Hospital Survey on Patient Safety Culture: psychometric evaluation in Kuwaiti public healthcare settings
Hospital Survey on Patient Safety Culture: psychometric evaluation in Kuwaiti public healthcare settings
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DOI：
10.1136/bmjopen-2018-028666
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发表时间：
2019-05-01
期刊：
影响因子：
2.9
通讯作者：
Morrison, Jill
中科院分区：
文献类型：
--
作者：
Al Salem, Gheed;Bowie, Paul;Morrison, Jill
目的随着医疗机构努力提高其服务的质量和安全性，人们越来越认识到建立安全文化以促进患者安全和改善患者护理结果的重要性。科威特公立医院没有在知情的情况下进行安全文化/气候调查，也没有有效或可靠的调查工具。本研究旨在探讨医院病人安全文化调查(HSOPSC)工具在科威特公立医院的心理测量学特性，并构建评估该环境下安全氛围水平的最佳模型。设计横断面研究。在科威特设置三所公立医院。受试者约1317名医护人员。主要结果测量采用HSOPSC的改编和情境化版本进行心理测量评估，包括探索性因素分析、验证性因素分析、信度和相关性分析。结果收回1317份问卷(87%)。心理测评，给出了8个因素22个安全气候项的最优模型。所有条目都有很强的因素负荷(0.42-0.86)，并且在理论上是相关的。可靠性分析显示了令人满意的结果(a>；0.60)。结论这是第一次在科威特医疗保健环境中对标准化的安全气候措施进行验证研究。建立了一个评估患者安全氛围的最佳模型，该模型反映了其他国际研究，并可用于衡量普遍存在的安全氛围。在国际上推广使用其他医疗保健文化和背景之前，应该更加重视安全氛围问卷的心理测量保真度。
Objective As healthcare organisations endeavour to improve the quality and safety of their services, there is increasing recognition of the importance of building a culture of safety to promote patient safety and improve the outcomes of patient care. Surveys of safety culture/climate have not knowingly been conducted in Kuwait public hospitals, nor are valid or reliable survey instruments available for this context. This study aims to investigate the psychometric properties of the HSOPSC (Hospital Survey on Patient Safety Culture) tool in Kuwaiti public hospitals in addition to constructing an optimal model to assess the level of safety climate in this setting.Design Cross-sectional study.Setting Three public hospitals in Kuwait.Participants About 1317 healthcare professionals.Main outcome measure An adapted and contextualised version of HSOPSC was used to conduct psychometric evaluation including exploratory factor analysis, confirmatory factor analysis reliability and correlation analysis.Results 1317 questionnaires (87%) were returned. Psychometric evaluation, showed an optimal model of eight factors and 22 safety climate items. All items have strong factor loadings (0.42-0.86) and are theoretically related. Reliability analysis showed satisfactory results (a >0.60).Conclusions This is the first validation study of a standardised safety climate measure in a Kuwaiti healthcare setting. An optimal model for assessing patient safety climate was produced that mirrors other international studies and which can be used for measuring the prevailing safety climate. More importance should be attached to the psychometric fidelity of safety climate questionnaires before extending their use in other healthcare culture and contexts internationally.