Knowledge and Attitudes towards Patient Safety among Students in Physical Therapy in Spain: A Longitudinal Study
Abstract
:1. Introduction
2. Materials and Methods
- (1)
- Patient safety training received (ST);
- (2)
- Error reporting confidence (ER);
- (3)
- Working hours as an error cause (WH);
- (4)
- Error inevitability (EI);
- (5)
- Professional incompetence as an error cause (PR);
- (6)
- Disclosure responsibility (DR);
- (7)
- Team functioning (TF);
- (8)
- Patient involvement in reducing error (PA);
- (9)
- Importance of patient safety in the curriculum (SC).
3. Results
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
Appendix A
Dimensions | Items |
---|---|
Patient safety training received (ST) |
|
| |
| |
Error reporting confidence (ER) |
|
| |
| |
Working hours as an error cause (WH) |
|
| |
| |
Error inevitability (EI) |
|
| |
| |
Professional incompetence as an error cause (PR) |
|
| |
| |
Disclosure responsibility (DR) |
|
| |
| |
Team functioning (TF) |
|
| |
Patient involvement in reducing error (PA) |
|
| |
Importance of patient safety in the curriculum (SC) |
|
| |
|
References
- Emanuel, L.; Berwick, D.; Conway, J.; Combes, J.; Hatlie, M.; Leape, L.; Reason, J.; Schyve, P.; Vincent, C.; Walton, M. What exactly is patient safety? In Advances in Patient Safety: New Directions and Alternative Approaches (Vol. 1: Assessment); Henriksen, K., Battles, J.B., Keyes, M.A., Grady, M.L., Eds.; Agency for Healthcare Research and Quality: Rockville, MD, USA, 2008. [Google Scholar]
- Card, A.J. Patient safety: This is public health. J. Healthc. Risk Manag. 2014, 34, 6–12. [Google Scholar] [CrossRef]
- Jha, A.K. Patient Safety–A Grand Challenge for Healthcare Professionals and Policymakers Alike. In Proceedings of the Roundtable at the Grand Challenges Meeting of the Bill & Melinda Gates Foundation, Berlin, Germany, 15–18 October 2018. [Google Scholar]
- Slawomirski, L.; Auraaen, A.; Klazinga, N. The Economics of Patient Safety: Strengthening a Value-Based Approach to Reducing Patient Harm at National Level; OECD: Paris, France, 2017; Available online: http://www.oecd.org/els/health-systems/The-economics-of-patient-safety-March-2017.pdf (accessed on 1 July 2022). [CrossRef]
- National Academies of Sciences, Engineering, and Medicine; Health and Medicine Division; Board on Health Care Services; Board on Global Health; Committee on Improving the Quality of Health Care Globally. Crossing the Global Quality Chasm: Improving Health Care Worldwide; National Academies Press (US): Washington, DC, USA, 2018. [Google Scholar]
- Kiersma, M.E.; Plake, K.S.; Darbishire, P.L. Patient safety instruction in US health professions education. Am. J. Pharm. Educ. 2011, 75, 162. [Google Scholar] [CrossRef]
- Sammer, C.E.; Lykens, K.; Singh, K.P.; Mains, D.A.; Lackan, N.A. What is patient safety culture? A review of the literature. J. Nurs. Scholarsh. 2010, 42, 156–165. [Google Scholar] [CrossRef] [PubMed]
- Tocco Tussardi, I.; Benoni, R.; Moretti, F.; Tardivo, S.; Poli, A.; Wu, A.W.; Rimondini, M.; Busch, I.M. Patient safety in the eyes of aspiring healthcare professionals: A systematic review of their attitudes. Int. J. Environ. Res. Public Health 2021, 18, 7524. [Google Scholar] [CrossRef]
- Nadarajan, S.P.; Karuthan, S.R.; Rajasingam, J.; Chinna, K. Attitudes toward patient safety among medical students in Malaysia. Int. J. Environ. Res. Public Health 2020, 17, 7721. [Google Scholar] [CrossRef]
- Mortensen, M.; Naustdal, K.I.; Uibu, E.; Mägi, L.; Kangasniemi, M.; Põlluste, K.; Moi, A.L. Instruments for measuring patient safety competencies in nursing: A scoping review. BMJ Open Qual. 2022, 11, e001751. [Google Scholar] [CrossRef]
- Pileta, C.; Robles, E.M.; Daudinot, B.; Pría-Barros, M.C.; Moya-Bisset, Y.; Couturejuzón, L. A tool for assessing the level of knowledge about patient’s safety in undergraduate students. Rev. Cuba. Educ. Médica Super. 2016, 30, 2. [Google Scholar]
- Carruthers, S.; Lawton, R.; Sandars, J.; Howe, A.; Perry, M. Attitudes to patient safety amongst medical students and tutors: Developing a reliable and valid measure. Med. Teach. 2009, 31, e370–e376. [Google Scholar] [CrossRef]
- Tappatá Lamponi, L.; Gazzoni, C.; Gallardo, M.F.; Cragno, A.; García-Dieguez, M.; Ocampo, S.A. Seguridad del paciente y educación médica: Adaptación transcultural de un cuestionario para la evaluación de la percepción de seguridad del paciente en estudiantes de medicina. Rev. Argent. Educ. Médica 2014, 6, 45–52. [Google Scholar]
