Escola Superior de Enfermagem de Coimbra, Unidade de Investigação em Ciências da Saúde (UICISA: E), Coimbra, PT, Portugal.
Escola Superior de Saúde de Viseu - Instituto Politécnico de Viseu, Unidade de Investigação em Ciências da Saúde (UICISA: E/ESEnfC - ESSV/IPV), Viseu, PT, Portugal.
Rev Lat Am Enfermagem. 2023;31:e3837. doi: 10.1590/1518-8345.6231.3837.
to assess the psychometric characteristics of the Hospital Survey on Patient Safety Culture, to characterize the patient safety culture, and to assess the influence of the sociodemographic and professional variables on the safety culture dimensions.
a methodological, observational, analytical and cross-sectional study conducted with 360 nurses in which the Hospital Survey on Patient Safety Culture questionnaire was used. The data were submitted to descriptive and inferential analysis, as well as to feasibility and validity studies.
the nurses' mean age is 42 years old, their mean time of professional experience is 19 years, and they are mostly female. Good internal consistency was obtained (Cronbach's alpha: 0.83), as well as acceptable model fit quality indices. Teamwork within units, Supervisor expectations and Feedback and communication about errors were the dimensions that obtained scores above 60%. Non-punitive response to error, Frequency of events reported, Support for patient safety and Staffing presented scores below 40%. These dimensions are influenced by age, schooling level and professional experience.
the psychometric properties of the questionnaire certify its good quality. Teamwork can be considered as an enhancing factor for the safety culture. Assessing the safety culture allowed identifying problematic dimensions, thus enabling planning of future interventions.
评估医院患者安全文化调查的心理计量学特征，描述患者安全文化，并评估社会人口学和职业变量对安全文化维度的影响。
这是一项方法学、观察性、分析性和横断面研究，共纳入 360 名护士，使用医院患者安全文化调查问卷。对数据进行描述性和推断性分析，以及可行性和有效性研究。
护士的平均年龄为 42 岁，平均专业经验为 19 年，大多数为女性。获得了良好的内部一致性（Cronbach's alpha：0.83），以及可接受的模型拟合质量指数。单位内部的团队合作、主管期望、对错误的反馈和沟通是得分超过 60%的维度。非惩罚性对待错误、报告事件的频率、对患者安全的支持以及人员配备的得分低于 40%。这些维度受到年龄、教育水平和专业经验的影响。
问卷的心理计量学特性证明了其良好的质量。团队合作可以被视为安全文化的增强因素。评估安全文化可以确定有问题的维度，从而能够规划未来的干预措施。
