Kwon Mi Young, Kim Nam Yi
Department of Nursing, Gimcheon University, Gimcheon 39528, Korea.
College of Nursing, Konyang University, Daejeon 35365, Korea.
Int J Environ Res Public Health. 2021 Nov 27;18(23):12514. doi: 10.3390/ijerph182312514.
The purpose of this study was to verify the validity and reliability of the Korean version of the ConCom Safety Management Scale (K-CCSMS). This study consisted of two phases. First, in accordance with the guidelines of the World Health Organization, the Korean version of the scale was developed in five stages. Second, data from 206 general and tertiary hospital nurses were analyzed to confirm the validity and reliability of the K-CCSMS; thus, the construct validity, criterion-related validity, and reliability were confirmed. In total, 21 items divided across four factors (i.e., stressing the importance of safety rules and monitoring, providing employees with feedback, showing role modeling behavior, and creating safety awareness) were identified through exploratory factor analysis. Three items were deleted through confirmatory factor analysis, and the model fit was as follows: normed χ = 2.80, normed fit index = 0.87, Tucker-Lewis index = 0.90, comparative fit index = 0.92, and standardized root mean square residual = 0.05. The correlation coefficient between the K-CCSMS and patient safety culture was 0.76 ( < 0.001), and internal consistency was acceptable (Cronbach's α = 0.95). For patient safety, an appropriate combination of control- and commitment-based management is required, and the 18-item K-CCSMS showed usefulness and reliability in determining such a balance and evaluating the leadership styles of Korean nursing managers.
本研究的目的是验证韩文版《ConCom安全管理量表》（K-CCSMS）的有效性和可靠性。本研究包括两个阶段。首先，按照世界卫生组织的指导方针，该量表的韩文版分五个阶段编制。其次，对来自206名综合医院和三级医院护士的数据进行分析，以确认K-CCSMS的有效性和可靠性；因此，证实了其结构效度、效标关联效度和信度。通过探索性因素分析，共确定了21个项目，分为四个因素（即强调安全规则的重要性和监督、向员工提供反馈、展示榜样行为以及树立安全意识）。通过验证性因素分析删除了三个项目，模型拟合情况如下：标准化χ=2.80，规范拟合指数=0.87，塔克-刘易斯指数=0.90，比较拟合指数=0.92，标准化均方根残差=0.05。K-CCSMS与患者安全文化之间的相关系数为0.76（<0.001），内部一致性可接受（克朗巴哈α系数=0.95）。对于患者安全，需要将基于控制和基于承诺的管理进行适当结合，18项的K-CCSMS在确定这种平衡以及评估韩国护理管理者的领导风格方面显示出实用性和可靠性。
