Volume 13, Issue 4 (Autumn 2024)
aumj 2024, 13(4): 254-264 |
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Norouzinia R, Shyasi K, Khedmatizare M, Rahmatpour P. Designing and Evaluating Psychometric Properties of two scales of the Factors Contributing to Errors and Reporting Barriers in the Operating Room from the Viewpoints of Student. aumj 2024; 13 (4) :254-264
URL: http://aums.abzums.ac.ir/article-1-1686-en.html
URL: http://aums.abzums.ac.ir/article-1-1686-en.html
1- 1. Assistant Professor, Social Determinants of Health Research Center, Alborz University of Medical Sciences, Karaj, Iran
2- BSC Student of Surgical Technology, Student Research Committee, Alborz University of Medical Sciences, Karaj, Iran
3- MSc student in Medical Surgical Nursing, Tehran University of Medical Sciences, Tehran, Iran
4- Post-doctorate Researcher, Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), Coimbra, Portugal
2- BSC Student of Surgical Technology, Student Research Committee, Alborz University of Medical Sciences, Karaj, Iran
3- MSc student in Medical Surgical Nursing, Tehran University of Medical Sciences, Tehran, Iran
4- Post-doctorate Researcher, Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), Coimbra, Portugal
Abstract: (575 Views)
Introduction: Patient safety is crucial for effective healthcare delivery, and operating rooms (ORs) are among the most hazardous environments in hospitals. Identifying factors that contribute to errors and barriers to reporting them is essential. This study aimed to design and evaluate the psychometric properties of scales measuring factors influencing error occurrence and barriers to error reporting in the OR, as perceived by operating room and anesthesia students in 2022.
Methods: This cross-sectional analytical study was conducted in 2022 with 270 operating room and anesthesia students from Alborz University of Medical Sciences. Two scales were developed: one for “factors affecting the occurrence of errors” and another for “barriers to error reporting,” informed by literature review and expert panel insights. The scales underwent evaluation for face, content, and construct validity, as well as reliability assessment.
Results: Following revisions for face validity, the content validity ratio (CVR) and content validity index (CVI) for all items exceeded 0.62 and 0.7, respectively. Exploratory factor analysis revealed four factors for the error occurrence scale: individual factors (8 items), educational-skill factors (6 items), environmental factors (4 items), and managerial factors (4 items). Cronbach's alpha values ranged from 0.79 to 0.90, and McDonald's omega values from 0.7 to 0.87. For the error reporting scale, three factors emerged: legal consequences (11 items), management factors (4 items), and reporting process (4 items). Cronbach's alpha for these factors ranged from 0.86 to 0.95, and McDonald's omega from 0.7 to 0.89.
Conclusion: The developed scales demonstrated acceptable validity and reliability, making them suitable for assessing the factors influencing errors and reporting barriers in ORs from the perspective of operating room and anesthesia students. Addressing these factors can enable educational and medical managers to implement effective strategies to enhance patient safety by reducing errors and improving the reporting process in hospital ORs.
Methods: This cross-sectional analytical study was conducted in 2022 with 270 operating room and anesthesia students from Alborz University of Medical Sciences. Two scales were developed: one for “factors affecting the occurrence of errors” and another for “barriers to error reporting,” informed by literature review and expert panel insights. The scales underwent evaluation for face, content, and construct validity, as well as reliability assessment.
Results: Following revisions for face validity, the content validity ratio (CVR) and content validity index (CVI) for all items exceeded 0.62 and 0.7, respectively. Exploratory factor analysis revealed four factors for the error occurrence scale: individual factors (8 items), educational-skill factors (6 items), environmental factors (4 items), and managerial factors (4 items). Cronbach's alpha values ranged from 0.79 to 0.90, and McDonald's omega values from 0.7 to 0.87. For the error reporting scale, three factors emerged: legal consequences (11 items), management factors (4 items), and reporting process (4 items). Cronbach's alpha for these factors ranged from 0.86 to 0.95, and McDonald's omega from 0.7 to 0.89.
Conclusion: The developed scales demonstrated acceptable validity and reliability, making them suitable for assessing the factors influencing errors and reporting barriers in ORs from the perspective of operating room and anesthesia students. Addressing these factors can enable educational and medical managers to implement effective strategies to enhance patient safety by reducing errors and improving the reporting process in hospital ORs.
Type of Study: Research |
Subject:
Special
Received: 2023/07/22 | Accepted: 2023/12/06 | Published: 2024/11/30
Received: 2023/07/22 | Accepted: 2023/12/06 | Published: 2024/11/30
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