Browse > Article
http://dx.doi.org/10.4040/jkan.2013.43.3.379

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

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)
Publication Information
Journal of Korean Academy of Nursing / v.43, no.3, 2013 , pp. 379-388 More about this Journal
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
Patient safety; Culture; Nursing homes; Leadership;
Citations & Related Records
Times Cited By KSCI : 2  (Citation Analysis)
연도 인용수 순위
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   DOI   ScienceOn
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   DOI   ScienceOn
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   DOI   ScienceOn
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   DOI   ScienceOn
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   DOI   ScienceOn
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   DOI   ScienceOn
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, 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.
19 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.
20 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   DOI   ScienceOn
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.   DOI   ScienceOn
27 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   DOI
28 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.
29 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   DOI   ScienceOn