Adapting and validating the Hospital Survey on Patient Safety Culture (HSOPS) for nursing students (HSOPS-NS): A new measure of Patient Safety Climate

Javier Ortiz de Elguea; Aintzane Orkaizagirre-Gómara; Manuel Sánchez De Miguel; Fernando Urcola-Pardo; Concepción Germán-Bes; Izarne Lizaso-Elgarresta

doi:10.1016/j.nedt.2019.01.008

Adapting and validating the Hospital Survey on Patient Safety Culture (HSOPS) for nursing students (HSOPS-NS): A new measure of Patient Safety Climate

Nurse Educ Today. 2019 Apr:75:95-103. doi: 10.1016/j.nedt.2019.01.008. Epub 2019 Jan 27.

Authors

Javier Ortiz de Elguea¹, Aintzane Orkaizagirre-Gómara², Manuel Sánchez De Miguel³, Fernando Urcola-Pardo⁴, Concepción Germán-Bes⁴, Izarne Lizaso-Elgarresta⁵

Affiliations

¹ Faculty of Medicine and Nursing, University of the Basque Country UPV/EHU, San Sebastián, Gipuzkoa, Spain; Donostia University Hospital (Osakidetza, Basque Health Service), San Sebastián, Gipuzkoa, Spain. Electronic address: javier.ortizdeelguea@ehu.eus.
² Faculty of Medicine and Nursing, University of the Basque Country UPV/EHU, San Sebastián, Gipuzkoa, Spain. Electronic address: https://twitter.com/A_Orkaizagirre.
³ Faculty of Psychology, University of the Basque Country UPV/EHU, San Sebastián, Gipuzkoa, Spain; Biodonostia (Health Research Institute), San Sebastián, Gipuzkoa, Spain.
⁴ Faculty of Health Sciences, University of Zaragoza, Zaragoza, Spain.
⁵ Faculty of Medicine and Nursing, University of the Basque Country UPV/EHU, San Sebastián, Gipuzkoa, Spain; Faculty of Psychology, University of the Basque Country UPV/EHU, San Sebastián, Gipuzkoa, Spain.

PMID: 30738365
DOI: 10.1016/j.nedt.2019.01.008

Abstract

Background: Patient Safety Culture and Patient Safety Climate (PSC) are different factors. PSC is the shared perception that is held within a hospital's area or unit at a specific moment in time. This measure is necessary for designing activities for promoting and improving safety. It must include the perception of all the agents involved, including future nurses throughout their patient safety education.

Objectives: The aim was to adapt and validate a new version of the Hospital Survey on Patient Safety Culture (HSOPS), targeted specifically at nursing students. It provides a new comprehensive and more complete measure of PSC that contributes to improving patient safety.

Methods: Data were obtained from 654 undergraduate and postgraduate nursing students. PSC was tested using factor analyses and structural equation modeling. In order to facilitate the improvement of PSC, we examined differences in climate strength across different academic groups using the Rwg(j) and ICC measures of inter-rater agreement.

Results: Factor analyses confirmed a five-factor solution that explained between 52.45% and 54.75% of the variance. The model was found to have adequate fit χ² (5) = 14.333, p = .014; CFI = 0.99; RMSEA = 0.05. Cronbach's alphas for PSC were between 0.74 and 0.77. "Teamwork within units" was the highest rated dimension, and "Staffing" the lowest rated. Medium-to-high scores were obtained for PSC. The median of Rwg (j) was high in the five dimensions of the PSC survey, supporting the idea of shared climate perceptions (0.81-0.96) among undergraduate and postgraduate nursing students.

Conclusions: HSOPS-NS is a useful and versatile tool for measuring the level and strength of PSC. It screens knowledge regarding patient safety in clinical practice placements and compares nursing students' perceptions of the strength of PSC. Weaknesses perceived in relation to PSC help implement changes in patient safety learning.

Keywords: Confirmatory factor analysis; Nursing students; Patient Safety Climate; Patient safety; Validation.

MeSH terms

Adolescent
Adult
Female
Hospitals / standards
Humans
Male
Middle Aged
Patient Safety / standards*
Psychometrics / instrumentation
Psychometrics / methods
Psychometrics / standards*
Safety Management / methods*
Safety Management / standards
Spain
Students, Nursing / psychology*
Surveys and Questionnaires