J Korean Acad Nurs.  2013 Jun;43(3):379-388. 10.4040/jkan.2013.43.3.379.

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

• Yoon SH
• Kim B
• Kim SY

• KMID: 1707128
• DOI: http://doi.org/10.4040/jkan.2013.43.3.379

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.

Keyword

Patient safety; Culture; Nursing homes; Leadership

MeSH Terms

Adult
Aged
Asian Continental Ancestry Group
Attitude of Health Personnel
Factor Analysis, Statistical
Female
Health Personnel/*psychology
Humans
Interviews as Topic
Leadership
Male
Management Quality Circles
Middle Aged
Nursing Homes
Organizational Culture
*Patient Safety
Pilot Projects
*Program Development
*Program Evaluation
Questionnaires
Republic of Korea