A psychometric evaluation of the Chinese version of the nursing home survey on patient safety culture

Lin, Shu‐Yuan; Tseng, Wei‐Ting; Hsu, Mei‐Yu; Chiang, Hui‐Ying; Tseng, Hsu‐Min

doi:10.1111/jocn.13815

Cited by 11 publications

(33 citation statements)

References 20 publications

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“…The advantage of our model resides in the fact that i) the number of factors is sufficient to claim precision in the structure of the model, ii) our model was constructed from a fairly large database ( n = 2020 questionnaires and 61 EHPAD facilities). This database was considerably larger than that found in studies in other countries ( n = 466 questionnaires from 12 establishments in Norway [24], n = 367 questionnaires and 9 establishments in Switzerland [25] and n = 306 questionnaires from 30 establishments in China [27]). Our methodology was exactly the same as that used by Lin et al, but their smaller sample size did not enable them to achieve a model as refined as ours.…”

Section: Discussionmentioning

confidence: 97%

“…The first step consisting in the translation and transcultural adaptation culminated in the elaboration of the French version of the NHSOPS, which maintains the original 42 items. The adaptation of the questionnaire in other countries had produced versions comprising 42 [25, 27] or 43 items [24] (one extra item in the “Handoffs” domain).…”

Section: Discussionmentioning

confidence: 99%

“…Explained variance was 58.1% for the Swiss study, while this result was not presented in the Norwegian study. For China, Lin et al presented a final model comprising 4 dimensions and 29 items [27]. The explained variance reached 52.8%.…”

Section: Discussionmentioning

confidence: 99%

“…Many countries (Switzerland, Spain, Norway, Belgium, Germany and China) have translated, adapted and experimented on this questionnaire in the setting of their nursing homes [22–27]. The study of its psychometric properties has already been the basis of two European publications [25, 26], and one Asian publication [27].…”

Section: Introductionmentioning

confidence: 99%

“…The authors considered that this measure could be recommended as a useful tool to assess staff perceptions of patient safety issues in Norwegian nursing homes. Finally, a four-dimension structure was suggested after completing a principal axis dimension analysis for the Chinese version [27]. The researchers suggested caution in interpreting these findings, and considered that the stability of these item compositions should be tested in different Chinese populations in future studies.…”

Section: Introductionmentioning

confidence: 99%

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Transcultural adaptation and psychometric study of the French version of the nursing home survey on patient safety culture questionnaire

Teigné

Mabileau

Anthoine

et al. 2019

BMC Health Serv Res

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Background The Nursing Home Survey on Patient Safety Culture (NHSOPS) questionnaire was developed by the Agency for Healthcare Research and Quality (AHRQ), particularly as an intervention to raise staff awareness about patient safety issues. The main objective of the present study was to provide a validated French-language measure of the safety culture (SC) in nursing homes. Thus the aim was i) to carry out a transcultural adaptation into French of the NHSOPS questionnaire, ii) to assess its psychometric properties in a sample of professionals working in French EHPAD facilities and iii) to develop our own tool. Methods The study was carried out on volunteering professionals from 61 nursing homes (from January to March 2016). Two phases were conducted: an initial phase involving the translation and cultural adaptation of the questionnaire, and a second phase in which the psychometric properties of the questionnaire were assessed. A Structural Equation Model (SEM) with a maximum likelihood estimation method was used to evaluate the construct validity of the questionnaire. As the fit of the structure was not sufficient, an exploratory factor analysis using a principal axis factoring with an oblique rotation was then performed. Internal consistency was evaluated and we examined test-retest reliability using Intra-class Correlation Coefficients (ICC). Results During the initial phase, all items were retained and minor adjustments were made. The participation rate by professionals was 58.4%. The exploratory analysis led to the identification of seven dimensions: Teamwork, Staffing, Compliance with procedures, Handoffs, Feedback and communication about incidents, Supervisor expectations and actions promoting resident safety, Overall perceptions of resident safety and Organizational learning. The SEM confirmed the existence of the seven latent dimensions (CFI = 0.946; TLI = 0.933; SRMR = 0.059; RMSEA = 0.061); internal consistency was acceptable. ICC per item ranged from 0.19 to 0.88. Conclusions The results from this study were robust on seven dimensions. This French version is the first on Patient SC to have been applied to the medical-social sector caring for dependent elderly people in France. The NHSOPS questionnaire provides the opportunity to broach this subject. A national evaluation campaign should provide the opportunity to confirm or improve this measure. Trial registration NCT02908373 (September 21, 2016) «Retrospectively registered». Electronic supplementary material The online version of this article (10.1186/s12913-019-4333-5) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Transcultural adaptation and psychometric study of the French version of the nursing home survey on patient safety culture questionnaire

