Abstract

Healthcare carried out by different health professionals, including nurses, implies the possible appearance of adverse events that affect the safety of the patient and may cause damage to the patient. In clinical practice, it is necessary to have measurement instruments that allow for the evaluation of the presence of these types of events in order to prevent them. This study aims to validate the “Eventos adversos associados às práticas de enfermagem” (EAAPE) scale in Spanish and evaluate its reliability. The validation was carried out through a cross-sectional study with a sample of 337 nursing students from the University of Valencia recruited during the 2018–19 academic year. An exploratory factor analysis was carried out using principal components and varimax rotation. The factor analysis extracted two factors that explained 32.10% of the total variance. Factor 1 explains 22.19% and refers to the “adverse results” of clinical practice (29 items), and factor 2 explains 9.62% and refers to “preventive practices” (24 items). Both factors presented high reliability (Cronbach’s alpha 0.902 and 0.905, respectively). The Spanish version of the EAAPE is valid and reliable for measuring the perception of adverse events associated with nursing practice and the presence of prevention measures.

Highlights

  • Nursing Department, Facultat d’Infermeria i Podologia, Universitat de València, 46010 València, Spain; Nursing Care and Education Research Group (GRIECE), GIUV2019-456, Nursing Department, Grupo Investigación en Cuidados (INCLIVA), Hospital Clínico Universitario de Valencia, 46010 València, Spain

  • The original language of this scale is Portuguese, so it was necessary before this pilot study among nursing students to carry out a linguistic validation that included the processes of direct translation, back-translation, and revision by a multidisciplinary committee of both versions to guarantee the maximum intercultural equivalence

  • These students take the Practicum III and Practicum IV subjects during the first and second semesters of the academic year in different services of the public hospitals that have an agreement with the Faculty of Nursing of the University of Valencia

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Summary

Introduction

Nursing Department, Facultat d’Infermeria i Podologia, Universitat de València, 46010 València, Spain; Nursing Care and Education Research Group (GRIECE), GIUV2019-456, Nursing Department, Grupo Investigación en Cuidados (INCLIVA), Hospital Clínico Universitario de Valencia, 46010 València, Spain. This study aims to validate the “Eventos adversos associados às práticas de enfermagem” (EAAPE) scale in Spanish and evaluate its reliability. The validation was carried out through a cross-sectional study with a sample of 337 nursing students from the University of Valencia recruited during the 2018–19 academic year. Both factors presented high reliability (Cronbach’s alpha 0.902 and 0.905, respectively). The Spanish version of the EAAPE is valid and reliable for measuring the perception of adverse events associated with nursing practice and the presence of prevention measures. The presence of adverse events (AE) associated with healthcare (as with most human actions) is proven. 20th century that research studies showed the high prevalence of safety problems that make clear the need to promote policies, programs, and strategies to improve patient safety [1,3]

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