Garzón González G, Parra Ramírez L M
Unidad de Calidad y Seguridad del Paciente, Gerencia Asistencial de Atención Primaria, Servicio Madrileño de Salud, Madrid, España.
Unidad de Calidad y Seguridad del Paciente, Gerencia Asistencial de Atención Primaria, Servicio Madrileño de Salud, Madrid, España.
J Healthc Qual Res. 2023 Nov-Dec;38(6):354-365. doi: 10.1016/j.jhqr.2023.09.004. Epub 2023 Oct 25.
To validate a reduced and applicable to distinct location version of the only validated questionnaire of patient safety culture in managers in Spanish language.
Questionnaire validation study. Community of Madrid 2022. Reduction/adaptation of the original questionnaire: Giménez-Aibar-Gutiérrez, 2013 Questionnaire was reduced from 85 items to 25; those local or not applicable were removed. Pre-test: Semi-structured survey on comprehension and response scale. There was no need to modify the questionnaire.
It was tested in 39 primary care managers without care activity. Internal consistency (α Cronbach), content validity (experts) and construct validity (factor analysis) were analysed. Usability analysis: Survey on time spent and non-response rate.
α Cronbach=0.894. Content validity: Experts deemed questionnaire was complete. Factor analysis: five factors explain 68% of variance. The factors corresponded to the dimensions of the theoretical construct. Factors, internal consistency of each and correlation with global score were: commitment with patient safety: α Cronbach=0.793, r=0.778; P<.001; procedures/reporting: α Cronbach=0.83, r=0.806; P<.001; attitudes with patient safety: α Cronbach=0.766, r=0.596; P<.001; clinicians involving: α Cronbach=0.773, r=0.798; P<.001; patient safety communication: α Cronbach=0.615, r=0.518; P=.001; usability survey: 95% thought spent time was adequate. Non-response rate was 0%, except one item.
In this work, a reduced and adapted version of questionnaire of Giménez-Aibar-Gutiérrez was validated at distinct location (Madrid region). Psychometric properties and usability, which were found, suggest that the reduced questionnaire is a reliable, valid and usable instrument to assess patient safety culture in managers of any place.
验证一份经过简化且适用于不同地点的西班牙语版患者安全文化调查问卷，该问卷是唯一经过验证的针对管理人员的问卷。
问卷验证研究。马德里自治区，2022年。对原始问卷进行简化/改编：希门尼斯 - 艾瓦尔 - 古铁雷斯，2013年。问卷从85项减少到25项；删除了那些具有局限性或不适用的项目。预测试：关于理解和回答量表的半结构化调查。无需修改问卷。
在39名无护理活动的基层医疗管理人员中进行测试。分析内部一致性（克朗巴赫α系数）、内容效度（专家评估）和结构效度（因子分析）。可用性分析：关于完成时间和无回答率的调查。
克朗巴赫α系数 = 0.894。内容效度：专家认为问卷完整。因子分析：五个因子解释了68%的方差。这些因子与理论结构的维度相对应。各因子、每个因子的内部一致性以及与总体得分的相关性分别为：对患者安全的承诺：克朗巴赫α系数 = 0.793，r = 0.778；P <.001；程序/报告：克朗巴赫α系数 = 0.83，r = 0.806；P <.001；对患者安全的态度：克朗巴赫α系数 = 0.766，r = 0.596；P <.001；临床医生参与度：克朗巴赫α系数 = 0.773，r = 0.798；P <.001；患者安全沟通：克朗巴赫α系数 = 0.615，r = 0.518；P =.001；可用性调查：95%的人认为完成时间足够。除一项外，无回答率为0%。
在本研究中，希门尼斯 - 艾瓦尔 - 古铁雷斯问卷的简化改编版在不同地点（马德里地区）得到验证。所发现的心理测量特性和可用性表明，简化后的问卷是评估任何地方管理人员患者安全文化的可靠、有效且可用的工具。
