Sook Hee Yoon; Byungsoo Kim; Se Young Kim

doi:10.4040/jkan.2013.43.3.379

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Original Article
Development and Validation of the Korean Patient Safety Culture Scale for Nursing Homes: Sook Hee Yoon, Byungsoo Kim, Se Young Kim; Journal of Korean Academy of Nursing 2013;43(3):379-388.
DOI: https://doi.org/10.4040/jkan.2013.43.3.379
Published online: June 28, 2013

¹Department of Nursing, Institute of Health Science, Inje University, Busan, Korea.

²Department of Data Science, Institute of Statistical Information, Inje University, Gimhae, Korea.

³Department of Nursing, Mokpo National University, Muan-gun, Korea.

Address reprint requests to: Kim, Se Young. Department of Nursing, Mokpo National University, 1666 Yeongsan-ro, Cheonggye-myeon, Muan-gun 534-729, Korea. Tel: +82-42-259-1718, Fax: +82-42-259-1709, sarakimk@eulji.ac.kr

• Received: November 11, 2012 • Accepted: April 11, 2013

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Abstract
NOTES
REFERENCES

Abstract

Purpose
The purpose of this study was to develop a tool to evaluate patient safety culture in nursing homes and to test its validity and reliability.
Methods
A preliminary tool was developed through interviews with focus group, content validity tests, and a pilot study. A nationwide survey was conducted from February to April, 2011, using self-report questionnaires. Participants were 982 employees in nursing homes. Data were analyzed using Cronbach's alpha, item analysis, factor analysis, and multitrait/multi-Item analysis.
Results
From the results of the analysis, 27 final items were selected from 49 items on the preliminary tool. Items with low correlation with total scale were excluded. The 4 factors sorted by factor analysis contributed 63.4% of the variance in the total scale. The factors were labeled as leadership, organizational system, working attitude, management practice. Cronbach's alpha for internal consistency was .95 and the range for the 4 factors was from .86 to .93.
Conclusion
The results of this study indicate that the Korean Patient Safety Culture Scale has reliability and validity and is suitable for evaluation of patient safety culture in Korean nursing homes.
Keywords: Patient safety; Culture; Nursing homes; Leadership

This manuscript was supported by National Research Foundation of Korea(NRF 2010-0005272).

REFERENCES

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Table 1

General Characteristics (N=982)

Table 2

Factor Analysis and Reliability (N=982)

LM=Leadership of manager; WA=Work attitude; OS=Organizational system; MP=Managerial practice.

Table 3

Multitrait/Multi-item Matrix (Correlation Matrix Corrected for Overlap) for Item Convergent and Item Discriminant

LM=Leadership of manager; WA=Work attitude; OS=Organizational system; MP=Managerial practice.

Table 4

Correlation between Patient Safety Culture, Sub-scales, Degree of Patient Safety, and Error Experience (N=982)

^**p<.01; ( )=Cronbach's α of each subscale.

Table 5

Comparison of Sub-scales among Patient Safety Culture Tools

^*,^†,^‡: included twice.

Figure & Data

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Development and Validation of the Korean Patient Safety Culture Scale for Nursing Homes

J Korean Acad Nurs. 2013;43(3):379-388. Published online June 28, 2013

DOI: https://doi.org/10.4040/jkan.2013.43.3.379

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Development and Validation of the Korean Patient Safety Culture Scale for Nursing Homes

Table 1

General Characteristics (N=982)

Table 2

Factor Analysis and Reliability (N=982)

LM=Leadership of manager; WA=Work attitude; OS=Organizational system; MP=Managerial practice.

Table 3

Multitrait/Multi-item Matrix (Correlation Matrix Corrected for Overlap) for Item Convergent and Item Discriminant

LM=Leadership of manager; WA=Work attitude; OS=Organizational system; MP=Managerial practice.

Table 4

Correlation between Patient Safety Culture, Sub-scales, Degree of Patient Safety, and Error Experience (N=982)

^**p<.01; ( )=Cronbach's α of each subscale.

Table 5

Comparison of Sub-scales among Patient Safety Culture Tools

^*,^†,^‡: included twice.

Table 1 General Characteristics (N=982)

Table 2 Factor Analysis and Reliability (N=982)

LM=Leadership of manager; WA=Work attitude; OS=Organizational system; MP=Managerial practice.

Table 3 Multitrait/Multi-item Matrix (Correlation Matrix Corrected for Overlap) for Item Convergent and Item Discriminant

LM=Leadership of manager; WA=Work attitude; OS=Organizational system; MP=Managerial practice.

Table 4 Correlation between Patient Safety Culture, Sub-scales, Degree of Patient Safety, and Error Experience (N=982)