Safety Performance of Healthcare Professionals: Validation and Use of the Adapted Workplace Health and Safety Instrument

Lina Heier, Nikoloz Gambashidze, Judith Hammerschmidt, Donia Riouchi, Matthias Weigl, Andrew Neal, Andrea Icks, Peter Brossart, Franziska Geiser and Nicole Ernstmann
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Lina Heier: Institute for Patient Safety (IfPS), University Hospital Bonn, 53127 Bonn, Germany
Nikoloz Gambashidze: Institute for Patient Safety (IfPS), University Hospital Bonn, 53127 Bonn, Germany
Judith Hammerschmidt: Institute for Patient Safety (IfPS), University Hospital Bonn, 53127 Bonn, Germany
Donia Riouchi: Institute for Patient Safety (IfPS), University Hospital Bonn, 53127 Bonn, Germany
Matthias Weigl: Institute for Patient Safety (IfPS), University Hospital Bonn, 53127 Bonn, Germany
Andrew Neal: School of Psychology, Faculty of Health and Behavioral Sciences, University of Queensland, Brisbane 4027, Australia
Andrea Icks: Institute for Health Services Research and Health Economics, Centre for Health and Society, Medical Faculty and University Hospital Düsseldorf, Heinrich-Heine-University Düsseldorf, 40225 Düsseldorf, Germany
Peter Brossart: Department of Oncology, Hematology, Immuno-Oncology and Rheumatology, University Hospital Bonn, 53127 Bonn, Germany
Franziska Geiser: Institute for Patient Safety (IfPS), University Hospital Bonn, 53127 Bonn, Germany
Nicole Ernstmann: Institute for Patient Safety (IfPS), University Hospital Bonn, 53127 Bonn, Germany

IJERPH, 2021, vol. 18, issue 15, 1-11

Abstract: Improving patient safety and reducing occupational accidents are two of the main challenges in healthcare. Instruments to measure safety performance and occupational safety are rare. This study aimed to prepare and validate a German version of the adapted workplace health and safety instrument to assess the safety performance of healthcare professionals. Overall, 168 healthcare professionals participated in this explorative cross-sectional study. The instrument consists of 16 items related to safety performance in four dimensions. We calculated mean values and standard deviations for each individual item and those of the four dimensions of the instrument. We evaluated internal consistency and construct validity, explored the dimensionality of the instrument through exploratory factor analysis, and tested how our data fit with the original model with confirmatory factor analysis. Among the participants, 73.8% were nurses and nurses in training, with the majority of the sample being female (71.9%) and younger than 30 (52.5%). Cronbach’s alpha for all four dimensions was >0.7. All items were loaded on factors according to the original theoretical model. Confirmatory factor analysis showed good model fit (normed ?²/df = 1.43 (?2.5), root mean square error of approximation = 0.06 (?0.07), goodness of fit index = 0.90 (>0.90), comparative fit index = 0.95 (?0.90), and Tucker–Lewis index = 0.93 (>0.90). The German version of the instrument demonstrated acceptable properties and was a good fit to the original theoretical model, allowing measurement of healthcare professionals’ safety knowledge, motivation, compliance, and participation.

Keywords: patient safety; occupational safety; safety performance; healthcare professionals; acute care (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
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