Measuring patient safety knowledge and competences as perceived by nursing students: An Italian validation study

Bressan, Valentina; Stevanin, Simone; Bulfone, Giampiera; Zanini, Antonietta; Dante, Angelo; Palese, Alvisa

doi:10.1016/j.nepr.2015.08.006

Cited by 29 publications

(39 citation statements)

References 23 publications

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“…There was no substantial analysis of how students disclosed the adverse events/patient safety incidents they encountered. Bressan et al (2016) summarised findings of what appears to be the same study, explaining how the questionnaire (H-PEPSS) translated into Italian, was validated. The sample size is quoted as 574 but 573 is cited in the Stevanin et al (2015) article.…”

Section: Patient Safety and Speaking Upmentioning

confidence: 99%

“Supporting nursing, midwifery and allied health professional students to raise concerns with the quality of care: A review of the research literature”

Milligan

Wareing

Preston‐Shoot

et al. 2017

Nurse Education Today

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Section: Patient Safety and Speaking Upmentioning

confidence: 99%

“Supporting nursing, midwifery and allied health professional students to raise concerns with the quality of care: A review of the research literature”

Milligan

Wareing

Preston‐Shoot

et al. 2017

Nurse Education Today

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“…Recent studies have measured the competencies of nursing students in patient safety (Bressan et al, 2016;Mansour, 2015;Stevanin et al, 2015;Stomski et al, 2018) Therefore, the objectives were to: 1) design a version of the HSOPS specifically adapted to nursing students (HSOPS-NS); and 2) obtain a more precise, complete and realistic measure of the theoretical construct PSC among nursing students, in order to improve patient safety.…”

Section: Introductionmentioning

confidence: 99%

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

Elguea

Gómara

Miguél

et al. 2019

Nurse Education Today

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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.

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“…Evaluating the confidence of nursing students with regards to their confidence in PS is vital if we are to improve their future knowledge and competence. However, when evaluating PS, most previous studies have focused only on culture, attitude and knowledge; very few have addressed competence (Bressan et al, 2016). Most of the measurement instruments that are currently available evaluate safety reporting in the clinical setting (Cooper, 2013) or PS knowledge and attitudes aimed at improving student learning outcomes in the classroom (Christiansen et al, 2010).…”

Section: Introductionmentioning

confidence: 99%

“…Most of the measurement instruments that are currently available evaluate safety reporting in the clinical setting (Cooper, 2013) or PS knowledge and attitudes aimed at improving student learning outcomes in the classroom (Christiansen et al, 2010). However, the psychometric analysis involved in most of these previous assessments was either exploratory or inadequate (Ginsburg et al, 2012; Bressan et al, 2016). In order to address this gap in knowledge, Ginsburg et al (2012) developed the health professional education in patient safety survey (H-PEPSS) which aimed to specifically assess PS competence across a wide range of health professional groups (Ginsburg et al, 2012), including students.…”

Section: Introductionmentioning

confidence: 99%

“…The H-PEPSS may be used to assess PS knowledge learned from the classroom and PS competence acquired directly from clinical settings. In particular, the H-PEPSS can be used to investigate the gaps between classroom knowledge and clinical competence (Bressan et al, 2016; Hwang et al, 2016). Thus, the H-PEPSS is suitable for use by students who have recently completed, or have almost completed, their training, such as final-year nursing students (Ginsburg et al, 2012).…”

Section: Introductionmentioning

confidence: 99%

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An Assessment of the Reliability and Factorial Validity of the Chinese Version of the Health Professional Education in Patient Safety Survey (H-PEPSS)

et al. 2019

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BackgroundA nursing student’s reflection on their knowledge and competence in patient safety (PS) may prepare them to provide safer care in certain circumstances. The Health Professional Education in PS Survey (H-PEPSS) is a validated tool for assessing the perceptions of nursing students with regards to competence in PS. The H-PEPSS is widely used internationally but is not available in Chinese.ObjectivesThis study aimed to translate the H-PEPSS into Chinese and test its psychometric properties among Chinese undergraduate nursing students.DesignThis was a cross-sectional online survey that was conducted in 2018.SettingsSeven nursing schools in North, East, Northeast, Central, Southwest, South, and Northwest China.ParticipantsA total of 732 final-year undergraduate nursing students were recruited by convenience sampling.MethodsTranslation was conducted rigorously in accordance with an adapted version of Brislin’s translation model. Psychometric evaluation was conducted by incorporating classical test theory and item response theory (IRT) analysis.ResultsThe Chinese version of the H-PEPSS (both the classroom and clinical practice versions) achieved a Cronbach’s α, marginal reliability and 2-week test-retest reliability of >0.85. A six-factor solution explaining 81.49% and 82.32% of the total variance was obtained for the classroom and clinical practice versions, respectively. This was further validated by confirmatory factor analysis. IRT analysis showed that the scale offers a broad range of information on PS competence and discriminates efficiently between patients with high and low levels of competence in PS.ConclusionThe Chinese version of the H-PEPSS is a reliable and valid instrument that is capable of evaluating competence in PS perceived by undergraduate nursing students. In addition, the survey may also be used to evaluate gaps in classroom knowledge and clinical competence, and to offer valid data for designing or tailoring new education strategies.

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Measuring patient safety knowledge and competences as perceived by nursing students: An Italian validation study

Cited by 29 publications

References 23 publications

“Supporting nursing, midwifery and allied health professional students to raise concerns with the quality of care: A review of the research literature”

“Supporting nursing, midwifery and allied health professional students to raise concerns with the quality of care: A review of the research literature”

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

An Assessment of the Reliability and Factorial Validity of the Chinese Version of the Health Professional Education in Patient Safety Survey (H-PEPSS)

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