Development of a Self-Report Instrument to Measure Patient Safety Attitudes, Skills, and Knowledge
Rebecca Schnall
Rebecca Schnall , RN, MPH, MBA, Alpha Zeta, Doctoral Student, School of Nursing; Patricia Stone , RN, PhD, Alpha Zeta, Associate Professor of Nursing; Leanne Currie , RN, DNSc, Alpha Zeta, Assistant Professor of Nursing; Karen Desjardins , MPH, DrNP, ANP, GNP, Alpha Zeta, Assistant Professor of Clinical Nursing; Rita Marie John , DrNP, CPNP, Alpha Zeta, Assistant Professor of Clinical Nursing; Suzanne Bakken , RN, DNSc, FAAN, Alpha Zeta, Alumni Professor of Nursing and Professor of Medical Informatics; all at Columbia University, New York, NY. This work was based on a 3-year project supported by the Wireless Informatics for Safe and Evidence-based Advanced Practice Nurse (WISE-APN) Care, funded by the Health Resources and Service Administration D11 HP07346. Correspondence to Ms. Schnall, 617 West 168th Street, Room 227, New York, NY 10032. E-mail: [email protected]
Search for more papers by this authorPatricia Stone
Rebecca Schnall , RN, MPH, MBA, Alpha Zeta, Doctoral Student, School of Nursing; Patricia Stone , RN, PhD, Alpha Zeta, Associate Professor of Nursing; Leanne Currie , RN, DNSc, Alpha Zeta, Assistant Professor of Nursing; Karen Desjardins , MPH, DrNP, ANP, GNP, Alpha Zeta, Assistant Professor of Clinical Nursing; Rita Marie John , DrNP, CPNP, Alpha Zeta, Assistant Professor of Clinical Nursing; Suzanne Bakken , RN, DNSc, FAAN, Alpha Zeta, Alumni Professor of Nursing and Professor of Medical Informatics; all at Columbia University, New York, NY. This work was based on a 3-year project supported by the Wireless Informatics for Safe and Evidence-based Advanced Practice Nurse (WISE-APN) Care, funded by the Health Resources and Service Administration D11 HP07346. Correspondence to Ms. Schnall, 617 West 168th Street, Room 227, New York, NY 10032. E-mail: [email protected]
Search for more papers by this authorLeanne Currie
Rebecca Schnall , RN, MPH, MBA, Alpha Zeta, Doctoral Student, School of Nursing; Patricia Stone , RN, PhD, Alpha Zeta, Associate Professor of Nursing; Leanne Currie , RN, DNSc, Alpha Zeta, Assistant Professor of Nursing; Karen Desjardins , MPH, DrNP, ANP, GNP, Alpha Zeta, Assistant Professor of Clinical Nursing; Rita Marie John , DrNP, CPNP, Alpha Zeta, Assistant Professor of Clinical Nursing; Suzanne Bakken , RN, DNSc, FAAN, Alpha Zeta, Alumni Professor of Nursing and Professor of Medical Informatics; all at Columbia University, New York, NY. This work was based on a 3-year project supported by the Wireless Informatics for Safe and Evidence-based Advanced Practice Nurse (WISE-APN) Care, funded by the Health Resources and Service Administration D11 HP07346. Correspondence to Ms. Schnall, 617 West 168th Street, Room 227, New York, NY 10032. E-mail: [email protected]
Search for more papers by this authorKaren Desjardins
Rebecca Schnall , RN, MPH, MBA, Alpha Zeta, Doctoral Student, School of Nursing; Patricia Stone , RN, PhD, Alpha Zeta, Associate Professor of Nursing; Leanne Currie , RN, DNSc, Alpha Zeta, Assistant Professor of Nursing; Karen Desjardins , MPH, DrNP, ANP, GNP, Alpha Zeta, Assistant Professor of Clinical Nursing; Rita Marie John , DrNP, CPNP, Alpha Zeta, Assistant Professor of Clinical Nursing; Suzanne Bakken , RN, DNSc, FAAN, Alpha Zeta, Alumni Professor of Nursing and Professor of Medical Informatics; all at Columbia University, New York, NY. This work was based on a 3-year project supported by the Wireless Informatics for Safe and Evidence-based Advanced Practice Nurse (WISE-APN) Care, funded by the Health Resources and Service Administration D11 HP07346. Correspondence to Ms. Schnall, 617 West 168th Street, Room 227, New York, NY 10032. E-mail: [email protected]
Search for more papers by this authorRita Marie John
