測量病人安全文化－以署立醫院護理人員為例

Measuring Patient Safety Culture: An Example of DOH-Affiliated Hospital Nurses

戎晏甫(Yen-Fu Jung) ； 朱正一(Cheng-I Chu)

《醫護科技期刊》 14卷1期 (2012/03) Pp. 1-12

https://doi.org/10.6563/TJHS.2012.14(1).1

摘要

目的：Hospital Survey on Patient Safety Culture (HSOPS) 量表雖已在許多國家應用，但在國內尚無嚴謹研究檢視其是否適用於台灣。本研究目的是檢驗中文版HSOPS量表之信、效度，並與美國醫院使用HSOPS量表的結果比較。方法：針對三家署立醫院之護理人員以結構式問卷進行研究調查，有效問卷207份，回收率為52%，並檢驗樣本同質性、共同方法變異，同時以驗證性因素分析法檢驗其信、效度。結果：信度分析顯示12個變項中，有3個的組合信度值未達標準（組合信度＜.6）。12個變項的Average Variance Extracted平方根均大於任一變項間之相關係數，表示有良好的區別效度。HSOPS量表12個變項與整體的模型適配度亦達到適配標準。結論：本研究中文版HSOPS量表之檢驗結果大多變項Cronbach's α值、組合信度、平均萃取變異量及整體適配度檢驗皆達理想標準，但仍有變項信、效度較低，故尚需更多驗證以確認中文版HSOPS量表在台灣使用之適合度。

關鍵字

病人安全文化 ； HSOPS量表 ； 信效度

並列摘要

Purposes: Hospital Survey on Patient Safety Culture (HSOPS) has been used to measure healthcare staff perception of patient safety in several countries. This survey has yet to be validated in Taiwan. This study was designed to examine the underlying dimensions and psychometric properties of HSOPS in Department of Health (DOH)-affiliated hospitals in Taiwan and to compare these results with the original questionnaire used in US hospital settings. Methods: Researchers used a structured questionnaire to collect data from nurses employed at three public hospitals. Two-hundred and seven (52%) valid questionnaires were registered and analyzed for sample homogeneity and common method variance.Confirmatory factor analysis ensured data reliability and validity. Results: Internal consistency of the three domains was low (CR＜ .6). Discriminant validity is given when the average extracted variance of a factor is greater than the highest squared inter-correlation with any other model factor. Model fit was satisfactory for the twelve domains and the safety culture in terms of the structural equation models. Conclusions: Acceptable results were achieved for the underlying dimensions and psychometric properties of the HSOPS. The authors recommend that additional studies be done to confirm the feasibility of using HSOPS in Taiwan.

並列關鍵字

Patient safety culture ； HSOPS ； reliability and validity

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