La adaptación transcultural, confiabilidad y validez del instrumento actitudes y conocimientos de seguridad del paciente

Beatriz Martinez Ramírez; Nissa Yaing Torres Soto; Claudia Nelly  Orozco-González; María de Lourdes  Rojas Armadillo; Edgar Fernando  Peña Torres; María Isabel  Méndez-Domínguez

doi:10.19136/hs.a22n2.5318

Authors

Beatriz Martínez Ramírez Contemporary University of the Americas and Autonomous University of the State of Quintana Roo. https://orcid.org/0000-0001-8617-4279
Nissa Yaing Torres Soto Contemporary University of the Americas and Autonomous University of the State of Quintana Roo. https://orcid.org/0000-0003-3646-6649
Claudia Nelly Orozco González Contemporary University of the Americas; Faculty of Nursing, Autonomous University of the State of Mexico https://orcid.org/0000-0002-8885-5198
María de Lourdes Rojas Armadillo Autonomous University of the State of Quintana Roo https://orcid.org/0000-0002-7795-7033
Edgar Fernando Peña Torres Contemporary University of the Americas and Autonomous University of the State of Quintana Roo. https://orcid.org/0000-0002-0867-8575
María Isabel Méndez Domínguez Contemporary University of the Americas and Autonomous University of the State of Quintana Roo. https://orcid.org/0000-0003-2533-4683

DOI:

https://doi.org/10.19136/hs.a22n2.5318

Abstract

Objective: Patient safety seeks to reduce the risk and occurrence of avoidable harm, and to make errors less common in the population that receive health care. The training of human resources in health is considered a fundamental element to generate changes in health practices and contribute to reducing errors, furthermore safer processes. The objective of the present study is adapt and validate the "Questionnaire to measure attitudes and knowledge of patient safety" for its application with nursing and medical students of Public University of Medicine and Nursing in the Mexican Caribbean.

Materials and methods: A cross-sectional, observational study, with the application of an anonymous and voluntary survey. The sample included 220 students (120 women and 100 men) with an average age of 24 years (SD=2) a Public University of Medicine and Nursing in the Mexican Caribbean. The 46% were undergraduate internship and 54% in Social Service practices. The instrument presented one identification card and 21 Likert-type items.

Results: Through the Exploratory Factor Analysis (EFA), five factors were set with the Maximum Likelihood method and Varimax rotation on the 21 items of the patient safety questionnaire for Mexican students, resulting five factors that explain 63.59% of the total variance and an internal consistency index of the acceptable total scale (α=.87).

Conclusions: The questionnaire to measure attitudes and knowledge about patient safety translated and adapted to medical and nursing students is valid, reliable and useful to measure patient safety actions for the prevention of errors in health care.

Keywords: Patient safety; Validity; Reliability.

Downloads

Download data is not yet available.

Author Biographies

Beatriz Martínez Ramírez, Contemporary University of the Americas and Autonomous University of the State of Quintana Roo.

Bachelor of Medicine from the Meritorious Autonomous University of Puebla, Master of Health Sciences from the National Institute of Public Health and Doctorate in Public Health from the Contemporary University of the Americas. Career Research Professor of the Department of Medical Sciences of the Autonomous University of the State of Quintana Roo. Chetumal, Quintana Roo, Mexico.
Member of the academic body of "Patient Care and Safety" in the Primary Health Care research line of the Health Sciences Division. Member of the Editorial Committee of the Salud Quintana Roo Magazine. Publications in indexed and refereed journals inside and outside Mexico, and speaker at national and international conferences on issues related to patient safety, quality of health care. Recently director of Innovation and Quality in the State Health Services of Quintana Roo with experience in auditing and accreditation processes of first and second level health establishments.
Nissa Yaing Torres Soto, Contemporary University of the Americas and Autonomous University of the State of Quintana Roo.

Licenciada en Psicología Social Comunitaria por la Universidad Autónoma Indígena de México. Cuento con estudios de maestría en Innovación Educativa por la Universidad de Sonora y doctorado en Ciencias Sociales por la misma institución, ambos programas de posgrado pertenecientes al Programa Nacional de Posgrados de Calidad (PNPC) y actualmente Doctorante en Salud Pública por la Universidad Contemporánea de las Américas. Profesora Investigadora de Carrera en el Departamento de Ciencias Médicas de la División de Ciencias de la Salud de la Universidad Autónoma del Estado de Quintana Roo (UAEQRoo) donde además me desempeño como Directora de la Secretaria Técnica de Investigación y Extensión (STIE).

