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. 2013 Jul 29:8:81.
doi: 10.1186/1748-5908-8-81.

Development and initial validation of the Influences on Patient Safety Behaviours Questionnaire

Natalie Taylor  1 , Sahdia Parveen, Victoria Robins, Beverley Slater, Rebecca Lawton
Affiliations

Development and initial validation of the Influences on Patient Safety Behaviours Questionnaire

Natalie Taylor et al. Implement Sci. .

Abstract

Background: Understanding the factors that make it more or less likely that healthcare practitioners (HCPs) will perform certain patient safety behaviors is important in developing effective intervention strategies. A questionnaire to identify determinants of HCP patient safety behaviors does not currently exist. This study reports the development and initial validation of the Influences on Patient Safety Behaviors Questionnaire (IPSBQ) based on the Theoretical Domains Framework.

Methods: Two hundred and thirty-three HCPs from three acute National Health Service Hospital Trusts in the United Kingdom completed the 34-item measure focusing on one specific patient safety behavior (using pH as the first line method for checking the position of a nasogastric tube). Confirmatory factor analysis (CFA) was undertaken to generate the model of best fit.

Results: The final questionnaire consisted of 11 factors and 23 items, and CFA produced a reasonable fit: χ² (175) = 345.7, p < 0.001; CMIN/DF = 1.98; GFI = 0.90 and RMSEA = 0.06, as well as adequate levels of discriminant validity, and internal consistency (r = 0.21 to 0.64).

Conclusions: A reliable and valid theoretically underpinned measure of determinants of HCP patient safety behavior has been developed. The criterion validity of the measure is still unknown and further work is necessary to confirm the reliability and validity of this measure for other patient safety behaviors.

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Figures

Figure 1
Figure 1
Influences of Patient Safety Behaviours Questionnaire excerpt with example target behaviour (nasogastric tubes).
See this image and copyright information in PMC

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