DOI QR코드

DOI QR Code

Development and Psychometric Evaluation of the Patient Safety Violation Scale in Medical Oncology Units in Iran

  • Shali, Mahboobeh (School of Nursing and Midwifery, Tehran University of Medical Sciences) ;
  • Ghaffari, Fatemeh (School of Nursing and Midwifery, Babol University of Medical Sciences) ;
  • Joolaee, Soodabeh (School of Nursing and Midwifery, Iran University of Medical Sciences) ;
  • Ebadi, Abbas (Behavioral Sciences Research Center (BSRC), Nursing Faculty, Baqiyatallah University of Medical Sciences)
  • 발행 : 2016.09.01

초록

Background: Patient safety is one of the key components of nursing care for cancer cases. Valid and reliable context-based instruments are necessary for accurate evaluation of patient safety in oncology units. The aim of the present study was to develop and evaluate the psychometric properties of the Patient Safety Violation Scale in medical oncology units in Iran. Materials and Methods: In this methodological study, a pool of 58 items was generated through reviewing the existing literature. The validity of the 58-item scale was assessed through calculating impact score, content validity ratio, and content validity index for its items as well as conducting exploratory factor analysis. The reliability of the scale was evaluated by assessing its internal consistency and testretest stability. Study sample consisted of 300 oncology nurses who were recruited from thirteen teaching hospitals affiliated to Tehran University of Medical Sciences, Tehran, Iran. Results: Sixteen items were excluded from the scale due to having low impact scores, content validity ratios, or content validity indices. In exploratory factor analysis, the remaining 42 items were loaded on five factors including patient fall, verification of patientidentity, harm during care delivery, delay in care delivery, and medication errors. These five factors explained 62% of the total variance. The Cronbach's alpha of the scale and the test-retest interclass correlation coefficient were equal to 0.933 and 0.92, respectively. Conclusions: The 42-item Patient Safety Violation Scale is a simple and short scale which has acceptable validity and reliability. Consequently, it can be used for assessing patient safety in clinical settings such as medical oncology units and for research projects.