Rebecca Schnall , RN, MPH, MBA, Alpha Zeta, Doctoral Student, School of Nursing; Patricia Stone , RN, PhD, Alpha Zeta, Associate Professor of Nursing; Leanne Currie , RN, DNSc, Alpha Zeta, Assistant Professor of Nursing; Karen Desjardins , MPH, DrNP, ANP, GNP, Alpha Zeta, Assistant Professor of Clinical Nursing; Rita Marie John , DrNP, CPNP, Alpha Zeta, Assistant Professor of Clinical Nursing; Suzanne Bakken , RN, DNSc, FAAN, Alpha Zeta, Alumni Professor of Nursing and Professor of Medical Informatics; all at Columbia University, New York, NY. This work was based on a 3-year project supported by the Wireless Informatics for Safe and Evidence-based Advanced Practice Nurse (WISE-APN) Care, funded by the Health Resources and Service Administration D11 HP07346. Correspondence to Ms. Schnall, 617 West 168th Street, Room 227, New York, NY 10032. E-mail: [email protected]
Search for more papers by this authorSuzanne Bakken
Rebecca Schnall , RN, MPH, MBA, Alpha Zeta, Doctoral Student, School of Nursing; Patricia Stone , RN, PhD, Alpha Zeta, Associate Professor of Nursing; Leanne Currie , RN, DNSc, Alpha Zeta, Assistant Professor of Nursing; Karen Desjardins , MPH, DrNP, ANP, GNP, Alpha Zeta, Assistant Professor of Clinical Nursing; Rita Marie John , DrNP, CPNP, Alpha Zeta, Assistant Professor of Clinical Nursing; Suzanne Bakken , RN, DNSc, FAAN, Alpha Zeta, Alumni Professor of Nursing and Professor of Medical Informatics; all at Columbia University, New York, NY. This work was based on a 3-year project supported by the Wireless Informatics for Safe and Evidence-based Advanced Practice Nurse (WISE-APN) Care, funded by the Health Resources and Service Administration D11 HP07346. Correspondence to Ms. Schnall, 617 West 168th Street, Room 227, New York, NY 10032. E-mail: [email protected]
Search for more papers by this authorRebecca Schnall
Rebecca Schnall , RN, MPH, MBA, Alpha Zeta, Doctoral Student, School of Nursing; Patricia Stone , RN, PhD, Alpha Zeta, Associate Professor of Nursing; Leanne Currie , RN, DNSc, Alpha Zeta, Assistant Professor of Nursing; Karen Desjardins , MPH, DrNP, ANP, GNP, Alpha Zeta, Assistant Professor of Clinical Nursing; Rita Marie John , DrNP, CPNP, Alpha Zeta, Assistant Professor of Clinical Nursing; Suzanne Bakken , RN, DNSc, FAAN, Alpha Zeta, Alumni Professor of Nursing and Professor of Medical Informatics; all at Columbia University, New York, NY. This work was based on a 3-year project supported by the Wireless Informatics for Safe and Evidence-based Advanced Practice Nurse (WISE-APN) Care, funded by the Health Resources and Service Administration D11 HP07346. Correspondence to Ms. Schnall, 617 West 168th Street, Room 227, New York, NY 10032. E-mail: [email protected]
Search for more papers by this authorPatricia Stone
Rebecca Schnall , RN, MPH, MBA, Alpha Zeta, Doctoral Student, School of Nursing; Patricia Stone , RN, PhD, Alpha Zeta, Associate Professor of Nursing; Leanne Currie , RN, DNSc, Alpha Zeta, Assistant Professor of Nursing; Karen Desjardins , MPH, DrNP, ANP, GNP, Alpha Zeta, Assistant Professor of Clinical Nursing; Rita Marie John , DrNP, CPNP, Alpha Zeta, Assistant Professor of Clinical Nursing; Suzanne Bakken , RN, DNSc, FAAN, Alpha Zeta, Alumni Professor of Nursing and Professor of Medical Informatics; all at Columbia University, New York, NY. This work was based on a 3-year project supported by the Wireless Informatics for Safe and Evidence-based Advanced Practice Nurse (WISE-APN) Care, funded by the Health Resources and Service Administration D11 HP07346. Correspondence to Ms. Schnall, 617 West 168th Street, Room 227, New York, NY 10032. E-mail: [email protected]
Search for more papers by this authorLeanne Currie
Rebecca Schnall , RN, MPH, MBA, Alpha Zeta, Doctoral Student, School of Nursing; Patricia Stone , RN, PhD, Alpha Zeta, Associate Professor of Nursing; Leanne Currie , RN, DNSc, Alpha Zeta, Assistant Professor of Nursing; Karen Desjardins , MPH, DrNP, ANP, GNP, Alpha Zeta, Assistant Professor of Clinical Nursing; Rita Marie John , DrNP, CPNP, Alpha Zeta, Assistant Professor of Clinical Nursing; Suzanne Bakken , RN, DNSc, FAAN, Alpha Zeta, Alumni Professor of Nursing and Professor of Medical Informatics; all at Columbia University, New York, NY. This work was based on a 3-year project supported by the Wireless Informatics for Safe and Evidence-based Advanced Practice Nurse (WISE-APN) Care, funded by the Health Resources and Service Administration D11 HP07346. Correspondence to Ms. Schnall, 617 West 168th Street, Room 227, New York, NY 10032. E-mail: [email protected]
Search for more papers by this authorKaren Desjardins
