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Development and psychometric evaluation of the patient knowledge of, and attitudes and behaviours towards pressure ulcer prevention instrument (KPUP)

Abstract

The Patient Knowledge of, and Attitude and Behaviour towards Pressure Ulcer Prevention Instrument (KPUP) was developed and validated using a two‐stage prospective psychometric instrument validation study design. In Stage 1, the instrument was designed, and it is psychometrically evaluated in Stage 2. To establish content validity, two expert panels independently reviewed each item for appropriateness and relevance. Psychometric evaluation included construct validity and stability testing of the instrument. The questionnaire was administered to a convenience sample of 200 people aged more than 65 years, living independently in the community; reliability and stability were assessed by test/retest procedures, with a 1‐week interval. Mean knowledge scores at ‘test’ were 11.54/20 (95% CI = 11.10‐11.99, SD: 3.07), and ‘retest’ was 12.24 (95% CI = 11.81‐12.66, SD: 2.93). For knowledge, correlation between the test/retest score was positive (r=. 60), attitude section‐inter‐item correlations ranged from r = −.31 to r = .57 (mean intraclass correlation coefficient of r = .42), and internal consistency for the retest was the same as the test (α = .41 for the eight items). For health behaviours, individual inter‐item correlations for test items ranged from r = −.21 to r = .41 for the 13 standardised items. Psychometric testing of the KPUP in a sample of older persons in the community provided moderate internal consistency and general high test‐retest stability.

Do safety briefings improve patient safety in the acute hospital setting? A systematic review 在紧急入院条件下,安全简报的发出是否可帮助提高患者的安全性?系统评估

Abstract

Aims

To synthesize current knowledge about the impact of safety briefings as an intervention to improve patient safety.

Background

Improving safety in health care remains an ongoing challenge. There is a lack of evidence underpinning safety enhancing interventions.

Design

Mixed method multi‐level synthesis.

Data Sources

Four health literature databases were searched (Cinahl, Medline, Scopus and Health Business Elite) from January 2002 – March 2017.

Review Methods

Thomas and Harden approach to mixed method synthesis.

Results

Following quality appraisal, 12 studies were included. There was significant heterogeneity in study aims, measures, and outcomes. Findings showed that safety briefings achieved beneficial outcomes and can improve safety culture. Outcomes included improved risk identification, reduced falls, enhanced relationships, increased incident reporting, ability to voice concerns, and reduced length of stay.

Conclusion

Healthcare leaders should embrace the potential of safety briefings by promoting their effective use whilst allowing for local adaptation.

目的

综合目前有关将安全简报作为改善患者安全状况的干预措施等影响。

背景

设计

采用混合法,实现多级合成。

数据来源

2002年1月至2017年3月间,共对四大健康文献数据库进行文献检索(Cinahl、Medline、Scopus以及Health Business Elite)。

评估方法

Thomas和Harden两位作者都采用混合法,实现多级合成。

结果

完成质量评估之后,共开展了12项研究。其中,研究目的、研究方法和研究结果均存在显著的异质性。研究结果表明,安全简报的发布可产生有益的效果,并可同时改善安全文化。结果包括:风险识别性能改善、失败率降低、关系增进、事件报告数量增加、表达担忧能力的获取以及住院时间的缩短。

结论

医疗保健领导者应充分利用安全简报的潜力,促进其有效使用,并应在使用过程中充分考虑当地具体的适应情况。

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