Faculty of Health and Social Sciences, Western Norway University of Applied Sciences, Bergen, Norway
Department of Anaesthesia and Intensive Care, Haukeland University Hospital, Bergen, Norway.
BMJ Open Qual. 2022 Apr;11(2). doi: 10.1136/bmjoq-2021-001751.
Patient safety competencies in nursing are essential for the quality of healthcare. To develop practices and collaboration in nursing care, valid instruments that measure competencies in patient safety are needed.
To identify instruments that measure the patient safety competencies of nurses.
A scoping review.
The Cochran Library, Epistemonikos, Eric, Ovid Medline, CINAHL, Embase and Web of Science databases were searched for articles reporting on instruments measuring patient safety competence in nursing. The search was limited to English peer-reviewed scientific papers published from January 2010 to April 2021.
A blinded selection of articles fulfilling the inclusion criteria was performed by two researchers based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews. Data were then extracted, synthesised and presented in tables and text.
Our search identified 1,426 papers, of which 32 met the inclusion criteria. The selected papers described nine instruments, of which the '' was the most used instrument. The identified instruments comprised domains for patient safety skills, attitudes, knowledge, communication, teamwork and errors. The instruments had been tested for content (face) and construct validity as well as for reliability. However, sensitivity and responsiveness were rarely assessed.
Over the last decade, there has been a growing body of instruments aimed at measuring patient safety competencies among nurses. The future development of new instruments should consider including the important dimension of ethics in patient safety as well as evaluating the instrument's responsiveness to be able to track changes over time.
护理人员的患者安全能力对于医疗保健质量至关重要。为了在护理工作中发展实践和协作，需要有衡量患者安全能力的有效工具。
确定衡量护士患者安全能力的工具。
范围综述。
Cochrane 图书馆、Epistemonikos、Eric、Ovid Medline、CINAHL、Embase 和 Web of Science 数据库，检索报告护理人员患者安全能力衡量工具的文章。检索范围限于 2010 年 1 月至 2021 年 4 月发表的英文同行评审科学论文。
两名研究人员根据系统评价和荟萃分析扩展的首选报告项目对符合纳入标准的文章进行了盲选。然后提取、综合数据，并以表格和文字形式呈现。
我们的搜索共确定了 1426 篇论文，其中 32 篇符合纳入标准。所选论文描述了 9 种工具，其中使用最多的工具是“”。确定的工具包括患者安全技能、态度、知识、沟通、团队合作和错误等领域。这些工具已经过内容（表面）和结构有效性以及可靠性的测试。然而，很少评估敏感性和响应性。
在过去十年中，已经有越来越多的工具旨在衡量护士的患者安全能力。未来新工具的开发应考虑将患者安全方面的重要伦理维度纳入其中，并评估工具的响应能力，以便能够跟踪随时间的变化。
