Psychometric properties of the full and short version Nursing Home Survey on Patient Safety Culture (NHSOPSC) instrument: a cross-sectional study assessing patient safety culture in Norwegian homecare services
Journal article, Peer reviewed
Published version
Permanent lenke
https://hdl.handle.net/11250/2998523Utgivelsesdato
2022Metadata
Vis full innførselSamlinger
Originalversjon
Viksveen, P., Røhne, M., Grut, L., Cappelen, K., Wiig, S. & Ree, E. (2022). Psychometric properties of the full and short version Nursing Home Survey on Patient Safety Culture (NHSOPSC) instrument: a cross-sectional study assessing patient safety culture in Norwegian homecare services. BMJ Open, 12(4), Artikkel e052293. https://doi.org/10.1136/bmjopen-2021-052293Sammendrag
Objectives: Measure patient safety culture in homecare services; test the psychometric properties of the Nursing Home Survey on Patient Safety Culture (NHSOPSC) instrument; and propose a short-version Homecare Services Survey on Patient Safety Culture instrument for use in homecare services.
Design: Cross-sectional survey with psychometric testing.
Setting: Twenty-seven publicly funded homecare units in eight municipalities (six counties) in Norway.
Participants: Five-hundred and forty health personnel working in homecare services.
Interventions: Not applicable.
Primary and secondary outcome measures: Primary: Patient safety culture assessed using the NHSOPSC instrument. Secondary: Overall perception of service users’ safety, service safety and overall care.
Methods: Psychometric testing of the NHSOPSC instrument using factor analysis and optimal test assembly with generalised partial credit model to develop a short-version instrument proposal.
Results: Most healthcare personnel rated patient safety culture in homecare services positively. A 19-item short-version instrument for assessing patient safety culture had high internal consistency, and was considered to have sufficient concurrent and convergent validity. It explained a greater proportion of variance (59%) than the full version (50%). Short-version factors included safety improvement actions, teamwork, information flow and management support.
Conclusion: This study provides a first proposal for a short-version Homecare Services Survey on Patient Safety Culture instrument to assess patient safety culture within homecare services. It needs further improvement, but provides a starting point for developing an improved valid and reliable short-version instrument as part of assessment of patient safety and quality improvement processes.