Abstract
BackgroundThe aim of this study was to develop a scale to measure patient safety care activities for clinical nurses and to verify validity and reliability it.MethodsLiterature review and expert consultation were utilized to develop the scale of the Patient Safety Care Activities. The validity and reliability analyses were conducted with 428 nurses working at 5 general hospitals. Exploratory factor analysis of the scale was performed, and convergent and discriminant validity as well as internal consistency reliability were determined.ResultsEight subcategories (security, patient identification, operation (invasive procedure), medication, blood transfusion, management of infection, management of falls & sores, management of firefighting) with 44 items were validated to measure patient safety care activities. Convergent and discriminant validity indicated the applicability of the eight-factor Patient Safety Care Activities scale. The reliability of the Patient Safety Care Activities Scale was acceptable, with Cronbach’s a = .88 ~ .95.ConclusionThe developed scale showed content, construct validity, and reliability, as well as convergent validity for each item and discriminant validity between the factors. This makes it suitable for use in a diverse range of future studies on patient safety care activity.
Highlights
The aim of this study was to develop a scale to measure patient safety care activities for clinical nurses and to verify validity and reliability it
Step 1: preliminary item composition To compose the items for the scale, key concepts and components of safety care activities were examined based on the healthcare organization accreditation criteria in Korea and literature review
A standardized patient safety-related nursing activities were identified via a literature review, and the preliminary items for safety care activities were written based on the experiences of healthcare organization accreditation evaluation and current experiences with safety care activities through a focus group interview with 7 clinical nurses who are in charge of patient safety in a general hospital
Summary
The aim of this study was to develop a scale to measure patient safety care activities for clinical nurses and to verify validity and reliability it. Hospital safety incidents refer to all types of errors, mistakes, and accidents that occur in a hospital regardless of the harm caused on the patient [1]. Aging of population, increased prevalence of chronic diseases, advances in medical technology, and establishment of a national health insurance system improved people’s access to healthcare services, and as a result, unexpected safety incidents are bound to occur. The Institute of Medicine report that proposed patient safety incidents as a major culprit deteriorating the quality of healthcare service [4] sparked much interest in healthcare service errors in the field of medicine. There have been more effort to institutionalize patient safety, such as increased
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