Back to Search
Start Over
Refining the medical student safety attitudes and professionalism survey (MSSAPS): adaptation and assessment of patient safety perception of French medical residents
- Source :
- BMC Medical Education, BMC Medical Education, 2019, 19 (1), pp.222. ⟨10.1186/s12909-019-1667-y⟩, BMC Medical Education, BioMed Central, 2019, 19 (1), pp.222. ⟨10.1186/s12909-019-1667-y⟩, BMC Medical Education, Vol 19, Iss 1, Pp 1-9 (2019)
- Publication Year :
- 2019
- Publisher :
- HAL CCSD, 2019.
-
Abstract
- International audience; BACKGROUND:Implementing a patient safety curriculum for medical students requires to identify their needs and current awareness of the topic. Several tools have been developed to measure patient safety culture, but none of them have been developed in the French context. Our objective was to adapt and refine the psychometric properties of the MSSAPS, developed by Liao et al, to use it among general practice (GP) residents.METHODS:1-We conducted a translation and transcultural adaptation of the MSSAPS questionnaire (28 items, 5 dimensions: safety culture, teamwork culture, experiences with professionalism, error disclosure culture and comfort expressing professional concerns) in accordance with the international recommendations. 2-We studied the new questionnaire' psychometric properties on a sample of GP residency students in 2016. This validation comprised 2 steps: a confirmatory factor analysis (CFA) for each dimension of the MSAPPS to explore the adequacy of the structure of the questionnaire; an exploratory factor analysis to refine the instrument, using a principal component analysis and Cronbach's α-coefficients calculation. A final CFA examined the structure validity of the refined questionnaire. 3-We described the items and the safety cultural scores in our sample of residents.RESULTS:Among 391 eligible students, 213 responded (54%). The initial structure was not confirmed by CFAs, showing a poor fit for 3 of the 5 dimensions: safety culture, teamwork culture and professionalism. Exploratory PCA led to 3 dimensions: Safety culture (PVE: 18.5% and 7 of 8 initial items), Experiences with professionalism (PVE: 17.8% and 5 of 7 initial items) and Error disclosure culture (PVE: 13.6% and 3 of 4 original items). Cronbach's α-coefficients were 0.74, 0.78 and 0.76 respectively. The final CFA confirmed the existence of the 3 latent dimensions with a good fit to the and highly significant structural coefficients (P
- Subjects :
- Health Knowledge, Attitudes, Practice
Safety Management
Students, Medical
020205 medical informatics
Psychometrics
Attitude of Health Personnel
media_common.quotation_subject
education
lcsh:Medicine
Context (language use)
02 engineering and technology
Education
03 medical and health sciences
Patient safety
0302 clinical medicine
Cronbach's alpha
0202 electrical engineering, electronic engineering, information engineering
Humans
030212 general & internal medicine
Safety culture
media_common
lcsh:LC8-6691
Medical education
Teamwork
lcsh:Special aspects of education
4. Education
lcsh:R
Internship and Residency
General Medicine
[SDV.ETH] Life Sciences [q-bio]/Ethics
Exploratory factor analysis
Confirmatory factor analysis
[SDV.ETH]Life Sciences [q-bio]/Ethics
Professionalism
[SDV.SPEE] Life Sciences [q-bio]/Santé publique et épidémiologie
[SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie
France
Health Services Research
Patient Safety
Psychology
Factor Analysis, Statistical
Research Article
Subjects
Details
- Language :
- English
- ISSN :
- 14726920
- Database :
- OpenAIRE
- Journal :
- BMC Medical Education, BMC Medical Education, 2019, 19 (1), pp.222. ⟨10.1186/s12909-019-1667-y⟩, BMC Medical Education, BioMed Central, 2019, 19 (1), pp.222. ⟨10.1186/s12909-019-1667-y⟩, BMC Medical Education, Vol 19, Iss 1, Pp 1-9 (2019)
- Accession number :
- edsair.doi.dedup.....1f5572de5a7fd2fda2bc80fcf35c175b