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Psychometric Evaluation of the Korean Version of Hospital Survey on Patient Safety Culture

Authors
 Seung Eun Lee  ;  Farinaz Havaei  ;  Oscar Lorenzo Olvera Astivia  ;  Jeong Ae Shin 
Citation
 JOURNAL OF PATIENT SAFETY, Vol.18(1) : 26-32, 2022-01 
Journal Title
JOURNAL OF PATIENT SAFETY
ISSN
 1549-8417 
Issue Date
2022-01
MeSH
Hospitals ; Humans ; Language* ; Organizational Culture* ; Patient Safety ; Psychometrics ; Reproducibility of Results ; Safety Management ; Surveys and Questionnaires
Abstract
Objectives: This study evaluated the psychometric properties of the Korean-language version of the Hospital Survey on Patient Safety Culture (HSOPSC) among Korean nurses.

Methods: We analyzed secondary data from 801 direct care nurses working at a tertiary, private, nonprofit, teaching hospital in South Korea. Descriptive statistics, internal consistency coefficients, and intercorrelations were calculated. The latent factor structure of the HSOPSC was examined using exploratory structural equation modeling techniques, which account for the noncontinuous nature of ordinal data.

Results: Although a majority of subscales showed acceptable to good internal consistency, 4 dimensions (staffing, overall perceptions of patient safety, organizational learning-continuous improvement, and nonpunitive response to errors) had reliability levels less than 0.6. The HSOPSC items loaded somewhat diffusely on 3 subscales: staffing, teamwork across units, and organizational learning-continuous improvement. Correlations between the 12 HSOPSC factors indicated discriminant validity. Convergent validity was supported by correlations between the 12 subscales and a single-item outcome variable, namely, patient safety grade. Several items did not load well on their respective subscales, but most items fit the underlying theoretical model implied by the HSOPSC, resulting in an acceptable model fit (confirmatory fit index = 0.985, root mean square error of approximation = 0.034, weighted root mean square residual = 0.54).

Conclusions: Despite the acceptable model fit of the Korean version of HSOPSC, the psychometric properties of this instrument require further investigation to ensure it is an effective tool to measure patient safety culture and identify areas for improvement in the Korean health care system.
Full Text
https://journals.lww.com/journalpatientsafety/Fulltext/2022/01000/Psychometric_Evaluation_of_the_Korean_Version_of.4.aspx
DOI
10.1097/PTS.0000000000000792
Appears in Collections:
3. College of Nursing (간호대학) > Dept. of Nursing (간호학과) > 1. Journal Papers
Yonsei Authors
Lee, Seung Eun(이승은) ORCID logo https://orcid.org/0000-0002-4173-3337
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/188340
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