José J Mira1, Isabel M Navarro2, Mercedes Guilabert1, Rodrigo Poblete3, Astolfo L Franco4, Pilar Jiménez5, Margarita Aquino6, Francisco J Fernández-Trujillo7, Susana Lorenzo8, Julián Vitaller9, Yohana Díaz de Valle10, Carlos Aibar11, Jesús M Aranaz12, José A De Pedro13. 1. Department of Health Psychology, Universidad Miguel Hernández de Elche, Elche, Spain, jose.mira@umh.es. 2. Department of Economic and Financial Studies, Universidad Miguel Hernández de Elche, Elche, Spain. 3. Department of Internal Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile. 4. Faculty of Public Health, Universidad del Valle, Cali, Colombia. 5. School of Law, Universidad de Salamanca, Salamanca, Spain. 6. Hospital de Ninos Benjamín Bloom, San Salvador, El Salvador. 7. Department of Human Anatomy and Embryology, Universidad de Cádiz, Cádiz, Spain. 8. Hospital Universitario Fundación Alcorcón, Madrid, Spain. 9. Department of Public Health, History of Sci-ence and Gynecology, Universidad Miguel Hernández de Elche, Elche, Spain. 10. Pan American Health Organization, Guatemala City, Guatemala. 11. Department of Public Health, Universidad de Zaragoza, Zaragoza, Spain. 12. Hospital Universitario Ramón y Cajal, Madrid, Spain. 13. Universidad de Salamanca, Salamanca, Spain.
Abstract
OBJECTIVE: To design and validate a questionnaire for assessing attitudes and knowledge about patient safety using a sample of medical and nursing students undergoing clinical training in Spain and four countries in Latin America. METHODS: In this cross-sectional study, a literature review was carried out and total of 786 medical and nursing students were surveyed at eight universities from five countries (Chile, Colombia, El Salvador, Guatemala, and Spain) to develop and refine a Spanish-language questionnaire on knowledge and attitudes about patient safety. The scope of the questionnaire was based on five dimensions (factors) presented in studies related to patient safety culture found in PubMed and Scopus. Based on the five factors, 25 reactive items were developed. Composite reliability indexes and Cronbach's alpha statistics were estimated for each factor, and confirmatory factor analysis was conducted to assess validity. After a pilot test, the questionnaire was refined using confirmatory models, maximum-likelihood estimation, and the variance-covariance matrix (as input). Multiple linear regression models were used to confirm external validity, considering variables related to patient safety culture as dependent variables and the five factors as independent variables. RESULTS: The final instrument was a structured five-point Likert self-administered survey (the "Latino Student Patient Safety Questionnaire") consisting of 21 items grouped into five factors. Compound reliability indexes (Cronbach's alpha statistic) calculated for the five factors were about 0.7 or higher. The results of the multiple linear regression analyses indicated good model fit (goodness-of-fit index: 0.9). Item-total correlations were higher than 0.3 in all cases. The convergent-discriminant validity was adequate. CONCLUSIONS: The questionnaire designed and validated in this study assesses nursing and medical students' attitudes and knowledge about patient safety. This instrument could be used to indirectly evaluate whether or not students in health disciplines are acquiring and thus likely to put into practice the professional skills currently considered most appropriate for patient safety.
OBJECTIVE: To design and validate a questionnaire for assessing attitudes and knowledge about patient safety using a sample of medical and nursing students undergoing clinical training in Spain and four countries in Latin America. METHODS: In this cross-sectional study, a literature review was carried out and total of 786 medical and nursing students were surveyed at eight universities from five countries (Chile, Colombia, El Salvador, Guatemala, and Spain) to develop and refine a Spanish-language questionnaire on knowledge and attitudes about patient safety. The scope of the questionnaire was based on five dimensions (factors) presented in studies related to patient safety culture found in PubMed and Scopus. Based on the five factors, 25 reactive items were developed. Composite reliability indexes and Cronbach's alpha statistics were estimated for each factor, and confirmatory factor analysis was conducted to assess validity. After a pilot test, the questionnaire was refined using confirmatory models, maximum-likelihood estimation, and the variance-covariance matrix (as input). Multiple linear regression models were used to confirm external validity, considering variables related to patient safety culture as dependent variables and the five factors as independent variables. RESULTS: The final instrument was a structured five-point Likert self-administered survey (the "Latino Student Patient Safety Questionnaire") consisting of 21 items grouped into five factors. Compound reliability indexes (Cronbach's alpha statistic) calculated for the five factors were about 0.7 or higher. The results of the multiple linear regression analyses indicated good model fit (goodness-of-fit index: 0.9). Item-total correlations were higher than 0.3 in all cases. The convergent-discriminant validity was adequate. CONCLUSIONS: The questionnaire designed and validated in this study assesses nursing and medical students' attitudes and knowledge about patient safety. This instrument could be used to indirectly evaluate whether or not students in health disciplines are acquiring and thus likely to put into practice the professional skills currently considered most appropriate for patient safety.
Authors: Nuria Cantero-López; Víctor M González-Chordá; María Jesús Valero-Chillerón; Desirée Mena-Tudela; Laura Andreu-Pejó; Rafael Vila-Candel; Águeda Cervera-Gasch Journal: Int J Environ Res Public Health Date: 2021-02-03 Impact factor: 3.390
Authors: Jose Andres Calvache; Edison Benavides; Sebastian Echeverry; Francisco Agredo; Robert Jan Stolker; Markus Klimek Journal: J Patient Saf Date: 2021-12-01 Impact factor: 2.243