Development And Multi-center Application Of The Parental Version Of Hospital Survey On Patient Safety Culture

Objectives1.According to the Hospital Survey on Patient Safety Culture(HSOPSC),to revise the parental HSOPSC according to the Chinese version,to assess its reliability and validity in the application of parents.2.A cross-sectional study was performed on parents of hospitalized children in Jiangsu province.To explore and analyze the influencing factors of parents patient safety culture level.Methods1.Based on the parents research of Cox team and the Chinese version HSOPSC,the cross-cultural debugging guideline was conducted experts consulting,crosscultural debugging,pre-investigation so as to revise the original scale,the parental HSOPSC was obtained eventually.A total of 562 parents of hospitalized children from 3 3A hospitals were selected as aiming people and each of them finished one piece of survey.The results reflected the psychometric level.Item analysis,content validity,construct validity,Cronbach's ? coefficient and test-retest reliability were utilized to evaluate the scale's validity and reliability.The exploratory factor analysis became the main structural validity analysis method.2.The final surveys contained a general condition questionnaire and a parental HSOPSC.1184 parents from 3 hospitals(representing the south and north area of Jiangsu province)accomplished the surveys with stratified random sampling.Data was selected through online and WeChat QR Cord.The surveys were also issued to understand the patient safety culture perceptive status of parents and to analyze related influencing factors.Results1.The parental HSOPSC has ideal validity and reliability.The item analysis prevailed that all the items containing in the high and low group were statistically significant,each item and total correlation coefficient were no less than 0.400(0.473-0.734).The scale-content validity index(S-CVI)was 0.93.The structural validity of the scale was judged by exploratory factor analysis(EFA).A total of four common factors with eigen roots >1 were extracted.The load values of each item were >0.4 on the common factor,which could explain 65.001% of the total variation,and the load of each factor was 0.682-0.851 after the rotation axis.The internal consistency reliability coefficients were 0.845 for total scale;The total Cronbach's ? coefficient of the survey was 0.845,and the dimensions were 0.687-0.841 separately.The total Cronbach's ? coefficient of the test-retest reliability is 0.893,and the dimensions were 0.725-0.886 respectively.2.The level of parents hospital patient safety culture was pretty good.The total score of the scale was(58.36±0.22),and(4.17±0.16)for average item score.80.29% of the parents evaluated patient safety culture as either “very good” or “good”.Each domains' score and positive response rate were parent communication openness(89.92%),overall perceptions of safety(78.40%),staff communication openness(68.26%),handoffs and transitions(65.40%)respectively.3.Parents with different age,educational level and pediatric length of stay and hospitalization time were important factors of the level of parents hospital patient safety culture(P<0.05).Parents aged below 25 and 26-35 had lower scores than those who were 36-45 or over 46.The higher the parental education level,the lower evaluations of parents patient safety culture.The longer length of stay and more hospitalization times,the lower level of parents hospital patient safety culture too.Conclusions1.This study initially formed a parental version HSOPSC with understandable expression,convenient application and general acceptance through systematic revision.All the evaluation indicators are in line with the requirements of the scale psychometrics,and it can be applied to access the parent patient safety culture.2.Parents have good evaluation of overall patient safety culture.Parent communication openness and overall perceptions of safety are dominant dimensions.But there is still space since the remaining dimensions are performed as directions for improving,suggesting that medical institutions should strengthen the patient safety culture of parents.3.Parents with different age,educational level and pediatric length of stay and hospitalization times are important factors which influences the perspectives of parents.Therefore,medical organizations should focus on this group people,providing safety information support,implementing patient safety culture and safety behavior promotion activities so as to enhance parents positive psychological status and promote pediatric patients safety further.