Es integrante del cuerpo académico de “Atención y Seguridad del Paciente” en la línea de investigación de Atención Primaria a la Salud de la División de Ciencias de la Salud y colaboradora del cuerpo académico de “Atención, Comunicación y Educación en Salud”. Soy miembro del Comité de Ética en Investigación en la División de Ciencias de la Salud, Co-editora de la Revista Salud Quintana Roo, miembro de la Red latinoamericana de Cuidado al Paciente Crónico y la Familia – Red CroniFam con Argentina, Chile, Colombia, Guatemala y Panamá. Ha participado en diversas conferencias a nivel nacional e internacional, cuento con más de 20 publicaciones en revistadas indexadas y arbitradas, capítulos de libros y memorias de investigación. Actualmente es perfil PRODEP y forma parte del Sistema Nacional de Investigadores Nivel 1.
Claudia Nelly Orozco González, Contemporary University of the Americas; Faculty of Nursing, Autonomous University of the State of Mexico

Graduated with a degree in nutrition in 2010 from the University of Guadalajara, PhD in Public Health Sciences from the same university in 2016. Member of the National Research System, Level I, 2022-2026. Research Professor and professor of subjects at the bachelor's, master's and doctoral levels in various schools. More than 10 years of experience as a teacher. At the moment she has the following scientific production: Participation in congresses as a speaker of international and national stature; Publications as first author and co-author in national and international indexed journals. She has 4 books at the moment: 2 books as an editor, 1 book as a coordinator, and 1 book as a co-author. She is the author of more than 10 chapters in different books. She has more than 100 consultancies in methodology and statistics in specialty theses, bachelor's, master's and doctoral degrees. Founder of the company "pontealcorriente", nutrition courses.
María de Lourdes Rojas Armadillo, Autonomous University of the State of Quintana Roo

Bachelor's degree as a surgeon, specialist in Family Medicine and has Master's and Doctorate studies in education, Master's in Management and Methodology of Quality and Safety of Health Care from the University of Barcelona. She is currently a Career Research Professor of the Health Sciences Division of the University of Quintana Roo and serves as Director of the Health Sciences Division of the University of Quintana Roo. She is responsible for the Academic Body of Quality and Patient Safety and has several publications in indexed and refereed journals on Patient Safety and Quaternary Prevention. She is a member of the editorial committee of the Revista Mexicana de Medicina Familiar and representative of Mexico for Quaternary Prevention before the Ibero-American Confederation of Family Medicine. She has had the PRODEP profile recognition for 3 years, she is a Researcher of the Level III State Research System and is part of the National System of Level 1 Researchers.
Edgar Fernando Peña Torres, Contemporary University of the Americas and Autonomous University of the State of Quintana Roo.

Biochemical Engineer from the Technological Institute of Mazatlán, he is a Master of Science from the Food and Development Research Center (CIAD) in the Department of Science and Technology of Food of Animal Origin, Doctor of Science from the same institution and Doctor of Public Health by the Contemporary University of the Americas. He has a doctoral stay at the Center for Research and Advanced Studies of the National Polytechnic Institute, in the Department of Physiology, Biophysics and Neurosciences in Mexico City. Among the lines of research that he handles are food safety, physiology, molecular biology, public health, statistics and design of experiments.
He has worked as Professor-Researcher of subjects at the undergraduate level in various higher education institutions such as the Kino University, the State University of Sonora in Hermosillo, Sonora, and the Autonomous Indigenous University of Mexico in Los Mochis, Sinaloa, where he offered analysis courses. of data, design of experiments, quality tools and methodology. Currently, he is Coordinator of the Health Promotion and Care Units at the University of Quintana Roo and a subject professor in the Department of Medical Sciences of the Health Sciences Division of the Autonomous University of the State of Quintana Roo.
He has participated as a collaborator in CIAD projects and the private sector, supporting with the design of experiments, sampling and quality evaluations in food. He has several publications in refereed and indexed journals and has presented at international conferences.
María Isabel Méndez Domínguez, Contemporary University of the Americas and Autonomous University of the State of Quintana Roo.

Graduated in Nursing and Midwifery, she has training in disciplinary specialties: Surgical Nursing and Administration and Teaching and a Diploma in Management. She is a Master of Education and Doctorate in Public Health from the Contemporary University of the Americas. She is a Career Research Professor of the Department of Nursing Sciences of the Autonomous University of the State of Quintana Roo. Chetumal, Quintana Roo, Mexico. Evaluator of educational programs and member of the Mexican Council for Nursing Accreditation A.C. (COMACE), she is a Board Member of the Southeast Region Association of Nursing Faculties and Schools (AFEERS) and Member of the editorial committee of Salud Quintana Roo magazine.