使用BePoZa问卷对医院儿科患者安全的研究工具和测量进行验证

R. Szpakowski, A. Fronczak, Patrycja Zając, Grażyna Dykowska
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摘要

背景。患者安全可通过诊断性调查进行评估。在安全文化和安全气候的背景下进行分析。“安全气候”是一个比“安全文化”更狭义的术语。安全气候是一个更广泛的概念结构——安全文化的组成部分。安全气候本质上是医务人员在工作场所对患者安全的态度。目标。BePoZa工具的心理测量评估和儿科患者安全测量。材料和方法。这项研究是在华沙的一家多地点儿童医院进行的。这家医院总共有500张病床。纸质版BePoZa调查于2017年3月至2017年8月在护理/助产人员中亲自分发。BePoZa问卷是美国休斯敦德克萨斯大学健康科学中心(UTHealth)开发的英语安全态度问卷(SAQ)的波兰语版本。结果。整体问卷的Cronbach’s α系数为0.87,各维度的Cronbach’s α系数分别为0.83(团队氛围)和0.77(安全氛围)。被检查医院BePoZa问卷的总体结果为:Me = 101;M = 100(最大;135)。结论。综上所述,所评估的工具具有较高的可靠性,无需对其进行修改。该院儿科患者的安全得到了护理人员的高度评价。但与医生的人际关系质量有待提高,护理人员数量有待增加。
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Validation of the research tool and measurement of pediatric patient safety in a hospital using the BePoZa questionnaire
Background. Patient safety can be assessed using a diagnostic survey. It is analyzed in the context of safety culture and safety climate. ‘Safety climate‘ is a term narrower than ‘safety culture‘. The safety climate is a component of a broader conceptual construct – safety culture. The safety climate is, in essence, the attitude of the medical staff to the patient safety at their workplace. Objectives. Psychometric evaluation of the BePoZa tool and pediatric patient safety measurement. Material and methods. The study was conducted in a multisite children’s hospital in Warsaw. The hospital has a total capacity of 500 beds. Paper version of BePoZa survey was personally distributed among the nursing/midwifery staff between March 2017 and August 2017. The BePoZa questionnaire is the Polish version of the English-language Safety Attitudes Questionnaire (SAQ) developed at The University of Texas Health Science Center at Houston (UTHealth), USA. Results. The Cronbach's α coefficient is 0.87 for the overall questionnaire (0.87) and for the respective dimensions: 0.83 (Teamwork Climate) and 0.77 (Safety Climate). The overall result of the BePoZa questionnaire in the examined hospital is: Me = 101; M = 100 (max. 135). Conclusions. In conclusion, the assessed tool is characterized by a high degree of reliability and there is no need to modify it. The safety of the pediatric patient in the hospital was highly evaluated by the nursing staff. However, the quality of interpersonal relations with the doctors needs to be improved and the number of nursing staff should be increased.
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