衡量儿科长期护理中的患者安全文化。
Measuring patient safety culture in pediatric long-term care.
作者信息
Hessels Amanda J, Agarwal Mansi, Saiman Lisa, Larson Elaine L
机构信息
Columbia University, School of Nursing, New York, NY, USA.
Hackensack-Meridian Health, New York, NY, USA.
出版信息
J Pediatr Rehabil Med. 2017 May 17;10(2):81-87. doi: 10.3233/PRM-170432.
PURPOSE
The purpose of this study was to test the reliability, feasibility and utility of a modified patient safety survey for use in pediatric long term care (pLTC) settings and describe patient safety culture in a sample of providers from pLTC facilities.
METHODS
A survey was adapted from the Agency for Healthcare Research and Quality Nursing Home Survey on Patient Safety Culture (PSC-pLTC) and administered to a convenience sample of providers who work in pLTC during an educational workshop in November 2015.
RESULTS
Forty-nine respondents from 32 facilities across all 4 U.S. census regions completed the survey. The adapted survey demonstrated excellent face validity, usability, feasibility and internal consistency reliability (Cronbach alpha = 0.94). Highest ratings were given to overall perceptions of safety, feedback and incident communication, supervisors' expectations and actions and management support. Lower ratings were given to dimensions of teamwork, communication, handoffs and transitions, with the lowest ratings given to staffing and organizational learning. Ratings were associated with population and geographic region served.
CONCLUSION
This survey to measure patient safety culture adapted for pLTC demonstrated components of reliability and validity, was useable and group discussants were eager for such a measure.
目的
本研究旨在测试一种改良后的患者安全调查在儿科长期护理（pLTC）环境中的可靠性、可行性和实用性，并描述来自pLTC机构的一组提供者的患者安全文化。
方法
一项调查改编自医疗保健研究与质量局的疗养院患者安全文化调查（PSC - pLTC），并于2015年11月在一次教育研讨会上对在pLTC工作的提供者的便利样本进行了调查。
结果
来自美国所有4个人口普查区域的32个机构的49名受访者完成了调查。改编后的调查显示出出色的表面效度、可用性、可行性和内部一致性可靠性（克朗巴哈α系数 = 0.94）。对安全的总体认知、反馈与事件沟通、主管的期望与行动以及管理支持给予了最高评分。对团队合作、沟通、工作交接与过渡等维度的评分较低，对人员配备和组织学习的评分最低。评分与所服务的人群和地理区域相关。
结论
这项针对pLTC改编的用于衡量患者安全文化的调查显示出可靠性和有效性的要素，具有实用性，并且小组讨论者渴望有这样一种测量方法。
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