View Live Streaming Method Versus Face-to-Face Teaching Method in Improving Wound Suturing Skills for Skin Closure in Surgical Clerkship Students: Randomized Controlled Trial. JMIR Medical Education, 10. https://doi.org/10.2196/52631
Hilton, P., & Monaghan, J. M. (2018). Instruments, operative materials and basic surgical techniques. In Bonney’s Gynaecological Surgery (pp. 15–30). John Wiley & Sons. https://doi.org/10.1002/9781444325225.ch3
Kang, S. J., Choi, P. J., Chiang, Z. W., Labib, K., & Clements, N. (2019). Homemade Suture Pad Construction and Efficacy for Low- Cost Training. April 2018.
Karnia, R. (2024). Importance of Reliability and Validity in Research. Psychology and Behavioral Sciences, 13(6), 137–141. https://doi.org/10.13140/RG.2.2.30985.45921
Khantasa-ard, P. (2024). Polyurethane Leather as a Suture Training Model. Cureus, 16(10), 1–8. https://doi.org/10.7759/cureus.71182
Kunselman, A. R. (2024). A brief overview of pilot studies and their sample size justification. Fertility and Sterility, 121(6), 899–901. https://doi.org/https://doi.org/10.1016/j.fertnstert.2024.01.040
Kuzu, T. E. (2022). Comparison Tensil Stength Of Different Sutur Materials. Cumhuriyet Dental Journal, 24(4), 355–360. https://doi.org/10.7126/cumudj.978167
Li, Y., Meng, Q., Chen, S., Ling, P., Kuss, M. A., Duan, B., & Wu, S. (2023). Advances, challenges, and prospects for surgical suture materials. Acta Biomaterialia, 168, 78–112. https://doi.org/https://doi.org/10.1016/j.actbio.2023.07.041
Oberhaus, A. N., & McFadden, M. S. (2023). Prospective, randomized, double blind comparison of suture materials with and without triclosan in dogs undergoing tibial plateau leveling osteotomy. Canadian Veterinary Journal, 64(6), 565–570.
Ospanov, O. B. (2019). Surgical technique of laparoscopic mini-gastric bypass with obstructive stapleless pouch creation: A case series. International Journal of Surgery, 67, 70–75. https://doi.org/10.1016/j.ijsu.2019.05.011
Prasomsin, W., Prastowo, R. B., Okhawilai, M., Jubsilp, C., & Rimdusit, S. (2021). Development of a suture pad for medical training from silk fiber reinforced polydimethylsiloxane composite. Engineering Journal, 25(5), 71–79. https://doi.org/10.4186/ej.2021.25.5.71
Puth, M.-T., Neuhäuser, M., & Ruxton, G. D. (2014). Effective use of Pearson’s product–moment correlation coefficient. Animal Behaviour, 93, 183–189. https://doi.org/https://doi.org/10.1016/j.anbehav.2014.05.003
Rachmanio, N., Sagiran, & Panca Kurniasari, R. (2025). Efektifitas Home Assignment Menjahit Luka Teknik Matras Terhadap Kecepatan Menjahit Mahasiswa Kedokteran. Jurnal Inovasi Global, 3(2), 306–313. https://doi.org/10.58344/jig.v3i2.290
Rahman, A., & Muktadir, M. G. (2021). SPSS: An Imperative Quantitative Data Analysis Tool for Social Science Research. International Journal of Research and Innovation in Social Science, 05(10), 300–302. https://doi.org/10.47772/ijriss.2021.51012
Randhawa, R. K., Dubey, T., Pansuriya, I., Mishra, T., Tanwar, M., Kumar, A., & Singh, R. (2024). Assessment of the Mechanical Properties of Different Suture Materials for Oral Surgery: An In Vitro Tensile Strength Study. Cureus, 16(8). https://doi.org/10.7759/cureus.65952
Regula, C. G., & Yag-Howard, C. (2015). Suture products and techniques: What to use, where, and why. Dermatologic Surgery, 41(10), S187–S200. https://doi.org/10.1097/DSS.0000000000000492
Sulistiyowati, N., & Supratman, S. (2024). The relationship between nurse competence and patient satisfaction. Jurnal EduHealt, 15(1), 474–480. https://doi.org/10.54209/eduhealth.v15i01
Sumardi, S., Ismail, S., & Kaloeti, D. V. S. (2023). Nursing Technology Supporting Family Involvement in Critically Ill Patients : A Systematic Review. 8(1), 32–46.
Sumardi, S. N., & Must, A. (2025). The Implementation of Hand and Foot Massage Therapy for Hemodynamic Stability in Patients with Hemorrhagic Stroke: Case Study. Indonesian Contemporary Nursing Journal (ICON Journal), 10(1), 135–142.
Suwardianto, H., & Astuti, V. W. (2020). Competency In Critical Care Nursing With Approach Methods Journal Sharing of Critical Care (JSCC) In Nursing Profession Students. STRADA Jurnal Ilmiah Kesehatan, 9(2), 686–693. https://doi.org/10.30994/sjik.v9i2.361
Szabelski, J., & Karpiński, R. (2024). Short-Term Hydrolytic Degradation of Mechanical Properties of Absorbable Surgical Sutures: A Comparative Study. Journal of Functional Biomaterials, 15(9), 273. https://doi.org/10.3390/jfb15090273
Szarmach, R. R., Livingston, J., Rodeheaver, G. T., Thacker, J. G., & Edlich, R. (2017). A Review on the Innovative Surgical Suture and Needle Evaluation and Selection Program. Journal of Long Term Effects of Medical Implants, 27(2–4). https://doi.org/10.1615/JLongTermEffMedImplants.v27.i2-4.140
Taber, K. S. (2018). The Use of Cronbach’s Alpha When Developing and Reporting Research Instruments in Science Education. Research in Science Education, 48(6), 1273–1296. https://doi.org/10.1007/s11165-016-9602-2
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Indonesian Journal of Global Health Research

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.







