College of Nursing, Korea University, Seoul, South Korea.
Department of Pediatrics, Korea University College of Medicine, Seoul, South Korea.
J Child Health Care. 2021 Mar;25(1):146-160. doi: 10.1177/1367493520913768. Epub 2020 Mar 20.
This study aimed to develop an instrument to assess the perception of hospital safety among hospitalized children for preschool age children. An initial 30 items of the preliminary Hospital Safety Scale for Kids (HSS-Kids) were generated based on literature reviews and focus-group interviews. The 30 items were developed as different types of hospital-based incidents, situation scenarios, and pictorial animation cards for describing them. The evaluation process was conducted with a sample of 150 hospitalized children and their caregivers. Construct, convergent, and discriminant validities were tested by exploratory and confirmatory factor analyses. For criterion validity, concurrent validity was confirmed, and reliability was established through Cronbach's coefficients. The final 15 HSS-Kids hospital scenario picture cards were categorized into four subdomains, falls, general injuries, burns, and medical devices, which explained 62.92% of the total variance. The HSS-Kids demonstrated construct, convergent, discriminant, and concurrent validity, with Cronbach's s ranging from .649 to .792. The HSS-Kids is a promising instrument to screen children at high risk of incidents by capturing their perception on hospital safety.
本研究旨在开发一种工具，以评估学龄前儿童对住院环境安全性的感知。初步的《医院儿童安全量表》（HSS-Kids）由文献回顾和焦点小组访谈生成了最初的 30 个项目。这些项目被设计为不同类型的基于医院的事件、情境场景和描述它们的图画动画卡片。评估过程涉及了 150 名住院儿童及其照顾者的样本。通过探索性和验证性因子分析测试了结构、收敛和判别有效性。为了验证效标效度，同时也确认了同时效度，通过 Cronbach's 系数建立了可靠性。最终的 15 张 HSS-Kids 医院情景图画卡片被分为四个子领域，即跌倒、一般伤害、烧伤和医疗器械，解释了总方差的 62.92%。HSS-Kids 具有结构、收敛、判别和同时效度，Cronbach's s 系数范围在.649 到.792 之间。HSS-Kids 是一种有前途的工具，可以通过捕捉儿童对医院安全的感知来筛查有事件风险的儿童。
