Parent perceptions of NICU safety culture: Parent-Centered Safety Culture Tool

描述(由申请人提供)：虽然患者和家属是护理的中心，对他们所看到的围绕其医疗保健发生的事情有重要的看法，但组织不会常规地从患者/家人那里收集此类观点。我们两个阶段的研究的目标是了解NICU婴儿的父母如何提供对NICU环境中患者安全问题的见解，特别是侧重于安全文化。我们将使用探索性的顺序两阶段混合方法来解决这一差距。第一阶段采用定性的方法，探索父母在NICU安全方面的经验和观点。这些发现将有助于开发一种调查工具，即以父母为中心的安全文化工具(PCSCT)，该工具基于第二阶段目标人群的经验。对于每个阶段，我们都有一个具体的目标：目标1：确定父母如何概念化：(1)NICU中患者安全、沟通和团队合作等文化的不同方面，(1a)他们作为患者安全倡导者的角色，以及(1b)他们与照顾者在促进NICU内患者安全努力方面的关系。目的2：编制一份调查问卷并进行心理测量，以测量NICU家长对安全文化的看法。通过实现我们的第一个目标，我们将了解父母理解文化的哪些方面，以及他们可以提供哪些有价值的信息。实现我们的第二个目标将使我们能够为我们将创建的调查的可靠性、内容有效性和结构有效性提供证据。我们的目标需要实现，因为调查必须有证据证明这些类型的可靠性和有效性，以便未来的调查使用者对从调查中收集的数据的质量有信心。一旦完成，我们的研究将提供以下有价值的信息：(1)父母对安全的理解；(2)他们愿意在NICU中扮演什么角色，以改善患者安全文化；以及(3)父母对NICU安全文化的看法。我们的研究团队在衡量总体和NICU的安全文化、创建新的调查以衡量组织文化的其他方面以及让患者了解他们对医疗保健和患者安全的看法方面拥有丰富的专业知识。我们提出的项目是研究人员共同利益的自然汇合，并建立在我们现有的合作研究议程上。

DESCRIPTION (provided by applicant): While patients and families are at the center of care and have important perspectives about what they see occurring surrounding their healthcare, organizations do not routinely collect such perspectives from patients/families. The goal of our two phase study is to learn how parents of NICU infants can provide insight about patient safety issues in the NICU environment, specifically focused on safety culture. We will use an exploratory sequential two-phased mixed methods approach to address this gap. Phase I incorporates a qualitative approach exploring the experience and perspectives of parents about safety aspects in the NICU. These findings will inform the development of a survey instrument, Parent-Centered Safety Culture Tool (PCSCT), grounded in the experiences of the target population to be developed in phase 2. For each phase, we have one specific aim, which are: Aim 1: To determine how parents conceptualize: (1) various aspects of culture, such as patient safety, communication and teamwork, in the NICU, (1a) their role as patient safety advocates, and (1b) their relationship with caregivers in contributing to patient safety efforts within the NICU. Aim 2: To develop and psychometrically test a survey to measure parent perceptions of safety culture in the NICU. By achieving our first aim, we will understand which aspects of culture parents understand and about which they can provide valuable information. Achieving our second aim will allow us to provide evidence for the reliability, content validity, and construt validity of the survey we will create. Our aims need to be met because surveys must have evidence for these types of reliability and validity in order for future survey users to have confidence in the quality of data collected from them. Once completed, our study will provide valuable information about: (1) what parents understand about safety, (2) what roles they are willing to assume as partners in the NICU to improve the culture of patient safety, and (3) parental perceptions of the safety culture of a NICU. Our research team has substantial expertise in measuring safety culture in general and in the NICU, creating new surveys to measure additional aspects of organizational culture, and engaging patients in understanding their perspectives about healthcare and patient safety. The project we propose is a natural confluence of the mutual interests among the investigators and builds on our existing collaborative research agenda.