Teigné

Mabileau

Anthoine

et al. 2019

BMC Health Serv Res

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Assessing Resident Safety Culture in Six Nursing Homes in Belgium

et al. 2018

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Objectives: The primary aim was to measure resident safety culture in six nursing homes in northern Belgium (Flanders). In addition, differences in safety culture perceptions between professions were also examined. Finally, results of the present study were compared with the Nursing Home Comparative Database from the Agency for Healthcare Research and Quality (USA).Methods: A cross-sectional study was conducted by administering the Nursing Home Survey on Patient Safety Culture in six nursing homes in Belgium (Flanders). Each nursing home has 92 to 170 licensed nursing home beds. Data collection occurred between December 2016 and January 2017.Results: Highest mean scores were found for "feedback and communication about incidents" (mean [SD] = 4.20 [0.58]), "overall perceptions of resident safety" (mean [SD] = 4.07 [0.52]), and "supervisor expectations and actions promoting resident safety" (mean [SD] = 4.04 [0.70]). The lowest mean score was found for "staffing" (mean [SD] = 2.99 [0.61]). In addition, managers/supervisors scored significantly higher on all resident safety dimensions, with the exception of the dimensions "teamwork" and "supervisor expectations and actions promoting resident safety." Finally, the present study scored higher on the dimensions "teamwork," "nonpunitive response to mistakes," "handoffs," "feedback and communication about incidents," and "communication openness" than the benchmarking data from the Nursing Home Comparative Database.Conclusions: More work is necessary to improve the safety of resident care in nursing homes, especially regarding staffing issues and turnover rates. The present research findings serve to shine a light on an oftenoverlooked patient population and emphasize the need to develop improvement strategies for preventing resident safety incidents in nursing homes.

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Nursing Home Survey on Patient Safety Culture: Cross-cultural Validation Data From Spanish Nursing Homes

Vrotsou¹,

Pérez-Pérez

Alías

et al. 2020

J Patient Saf

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Objectives: Developing an adequate patient safety culture is a relevant objective for all health care levels. The Nursing Home Survey on Patient Safety Culture (NHSOPS) is a 12-dimension tool assessing safety culture in nursing homes (NH) for elder people. The psychometric properties of its Spanish adaptation are evaluated in this study.Methods: Nursing homes with 15 beds or more, located in the Basque Country (North Spain), were invited in the study. All staff types were allowed to participate. Internal consistency was tested with Cronbach's α. Convergent and divergent validity with Spearman's correlations. Two-sample t test was used for known-groups validity. The NHSOPS dimensionality was tested with confirmatory factor analysis (CFA), and its stability in consecutive administrations (test-retest) was explored.Results: Five hundred fifty-three valid baseline and 83 retest replies were received. The data suggest that the NHSOPS can be represented by a 10-factor model. Two items (A6 and A10) had loadings of less than 0.12. The rest survey items obtained loadings of greater than 0.40. Estimated correlations supported the convergent and divergent validity of the survey. Managers and administrators, as well as staff considering their NH to be a safe place for residents, obtained higher NHSOPS scores, suggesting acceptable known-groups validity. On the other hand, test-retest variation was considerable. Conclusions:The current data support a simpler model, similar to that of the Norwegian NHSOPS validation. The stability of the scale should be further assessed in a bigger sample. Test-retest reliability and developing an adequate scoring scheme are issues worth of further study.

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A psychometric evaluation of the Chinese version of the nursing home survey on patient safety culture

Cited by 11 publications

References 20 publications

Transcultural adaptation and psychometric study of the French version of the nursing home survey on patient safety culture questionnaire

Transcultural adaptation and psychometric study of the French version of the nursing home survey on patient safety culture questionnaire

Assessing Resident Safety Culture in Six Nursing Homes in Belgium

Nursing Home Survey on Patient Safety Culture: Cross-cultural Validation Data From Spanish Nursing Homes

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