Kaveh Omolhoda, Sharif-Nia Hamid, Hosseini Zeinab, Kaur Harpaljit, Shafipour Vida
Department of Nursing, Sari Faculty of Nursing and Midwifery, Mazandaran University of Medical Sciences, Sari, Iran.
Psychosomatic Research Center, Mazandaran University of Medical Sciences, Sari, Iran.
BMC Med Educ. 2024 Dec 5;24(1):1419. doi: 10.1186/s12909-024-06318-w.
The topic of patient safety and attitudes toward patient safety among health professionals is a main priority of healthcare systems globally. This study aims to investigate the psychometric properties of APSQ-III among Iranian nursing students.
There were 307 undergraduate nursing students who participated in the cross-sectional methodological study, from December 2022 to January 2023. Content validity, Construct validity and reliability of the APSQ-III was evaluated.
In the exploratory factor analysis, three factors were identified from 11 items, accounting for 58% of the total variance. The confirmatory factor analysis indices confirmed the model fit (χ(38) = 91.851, p < 0.001, χ/df = 2.417, CFI = 0.966, PNFI = 0.652, IFI = 0.966, TLI = 0.951 and RMSEA = 0.068). The results of the reliability evaluation indicated that the factors demonstrated a satisfactory level of internal consistency, as evidenced by Cronbach's alpha (α) and McDonald's omega (ω) values. Additionally, the Composite Reliability (CR) and Maximal Reliability H were both above 0.8, further supporting the reliability of the factors.
The results of this study support the valid and reliable APSQ-III with 11 items and three factors. This questionnaire can be used to assess patient safety attitude among nursing students.
患者安全以及卫生专业人员对患者安全的态度这一话题是全球医疗系统的主要优先事项。本研究旨在调查伊朗护理专业学生中APSQ-III的心理测量特性。
2022年12月至2023年1月，307名本科护理专业学生参与了这项横断面方法研究。对APSQ-III的内容效度、结构效度和信度进行了评估。
在探索性因素分析中，从11个项目中识别出三个因素，占总方差的58%。验证性因素分析指标证实了模型拟合度（χ(38) = 91.851，p < 0.001，χ/df = 2.417，CFI = 0.966，PNFI = 0.652，IFI = 0.966，TLI = 0.951，RMSEA = 0.068）。信度评估结果表明，这些因素表现出令人满意的内部一致性水平，克朗巴哈α系数（α）和麦克唐纳ω系数（ω）值证明了这一点。此外，组合信度（CR）和最大信度H均高于0.8，进一步支持了这些因素的信度。
本研究结果支持具有11个项目和三个因素的有效且可靠的APSQ-III。该问卷可用于评估护理专业学生对患者安全的态度。