- García Elorrio, E.; Macchiavello, D.; Rodriguez, V.; Catalano, Y.; Corna, G.; Dahinten, J.; Ontivero, M. Knowledge, beliefs and attitudes report on patient care and safety in undergraduate students: Validating the modified APSQ-III questionnaire. Medwave 2016, 16, e6809. [Google Scholar] [CrossRef]
- Cantero-López, N.; González-Chordá, V.M.; Valero-Chillerón, M.J.; Mena-Tudela, D.; Andreu-Pejó, L.; Vila-Candel, R.; Cervera-Gasch, Á. Attitudes of undergraduate nursing students towards patient safety: A quasi-experimental study. Int. J. Environ. Res. Public Health 2021, 18, 1429. [Google Scholar] [CrossRef]
- Ji, Y.; Lee, H.; Lee, T.; Choi, M.; Lee, H.; Kim, S.; Do, H.K.; Kim, S.; Chu, S.H.; Park, J.; et al. Developing an integrated curriculum for patient safety in an undergraduate nursing program: A case study. BMC Nurs. 2021, 20, 172. [Google Scholar] [CrossRef]
- Bianchi, M.; Bressan, V.; Cadorin, L.; Pagnucci, N.; Tolotti, A.; Valcarenghi, D.; Watson, R.; Bagnasco, A.; Sasso, L. Patient safety competencies in undergraduate nursing students: A rapid evidence assessment. J. Adv. Nurs. 2016, 72, 2966–2979. [Google Scholar] [CrossRef]
- Alser, M.; Böttcher, B.; Alfaqawi, M.; Jlambo, A.; Abuzubaida, W.; Abu-El-Noor, N. Undergraduate medical students’ attitudes towards medical errors and patient safety: A multi-center cross-sectional study in the Gaza Strip, Palestine. BMC Med. Educ. 2020, 20, 447. [Google Scholar] [CrossRef]
- Wetzel, A.P.; Dow, A.W.; Mazmanian, P.E. Patient safety attitudes and behaviors of graduating medical students. Eval. Health Prof. 2012, 35, 221–238. [Google Scholar] [CrossRef] [PubMed]
- Liu, H.; Li, Y.; Zhao, S.; Jiao, M.; Lu, Y.; Liu, J.; Jiang, K.; Fang, H.; Sun, P.; Li, P.; et al. Perceptions of patient safety culture among medical students: A cross-sectional investigation in Heilongjiang Province, China. BMJ Open 2018, 8, e020200. [Google Scholar] [CrossRef]
- Struessel, T.S.; Van Zytveld, C.R.; Forster, J.E.; Gisbert, R.; Nordon-Craft, A. Knowledge and attitudes of physical therapy students across a longitudinal healthcare systems-focused patient safety curriculum. J. Allied Health 2020, 49, 105–113. [Google Scholar]
- Hansen, M.; Oosthuizen, G.; Windsor, J.; Doherty, I.; Greig, S.; McHardy, K.; McCann, L. Enhancement of medical interns’ levels of clinical skills competence and self-confidence levels via video iPods: Pilot randomized controlled trial. J. Med. Internet Res. 2011, 13, e29. [Google Scholar] [CrossRef]
- Alnajjar, H.; Bayoumy, H.M.; Rawas, H.; de Beer, J. Assessing the effectiveness of two internship clinical training programs: Impact on the perception of competency enhancement and student satisfaction. Saudi J. Health Sci. 2019, 8, 75–80. [Google Scholar] [CrossRef]
- Cresswell, K.; Howe, A.; Steven, A.; Smith, P.; Ashcroft, D.; Fairhurst, K.; Bradley, F.; Magnusson, C.; McArthur, M.; Pearson, P.; et al. Patient safety in healthcare preregistration educational curricula: Multiple case study-based investigations of eight medicine, nursing, pharmacy and physiotherapy university courses. BMJ Qual. Saf. 2013, 22, 843–854. [Google Scholar] [CrossRef] [PubMed]
- Onigbinde, A.T. The impact of internship programme and its effects on the physiotherapy practice in Nigeria. Niger. J. Med. Rehabil. 2006, 11. [Google Scholar] [CrossRef]
- Obra, C.D.; Aquino, S.G.; Cabugon, R.C.; Valera, L.M.; Ancheta, C.S. Strategies to address problems encountered in physical therapy clinical internship. MMSU Sci. Technol. J. 2017, 7, 1–11. [Google Scholar]
- Daniel, W.W. Biostatistics: A Foundation for Analysis in the Health Sciences, 7th ed.; John Wiley & Sons: New York, NY, USA, 1999. [Google Scholar]
- Holden, R.B. Face validity. In The Corsini Encyclopedia of Psychology, 4th ed.; Weiner, I.B., Craighead, W.E., Eds.; Wiley: Hoboken, NJ, USA, 2010; pp. 637–638. ISBN 978-0-470-17024-3. [Google Scholar]
- Hamid, H.S.A.; Kar, C.S.C.; Murad, N.S. Adaptation and validation of the safety attitude questionnaire (SAQ) in Malaysian healthcare setting. J. Psikol. Malays. 2016, 30, 17–29. [Google Scholar] [CrossRef] [Green Version]
- Nordén-Hägg, A.; Sexton, J.B.; Kälvemark-Sporrong, S.; Ring, L.; Kettis-Lindblad, