Development and preliminary evaluation of patient perceptions on safety culture in a hospital setting scale
https://doi.org/10.47895/amp.vi0.7822
- Author:
Kathlyn Sharmaine Valdez
1
;
Paul Froilan Garma
2
;
Andrew Sumpay
3
;
Mickaela Gamboa
4
;
Ma. Stefanie Reyes
1
;
Ma. Carmela Gatchalian
5
;
Erwin Mendoza
6
;
Anna Alexis Forteza
4
Author Information
1. Department of Pay Patient Services, Philippine General Hospital, University of the Philippines Manila
2. Division of Nursing Research and Development, Philippine General Hospital, University of the Philippines Manila
3. Department of Neurosciences, Philippine General Hospital, University of the Philippines Manila
4. Department of Pediatrics, Philippine General Hospital, University of the Philippines Manila
5. Operating Room Complex, Philippine General Hospital, University of the Philippines Manila
6. Cancer Institute, Philippine General Hospital, University of the Philippines Manila
- Publication Type:Journal Article
- Keywords:
Surveys and questionnaire
- MeSH:
Patient Safety;
Patient Participation
- From:
Acta Medica Philippina
2024;58(8):101-107
- CountryPhilippines
- Language:English
-
Abstract:
Objectives:Majority of the existing patient safety culture tools are designed for healthcare workers. Despite the claims that this patient safety tools are patient-centered, limited attention was given to the patients’ perspectives and cultural considerations in the development. Local studies are not available in extant literature that capture patient perspectives on being safe during hospitalization. The goal of the study was to develop and provide preliminary psychometric analysis on a tool that measures patients’ perception of safety culture in a hospital setting.
Methods:The study was a quantitative methodological study. The instrument was developed in three phases, conceptualization and item generation through literature review, clinical observation, and focus group discussion, two rounds of expert panel review, and pilot testing. The tool was tested on 122 eligible patients admitted in a tertiary hospital. Factor analysis of the items was done to determine the underlying factor under each item. Cronbach’s alpha was used to test the degree of internal consistency of the scale.
Results:The Patient Perceptions on Safety Culture in Hospital Setting Scale consists of 25 items. The analysis yielded four factors explaining a total of 69.23% of the variance in the data. Items were grouped in four dimensions: Hospital workforce (4 items), Hospital Environment (5 items), Heath Management and Care Delivery (7 items), and Information Exchange (9 items). Each factor registered a Cronbach’s alpha of 0.81, 0.78, 0.91, 0.94, respectively. The overall Cronbach’s alpha of the scale is 0.95.
Conclusion:The study offers preliminary evidence on the psychometric properties of a newly developed tool that measures patient perceptions on hospital safety culture. Subsequent studies on larger samples need to be conducted to determine the reliability and validity of the tool when applied to different population and contexts as well as determining valid cut-off points in scoring and interpretation.
- Full text:2024060718465155677822-Article Text-114385-2-10-20240515 (1).pdf
