Development and initial validation of the Influences on Patient Safety Behaviours Questionnaire
Development and initial validation of the Influences on Patient Safety Behaviours Questionnaire
复制标题
对患者安全行为影响问卷的制定和初步验证
作者：
N. Taylor;S. Parveen;V. Robins;B. Slater;R. Lawton
背景了解的因素，使它或多或少可能，医疗从业者（HCP）将执行某些病人的安全行为是重要的，在制定有效的干预策略。目前尚不存在确定HCP患者安全行为决定因素的问卷。本研究报告的发展和初步验证的影响患者安全行为问卷（IPSBQ）的基础上Theoretical Domains Framework. MethodsTwenty和33 HCP从三个急性国家卫生服务医院信托在英国完成了34项措施，侧重于一个特定的患者安全行为（使用pH值作为第一线的方法检查鼻胃管的位置）。结果最终问卷由11个因素和23个项目组成，经验证，其拟合度为：χ2（175）= 345.7，p < 0.001，CMIN/DF = 1.98，CMIN/DF = 1.95，P < 0.001。GFI = 0.90和RMSEA = 0.06，以及足够的判别效度水平，和内部一致性（r = 0.21至0.64）。ConclusionsA可靠和有效的理论支持措施的决定因素HCP患者的安全行为已经开发。该措施的标准有效性仍然是未知的，有必要进一步的工作，以确认该措施的其他患者安全行为的可靠性和有效性。
BackgroundUnderstanding the factors that make it more or less likely that healthcare practitioners (HCPs) will perform certain patient safety behaviors is important in developing effective intervention strategies. A questionnaire to identify determinants of HCP patient safety behaviors does not currently exist. This study reports the development and initial validation of the Influences on Patient Safety Behaviors Questionnaire (IPSBQ) based on the Theoretical Domains Framework.MethodsTwo hundred and thirty-three HCPs from three acute National Health Service Hospital Trusts in the United Kingdom completed the 34-item measure focusing on one specific patient safety behavior (using pH as the first line method for checking the position of a nasogastric tube). Confirmatory factor analysis (CFA) was undertaken to generate the model of best fit.ResultsThe final questionnaire consisted of 11 factors and 23 items, and CFA produced a reasonable fit: χ2 (175) = 345.7, p < 0.001; CMIN/DF = 1.98; GFI = 0.90 and RMSEA = 0.06, as well as adequate levels of discriminant validity, and internal consistency (r = 0.21 to 0.64).ConclusionsA reliable and valid theoretically underpinned measure of determinants of HCP patient safety behavior has been developed. The criterion validity of the measure is still unknown and further work is necessary to confirm the reliability and validity of this measure for other patient safety behaviors.