Adapting and validating the Hospital Survey on Patient Safety Culture (HSOPS) for nursing students (HSOPS-NS): A new measure of Patient Safety Climate

Abstract

Background: Patient Safety Culture and Patient Safety Climate (PSC) are different factors. PSC is the shared perception that is held within a hospital's area or unit at a specific moment in time. This measure is necessary for designing activities for promoting and improving safety. It must include the perception of all the agents involved, including future nurses throughout their patient safety education. Objectives: The aim was to adapt and validate a new version of the Hospital Survey on Patient Safety Culture (HSOPS), targeted specifically at nursing students. It provides a new comprehensive and more complete measure of PSC that contributes to improving patient safety. Methods: Data were obtained from 654 undergraduate and postgraduate nursing students. PSC was tested using factor analyses and structural equation modeling. In order to facilitate the improvement of PSC, we examined differences in climate strength across different academic groups using the Rwg(j) and ICC measures of interrater agreement. Results: Factor Analyses confirmed a five-factor solution that explained between 52.45% and 54.75% of the variance. The model was found to have adequate fit χ 2 (5) = 14.333, p = 0.014 ; CFI = 0.99 ; RMSEA = 0.05. Cronbach's alphas for PSC were between 0.74 and 0.77. "Teamwork within units" was the highest rated dimension, and "Staffing" the lowest rated. Medium-to-high scores were obtained for PSC. The median of Rwg (j) was high in the five dimensions of the PSC survey, supporting the idea of shared climate perceptions (0.81-0.96) among undergraduate and postgraduate nursing students. Conclusions: HSOPS-NS is a useful and versatile tool for measuring the level and strength of PSC. It screens knowledge regarding patient safety in clinical practice placements and compares nursing students' perceptions of the strength of PSC. Weaknesses perceived in relation to PSC help implement changes in patient safety learning.

Nursing Students’ Perception of Patient Safety Culture During the Covid-19 Pandemic – Results of a Pilot Study

“…Patient safety is a fundamental aspect leading to the depreciation of adverse events in healthcare systems. Interest in the issue is exponentially growing worldwide, mainly because it is a global problem that directly impacts patient care quality (1,2). The overall concept of patient safety emerges from the Institute of Medicine (IOM) definition, referring to the "prevention of patient harm" (3).…”

Validation of the attitudes to patient safety questionnaire for nursing students in the Spanish context

“…The questionnaire is similar to the one in this study, composed of 21 items and 5 dimensions, and had good psychometric properties. Recently, Ortiz de Elguea et al [ 41 ] adapted and validated the Hospital Survey on Patient Safety (HSOPS) questionnaire [ 42 ] using a sample of 654 Spanish nursing students; however, this questionnaire aims to measure the safety culture and not competencies about patient safety. The existence of these questionnaires provides an opportunity to progress in the search for a valid and reliable instrument that will allow evaluating the patient safety competencies of nursing students in Spain and Latin America.…”

A cross-sectional study of patient safety culture in acute-care hospitals in Greece

“…It is important to mention that most European studies examining the psychometric properties of the HSOPSC questionnaire, resulted in reliable and valid models with fewer than the 12 dimensions of the original US HSOPSC structure. 5,7,8,28–32 Therefore, it is common for the original US HSOPSC 12-scales model to be adapted in order to incorporate each country’s relevant patient safety cultural aspects. Similarly to other studies, our results showed that the ‘Non-Punitive Response to Error’ scale (Scale 7) had a weak internal consistency.…”

“…3–5 To achieve this, several scientific instruments have been developed and evaluated, such as the Hospital Survey on Patient Safety Culture (HSOPSC). 5–8 In Greece, the recent economic recession and the dramatic Gross Domestic Product drop have led to reduced healthcare expenditure, shortages in healthcare professionals and medical supplies, immense patients’ shift towards public healthcare structures, thus jeopardizing the provision of quality care. In fact, 20% of Greeks claim to have experienced a medical error while using healthcare services.…”