International guidelines recommend the use of Pressure Injury risk assessment tools. According to these guidelines, a systematic approach to assessing risk for PI development is essential. Although several tools have been developed, no single clinical pathway is considered superior. Instead, a comprehensive evaluation of risk factors, combined with visual skin assessment, is recommended. The aim of this study was to evaluate the applicability of the EVARUCI Scale in a Turkish intensive care unit setting by performing cross-cultural adaptation and linguistic validation, and to examine its validity and reliability through psychometric testing.

A scoping review examining pressure injury risk assessment tools in critically ill patients across eight databases reported that the Risk Assessment Scale for Pressure Ulcers in Intensive Care demonstrated superior performance indicators, while the CALCULATE scale was highlighted as a recent, appropriate, simple, and user-friendly instrument, although both still require further refinement. In a study by Guerrero-Toapanta et al., EVARUCI was found to be a suitable tool for assessing PI risk in ICU patients, with the optimal assessment time identified as 48 hours after admission. The aim of this study was to evaluate the applicability of the EVARUCI Scale in a Turkish intensive care unit setting by performing cross-cultural adaptation and linguistic validation, and to examine its validity and reliability through psychometric testing.

Inclusion Criteria:

• Patients who are 18 years or older
• without a pressure injury at the time of ICU admission
• expected to stay in the ICU for at least 72 hours who consent to participate in the study (or whose family members consent) included in the study.

Exclusion Criteria:

• Patients or their family members who did not consent to participate
• Patients who transferred to another hospital during their ICU stay, excluded from the study.

Intensive care unit patient