키워드

참고문헌

  1. Aspden P, Corrigan J, Wolcott J (2004). Patient safety, achieving a new standard for care, washington, the national academies press.
  2. Backer L, Agostin V, Bogardus T (2007). prevention falls in hospitalized and instituionalized older people. Aging, 17, 321-2.
  3. Bakker D, Fitch M, Green E (2006). Oncology nursing: finding the balance in a changing health care system. Can Oncol Nurs J, 16, 79-87. https://doi.org/10.5737/1181912x1627987
  4. Bakker D, Strickland J, Macdonald C, et al (2013). The context of oncology nursing practice an integrative review. Cancer Nurs, 36, 72-88. https://doi.org/10.1097/NCC.0b013e31824afadf
  5. Bates D, Larizgoitia I, Prasopa Plaizier N, et al (2009). Research priority setting working group of the who world alliance for patient safety. Global priorities for patient safety research. BMJ, 338.
  6. Bottle A, Aylin P (2009). Application of AHRQ patient safety indicators to English hospital data. Qual Saf Health Care, 18, 303-8. https://doi.org/10.1136/qshc.2007.026096
  7. Brennan T, Leape L, Laird N, et al (2004). Incidence of adverse events and negligence in hospitalized patients: results of the harvard medical practice study I. Qual Saf Health Care, 13, 145-51. https://doi.org/10.1136/qshc.2002.003822
  8. Charalambous A, Papadopoulos I, Beadsmoore A (2009). Towards a theory of quality nursing care for patients with cancer through hermeneutic phenomenology. Eur J Oncol Nurs, 13, 350-360.
  9. Chera B S, Jackson M, Mazur L M, et al (2012). Improving quality of patient care by improving daily practice in radiation oncology. Seminars Radiation Oncol, 22, 77-85. https://doi.org/10.1016/j.semradonc.2011.09.002
  10. Cook D A, Beckman T J (2006). Current concepts in validity and reliability for psychometric instruments: Theory and application. Am J Med, 119, 1667-16. https://doi.org/10.1016/j.amjmed.2005.10.036
  11. Elfering A, Semmer N, Grebner S (2006). Work stress and patient safety: observer-rated work stressors as predictors of characteristics of safety-related events reported by young nurses. Ergonomics, 49, 457-69. https://doi.org/10.1080/00140130600568451
  12. Gliem J, Gliem R (2003). Calculating, interpreting, and reporting Cronbach's alpha reliability coefficient for likert-type scales2003, midwest research to practice conference in adult, continuing, and community education.
  13. Govender R, Schlebusch L (2012). Suicidal ideation in seropositive patients seen at a South African HIV voluntary counseling and testing clinic. Afr J Psych, 15, 94-98.
  14. Hinkin TR (1995). A review of scale development practices in the study of organizations. J Management, 21, 967-988.
  15. Hsu LL, Hsieh SI (2013). Development and psychometric evaluation of the competency inventory for nursing students: A learning outcome perspective. Nurse Education Today, 33, 492-7. https://doi.org/10.1016/j.nedt.2012.05.028
  16. IOM (2000). Institute of medicine: committee on quality of health care in america.to err is human: building a safer health system., Washington, D.C, National Academy Press.
  17. Jafarian A, Parsapour A, Hajtarkhani A, et al (2009). A review on cases of patients' complaints in Tehran branch of Iranian medical council. J Med Ethics Hist Med, 2, 67-73.
  18. Knapp T, Brown J (1995). “Ten measurement commandments that often broken”. Research Nurs Health, 18, 465-9. https://doi.org/10.1002/nur.4770180511
  19. Kullberga A, Larsenb J, Sharpa L (2013). Why is there another person's name on my infusion bag?' Patient safety in chemotherapy care - A review of the literature. Eur J Oncol Nurs, 17, 228-35. https://doi.org/10.1016/j.ejon.2012.07.005
  20. Kuzel A, Woolf S, Gilchrist V, et al (2004). Patient reports of preventable problems and harms in primary health care. Ann Fam Med, 2, 333-40. https://doi.org/10.1370/afm.220
  21. Lang TA, Valerie O, Romano PS, et al (2004) Nurse-patient ratios: a systematic review on the effects of nurse staffing on patient, nurse employee, and hospital outcomes. J Nurs Administrat, 34, 326-37. https://doi.org/10.1097/00005110-200407000-00005
  22. Lawshe C (1975). “A quantitative approach to content validity”. Personnel Psychol, 28, 563-75. https://doi.org/10.1111/j.1744-6570.1975.tb01393.x
  23. Mcloughlin V, Millar J, Mattke S, et al (2006). Selecting indicators for patient safety at the health system level in OECD countries. Int J Qual Health Care, 18, 14-20. https://doi.org/10.1093/intqhc/mzl030
  24. Moghaddasi H, Sheikhtaheri A, Hashemi N (2007). Reducing medication errors: roles of computerized physician order entry system. J Health Admin, 10, 57-67.
  25. Munro B (2005). Statistical methods for health care research., Philadelphia, Lippincott Williams & Wilkins.
  26. Peterson C, Crosby R, Wonderlich S, et al (2007). Psychometric properties of the eating disorder examination-questionnaire: Factor structure and internal consistency. Int J Eat Disord, 40, 386-9. https://doi.org/10.1002/eat.20373
  27. Polit DF, Beck CT (2006). The content validity index: are you sure you know what's being reported? Critique and recommendations. Res Nurs Health, 29, 489-97. https://doi.org/10.1002/nur.20147
  28. Rooyen DV, Roux LL, Kotze W (2008). The experiential world of the oncology nurse. Health SA Gesondheid, 13, 18-30. https://doi.org/10.4102/hsag.v13i3.283
  29. Runciman W, Hibbert P, Thomson R, et al (2009). Towards an international classification for patient safety: key concepts and terms. Int J Qual Health Care, 21, 18-26. https://doi.org/10.1093/intqhc/mzn057
  30. Rungtusanatham MJ (1998). Let's not overlook content validity''. Decision Line, July, 10-13.
  31. Rutebemrwa E, Kallander K, Tomson G, et al (2009). Determinants of delay in care-seeking for febrile children in eastern Uganda. Tropical Med Int Health, 14, 472-9. https://doi.org/10.1111/j.1365-3156.2009.02237.x
  32. Schwab DP (1980). Construct validity in organizational behavior. In B. M. Staw & L. L. Cummings (Eds.), Research in Organizational Behavior, Greenwich, CT, JAI Press.
  33. Stahel P, Sabel A, Victoroff M, et al (2010). Wrong-site and wrong-patient procedures in the universal protocol era: analysis of a prospective database of physician self-reported occurrences. Arch Surg, 145, 978-84. https://doi.org/10.1001/archsurg.2010.185
  34. Stetina P, Graves M, Pafford L (2005). managing medication errors . a qualitative study. Medsurg Nurse, 14, 174-8.
  35. Teng CI, Shyu Y L, Chiou WK, et al (2010). Interactive effects of nurse-experienced time pressure and burnout on patient safety: A cross-sectional survey. Int J Nursing Studies, 47, 1442-50. https://doi.org/10.1016/j.ijnurstu.2010.04.005
  36. Terwee C, Bot S, Boer MD, et al (2007). Quality criteria were proposed for measurement properties of health status questionnaires. J Clin Epidemiol, 60, 34-42. https://doi.org/10.1016/j.jclinepi.2006.03.012
  37. Thomas E, Studdert D, Burstin H, et al (2000). Incidence and types of adverse events and negligent care in Utah and Colorado. Med Care, 38, 261-71. https://doi.org/10.1097/00005650-200003000-00003
  38. WHO (2015). Patient safety [Online]. Available: http://www.euro.who.int/en/health-topics/Health-systems/patient-safety [Accessed 2015].