开发和初步评估患者对医院安全文化的看法在医院设置规模
Kathlyn Sharmaine Valdez1, Paul Froilan Garma2, Andrew Sumpay3
1Department of Pay Patient Services, Philippine General Hospital, University of the Philippines Manila.
Acta medica Philippina
|May 30, 2024
概括
这项研究开发了一个新的工具来衡量患者对医院安全文化的看法,解决了以患者为中心的安全评估中的差距. 该尺度表现出初步的心理测量特性,用于评估患者在医疗机构的安全体验.
科学领域:
- 医疗保健管理的管理
- 患者安全研究 患者安全研究
- 心理测量 心理测量 心理测量
背景情况:
- 现有的患者安全文化工具主要针对医疗保健工作者,忽视了关键的患者观点.
- 医院环境中以患者为中心的安全感知和文化考虑存在有限的研究.
- 需要验证的仪器来捕捉患者在住院期间对其安全性的看法.
研究的目的:
- 开发一种新的工具来衡量患者在医院环境中对安全文化的看法.
- 对新开发的患者安全感知工具进行初步心理测量分析.
- 为评估医院安全文化提供以患者为中心的工具.
主要方法:
- 在仪器开发和测试中采用了定量方法的方法.
- 该工具是通过文献审查,临床观察,焦点小组讨论,专家小组审查和试点测试开发的.
- 一个由122名住院患者组成的样本参与了试点测试,数据使用因子分析和Cronbach的alpha进行分析,以确定可靠性.
主要成果:
- 开发的"医院设置尺度中的安全文化患者感知"包括四个维度的25个项目:医院工作人员,医院环境,健康管理和护理提供以及信息交换.
- 因子分析揭示了四个基本因素,解释了69.23%的差异.
- 这个尺度表现出很高的内部一致性,Cronbach的总体alpha为0.95,个别的alpha因子范围从0.78到0.94.
结论:
- 这项研究提供了初步证据,证明了一种新工具的心理测量特性,该工具评估了患者对医院安全文化的看法.
- 建议对更大,多样化的样本进行进一步的研究,以确定该工具在不同人群和环境中的可靠性和有效性.
- 未来的研究还应着重于确定有效的切断点,以评分和解释患者安全文化工具.
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