Rebecca Schnall , RN, MPH, MBA, Alpha Zeta, Doctoral Student, School of Nursing; Patricia Stone , RN, PhD, Alpha Zeta, Associate Professor of Nursing; Leanne Currie , RN, DNSc, Alpha Zeta, Assistant Professor of Nursing; Karen Desjardins , MPH, DrNP, ANP, GNP, Alpha Zeta, Assistant Professor of Clinical Nursing; Rita Marie John , DrNP, CPNP, Alpha Zeta, Assistant Professor of Clinical Nursing; Suzanne Bakken , RN, DNSc, FAAN, Alpha Zeta, Alumni Professor of Nursing and Professor of Medical Informatics; all at Columbia University, New York, NY. This work was based on a 3-year project supported by the Wireless Informatics for Safe and Evidence-based Advanced Practice Nurse (WISE-APN) Care, funded by the Health Resources and Service Administration D11 HP07346. Correspondence to Ms. Schnall, 617 West 168th Street, Room 227, New York, NY 10032. E-mail: [email protected]
Search for more papers by this authorRita Marie John
Rebecca Schnall , RN, MPH, MBA, Alpha Zeta, Doctoral Student, School of Nursing; Patricia Stone , RN, PhD, Alpha Zeta, Associate Professor of Nursing; Leanne Currie , RN, DNSc, Alpha Zeta, Assistant Professor of Nursing; Karen Desjardins , MPH, DrNP, ANP, GNP, Alpha Zeta, Assistant Professor of Clinical Nursing; Rita Marie John , DrNP, CPNP, Alpha Zeta, Assistant Professor of Clinical Nursing; Suzanne Bakken , RN, DNSc, FAAN, Alpha Zeta, Alumni Professor of Nursing and Professor of Medical Informatics; all at Columbia University, New York, NY. This work was based on a 3-year project supported by the Wireless Informatics for Safe and Evidence-based Advanced Practice Nurse (WISE-APN) Care, funded by the Health Resources and Service Administration D11 HP07346. Correspondence to Ms. Schnall, 617 West 168th Street, Room 227, New York, NY 10032. E-mail: [email protected]
Search for more papers by this authorSuzanne Bakken
Rebecca Schnall , RN, MPH, MBA, Alpha Zeta, Doctoral Student, School of Nursing; Patricia Stone , RN, PhD, Alpha Zeta, Associate Professor of Nursing; Leanne Currie , RN, DNSc, Alpha Zeta, Assistant Professor of Nursing; Karen Desjardins , MPH, DrNP, ANP, GNP, Alpha Zeta, Assistant Professor of Clinical Nursing; Rita Marie John , DrNP, CPNP, Alpha Zeta, Assistant Professor of Clinical Nursing; Suzanne Bakken , RN, DNSc, FAAN, Alpha Zeta, Alumni Professor of Nursing and Professor of Medical Informatics; all at Columbia University, New York, NY. This work was based on a 3-year project supported by the Wireless Informatics for Safe and Evidence-based Advanced Practice Nurse (WISE-APN) Care, funded by the Health Resources and Service Administration D11 HP07346. Correspondence to Ms. Schnall, 617 West 168th Street, Room 227, New York, NY 10032. E-mail: [email protected]
Search for more papers by this authorAbstract
Purpose: To describe the development and psychometric testing of the Patient Safety Attitudes, Skills and Knowledge Scale (PS-ASK).
Methods: Content validity of a 35-item instrument was established by a panel of experts. The instrument was pilot tested on 285 nursing students. Principal components analysis (PCA) with varimax rotation was conducted, and Cronbach's alphas were examined. Paired samples t-tests were used to show responsiveness of the scales pre- and post-patient safety curriculum.
Results: The final instrument consists of 26 items and three separate scales: attitudes, skills, and knowledge. The attitudes and skills scales each had a three-factor solution. The knowledge items had a one-factor solution. Both skills and knowledge were significantly increased at Time 2 (p<0.001).
Conclusions: The skills and knowledge subscales had satisfactory internal consistency reliability, evidence for construct validity, and responsiveness for use as independent scales in future studies. The attitudes subscale needs further refinement before implementation. Comparison with other measures of patient safety skills (e.g., observation) and knowledge are warranted.
Clinical Relevance: A tool to measure clinicians' attitudes, skills, and knowledge about patient safety might be useful to evaluate nurses and other clinicians during educational preparation and in practice.
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