Abstract
BackgroundA nursing student’s reflection on their knowledge and competence in patient safety (PS) may prepare them to provide safer care in certain circumstances. The Health Professional Education in PS Survey (H-PEPSS) is a validated tool for assessing the perceptions of nursing students with regards to competence in PS. The H-PEPSS is widely used internationally but is not available in Chinese.ObjectivesThis study aimed to translate the H-PEPSS into Chinese and test its psychometric properties among Chinese undergraduate nursing students.DesignThis was a cross-sectional online survey that was conducted in 2018.SettingsSeven nursing schools in North, East, Northeast, Central, Southwest, South, and Northwest China.ParticipantsA total of 732 final-year undergraduate nursing students were recruited by convenience sampling.MethodsTranslation was conducted rigorously in accordance with an adapted version of Brislin’s translation model. Psychometric evaluation was conducted by incorporating classical test theory and item response theory (IRT) analysis.ResultsThe Chinese version of the H-PEPSS (both the classroom and clinical practice versions) achieved a Cronbach’s α, marginal reliability and 2-week test-retest reliability of >0.85. A six-factor solution explaining 81.49% and 82.32% of the total variance was obtained for the classroom and clinical practice versions, respectively. This was further validated by confirmatory factor analysis. IRT analysis showed that the scale offers a broad range of information on PS competence and discriminates efficiently between patients with high and low levels of competence in PS.ConclusionThe Chinese version of the H-PEPSS is a reliable and valid instrument that is capable of evaluating competence in PS perceived by undergraduate nursing students. In addition, the survey may also be used to evaluate gaps in classroom knowledge and clinical competence, and to offer valid data for designing or tailoring new education strategies.
Highlights
Patient safety (PS) is broadly defined as the prevention of unnecessary harm to patients and has become a serious and significant international public health issue (Usher et al, 2017)
The characteristics of item response theory (IRT) could potentially offset the pitfalls of classical test theory (CTT) by acquiring information relating to non-variant items, by analyzing latent items, by considering the standard errors of trait levels, and by analyzing rich items; collectively these analyses provide a much more robust evaluation (Hambleton et al, 1991)
These two subsamples were used for exploratory factor analysis (EFA) and confirmatory factor analysis (CFA), respectively
Summary
Patient safety (PS) is broadly defined as the prevention of unnecessary harm to patients and has become a serious and significant international public health issue (Usher et al, 2017). Up to 10% of hospitalized patients experience some form of unintentional harm or adverse event that could have been prevented (World Health Organization [WHO], 2009). In the Chinese context, as many as a quarter of hospital patient episodes of care involved at least one adverse event, with 40% being preventable; such events led to increased periods of hospitalization and even a risk of death (Zhu et al, 2013). The Health Professional Education in PS Survey (H-PEPSS) is a validated tool for assessing the perceptions of nursing students with regards to competence in PS. The H-PEPSS is widely used internationally but is not available in Chinese
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