Journal of Korean Academy of Nursing (대한간호학회지)

Korean Society of Nursing Science (한국간호과학회)
권호 표지
DOI QR코드

DOI QR Code

Development and Validation of the Korean Patient Safety Culture Scale for Nursing Homes

한국형 노인요양시설 환자안전문화 측정도구 개발 및 평가

  • Yoon, Sook Hee (Department of Nursing, Institute of Health Science, Inje University) ;
  • Kim, Byungsoo (Department of Data Science, Institute of Statistical Information, Inje University) ;
  • Kim, Se Young (Department of Nursing, Mokpo National University)
  • 윤숙희 (인제대학교 간호학과.건강과학연구소) ;
  • 김병수 (인제대학교 데이터정보학과.통계정보연구소) ;
  • 김세영 (목포대학교 간호학과)
  • Received : 2012.11.11
  • Accepted : 2013.04.11
  • Published : 2013.06.30
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: The purpose of this study was to develop a tool to evaluate patient safety culture in nursing homes and to test its validity and reliability. Methods: A preliminary tool was developed through interviews with focus group, content validity tests, and a pilot study. A nationwide survey was conducted from February to April, 2011, using self-report questionnaires. Participants were 982 employees in nursing homes. Data were analyzed using Cronbach's alpha, item analysis, factor analysis, and multitrait/multi-Item analysis. Results: From the results of the analysis, 27 final items were selected from 49 items on the preliminary tool. Items with low correlation with total scale were excluded. The 4 factors sorted by factor analysis contributed 63.4% of the variance in the total scale. The factors were labeled as leadership, organizational system, working attitude, management practice. Cronbach's alpha for internal consistency was .95 and the range for the 4 factors was from .86 to .93. Conclusion: The results of this study indicate that the Korean Patient Safety Culture Scale has reliability and validity and is suitable for evaluation of patient safety culture in Korean nursing homes.

Keywords

References

  1. Accreditation Canada. (2010). Canadian health accreditation report. Retrieved January 31, 2010, from http://www.accreditation.ca/en/content.aspx?pageid=84&terms=2010+Canadian+health+Accreditation+report
  2. Agency for Healthcare Research and Quality. (2008). Nursing home surveys on patient safety culture. Retrieved May 9, 2012, from http://www.ahrq. gov/professionals/quality-patient-safety/patientsafetyculture/nursing-home/index.html
  3. Bonner, A. F., Castle, N. G., Perera, S., & Handler, S. M. (2008). Patient safety culture: A review of the nursing home literature and recommendations for practice. The Annals of Long-term Care, 16(3), 18-22.
  4. Castle, N. G. (2006). Nurse aides' ratings of the resident safety culture in nursing homes. International Journal for Quality in Health Care, 18(5), 370-376. http://dx.doi.org/10.1093/intqhc/mzl038
  5. Castle, N. G., & Sonon, K. E. (2006). A culture of patient safety in nursing homes. Quality & Safety in Health Care, 15(6), 405-408. http://dx.doi.org/10.1136/qshc.2006.018424
  6. Colla, J. B., Bracken, A. C., Kinney, L. M., & Weeks, W. B. (2005). Measuring patient safety climate: a review of surveys. Quality & Safety in Health Care, 14(5), 364-366. http://dx.doi.org/10.1136/qshc.2005.014217
  7. Committee on Quality of Health Care in America, & Institute of Medicine. (2001). Crossing the quality chasm: A new health system for the 21st century. Washington, DC: National Academy Press.
  8. Cooper, J. B. (2003). Developing a culture of safety. Biomedical Instrumentation and Technology, 37(3), 212-214.
  9. Feng, X., Bobay, K., & Weiss, M. (2008). Patient safety culture in nursing: A dimensional concept analysis. Journal of Advanced Nursing, 63(3), 310-319. http://dx.doi.org/10.1111/j.1365-2648.2008.04728.x
  10. Flin, R., & Yule, S. (2004). Leadership for safety: Industrial experience. Quality & Safety in Health Care, 13(Suppl 2), ii45-ii51. http://dx.doi.org/10.1136/qhc.13.suppl_2.ii45
  11. Handler, S. M., Castle, N. G., Studenski, S. A., Perera, S., Fridsma, D. B., Nace, D. A., et al. (2006). Patient safety culture assessment in the nursing home. Quality & Safety Health Care, 15(6), 400-404. http://dx.doi.org/10.1136/qshc.2006.018408
  12. Havens, D. S., & Aiken, L. H. (1999). Shaping systems to promote desired outcomes. The magnet hospital model. The Journal of Nursing Administration, 29(2), 14-20.
  13. Health and Safety Commission. (1993). Organizing for safety: Third report of the human factors study group of ACSNI. Sudbury, UK: HSE Books.
  14. Hughes, C. M., & Lapane, K. L. (2006). Nurses' and nursing assistants' perceptions of patient safety culture in nursing homes. International Journal for Quality in Health Care, 18(4), 281-286. http://dx.doi.org/10.1093/intqhc/mzl020
  15. Jeong, J., Seo, Y. J., & Nam, E. W. (2006). Factors affecting patient safety management activities at nursing divisions of two university hospitals. Korean Journal of Hospital Management, 11(1), 91-109.
  16. Jeong, K. H. (2002). The status of caregiving for frail older persons and family caregiving burden. Health and Welfare Policy Forum, 66, 17-31.
  17. Kim, J. E., Kang, M. A., An, K. E., & Sung, Y. H. (2007). A survey of nurses perception of patient safety related to hospital culture and reports of medical errors. Journal of Korean Clinical Nursing Research, 13(3), 169-179.
  18. Kim, J. S., & Oh, H. Y. (2006). Perceptions and attitude on use of physical restraints among caregivers in long term care facilities. Journal of the Korean Gerontological Society, 26(2), 347-360.
  19. Kim, M. (2010). The effectiveness of error reporting promoting strategy on nurse's attitude, patient safety culture, intention to report and reporting rate. Journal of the Korean Academy of Nursing, 40(2), 172-181. http://dx.doi.org/10.4040/jkan.2010.40.2.172
  20. Kim, M. C., Cho, H., Sunwoo, S., Kim, S. W., & Cho, H. J. (1999). Prevalence and associated factors of fall among the elderly in nursing home. Journal of the Korean Geriatrics Society, 3(4), 29-38.
  21. Krumberger, J. M. (2001). Building a culture of safety. Registered Nurses, 64(1), 32ac32-32ac33.
  22. National Health Insurance. (2013). Long-term care facilities. Retrieved March 18, 2013, from http://www.longtermcare.or.kr/portal/site/nydev/MENUITEM_ORGSEARCH/
  23. Nieva, V. F., & Sorra, J. (2003). Safety culture assessment: A tool for improving patient safety in healthcare organizations. Quality & Safety in Health Care, 12(Suppl 2), ii17-ii23.
  24. Sexton, J. B., Helmreich, R. L., Neilands, T. B., Rowan, K., Vella, K., Boyden, J., et al. (2006). The safety attitudes questionnaire: Psychometric properties, benchmarking data, and emerging research. BioMed Central Health Services Research, 6, 44. http://dx.doi.org/10.1186/1472-6963-6-44
  25. Tabachnick, B. G., & Fidell, L. S. (2006). Using multivariate statistics. Needham Heights, MA: Allyn & Bacon, Inc.
  26. Ware, J. E., Jr., & Gandek, B. (1998). Methods for testing data quality, scaling assumptions, and reliability: The IQOLA project approach. International quality of life assessment. Journal of Clinical Epidemiology, 51(11), 945-952. https://doi.org/10.1016/S0895-4356(98)00085-7
  27. Ware, J. E., Snow, K. K., Kosinski, M., & Gandek, B. (1993). SF-36 health survey: Manual and institute. Boston, MA: The Health Institute, New England Medical Center.
  28. Wisniewski, A. M., Erdley, W. S., Singh, R., Servoss, T. J., Naughton, B. J., & Singh, G. (2007). Assessment of safety attitudes in a skilled nursing facility. Geriatric Nursing, 28(2), 126-136. http://dx.doi.org/10.1016/j.gerinurse.2007.01.001
  29. Yoon, S. H., & Wu, X. (2013). Content analysis of patient safety culture in nursing homes. Journal of Korean Academy of Nursing Administration, 19(1), 118-127. http://dx.doi.org/10.11111/jkana.2013.19.1.118

