Psychometric testing of an instrument measuring nurse aides’ patient safety attitudes
Article first published online: 19 JUN 2012
© 2012 John Wiley & Sons Ltd
Journal of Nursing Management
Special Issue: This issue: Contemporary Issues in Nursing Issue editor: Kristiina Hyrkas
Volume 21, Issue 8, pages 1001–1007, November 2013
How to Cite
PERNG, S.-J. and YU, M.-L. (2013), Psychometric testing of an instrument measuring nurse aides’ patient safety attitudes. Journal of Nursing Management, 21: 1001–1007. doi: 10.1111/j.1365-2834.2012.01431.x
- Issue published online: 17 NOV 2013
- Article first published online: 19 JUN 2012
- Accepted for publication: 3 April 2012
- even reporting;
- exploration factor analysis;
- nurse aides;
- patient safety;
perng s.-j. & yu m.-l. (2012) Journal of Nursing Management Psychometric testing of an instrument measuring nurse aides’ patient safety attitudes
Aim To develop and test the patient safety attitude scale-nurse aide (PSAS-NA) scale in measuring nurse aides’ attitudes to patient safety and event reporting.
Background Although nurse aides are unlicensed personnel, their roles in delivering care can not be ignored. A measure specific to nurse aides is needed.
Methods This is a cross-sectional design study. A literature review was conducted to generate items. Content validity, construct validity, convergent/divergent validity and internal consistency were examined. A convenient sample of 213 nurse aides working at two hospital-based long-term care institutions in Taiwan was recruited.
Results From the initial 61-item scale, a 39-item instrument was retained by principal component analysis (PCA) and four factors were extracted: daily safety practice, organizational safety strategies, event reporting practice and event reporting conflict. Four factors accounted for 51.74% of the total variance. Cronbach’s alpha ranged from 0.83 to 0.92. Event reporting conflict was significantly negatively correlated with event reporting practice (r = −0.16, P < 0.05).
Implication for Nursing Management The PSAS-NA can be used to assess nurse aides’ attitudes to patient safety and event reporting. Health care mangers/supervisors can provide education and training programmes to nurse aides according to the assessment results.