Cited by

  1. 한국 노인요양시설 실무종사자들이 인식하는 환자안전문화와 환자안전도 vol.20, pp.3, 2013, https://doi.org/10.11111/jkana.2014.20.3.247
  2. A realist analysis of hospital patient safety in Wales: applied learning for alternative contexts from a multisite case study vol.3, pp.40, 2013, https://doi.org/10.3310/hsdr03400
  3. 융복합의 장기요양시설 간호사의 환자안전문화인식과 안전통제감이 안전관리활동에 미치는 영향 vol.13, pp.9, 2013, https://doi.org/10.14400/jdc.2015.13.9.303
  4. 상급종합병원종사자의 병원안전문화 인식과 안전활동 vol.22, pp.2, 2013, https://doi.org/10.5977/jkasne.2016.22.2.191
  5. 일 권역응급의료센터를 방문하는 요양병원 환자들의 특성 및 사망 위험요인 vol.27, pp.4, 2013, https://doi.org/10.12799/jkachn.2016.27.4.327
  6. Development and Validation of the Patient Safety Perception Scale for hospitalized Patients vol.30, pp.4, 2018, https://doi.org/10.7475/kjan.2018.30.4.404
  7. 간호사의 사건보고와 안전분위기 인지에 대한 융합연구 vol.9, pp.4, 2013, https://doi.org/10.15207/jkcs.2018.9.4.443
  8. 한·일 노인복지시설 종사자의 업무저해요인과 안전문화인식 비교 vol.20, pp.2, 2013, https://doi.org/10.5762/kais.2019.20.2.498
  9. 한·일 노인복지시설 종사자의 업무저해요인과 안전문화인식 비교 vol.20, pp.2, 2013, https://doi.org/10.5762/kais.2019.20.2.498
  10. 요양병원 간호사의 공감만족 관련요인-환자안전문화 중심으로 vol.33, pp.3, 2013, https://doi.org/10.5932/jkphn.2019.33.3.379
  11. 상급종합병원 환자와 간호사의 안전 인식 비교와 간호사의 환자안전관리 직무수행 영향요인 vol.6, pp.1, 2020, https://doi.org/10.17703/jcct.2020.6.1.69
  12. 농촌 지역사회 노인의 재난·안전 실천행위 측정도구 개발 vol.15, pp.1, 2013, https://doi.org/10.22715/jkarhn.2020.15.1.1
  13. Clinical Nurses' Safety Management Experiences with Older Patients vol.22, pp.2, 2013, https://doi.org/10.17079/jkgn.2020.22.2.105
  14. Why Do They Stay? Intention to Stay among Registered Nurses in Nursing Homes vol.17, pp.22, 2013, https://doi.org/10.3390/ijerph17228485
  15. 중국동포 간병인의 환자안전문화인식 및 환자안전지식이 환자안전 활동에 미치는 영향 vol.9, pp.1, 2013, https://doi.org/10.22961/jhcls.2021.9.1.129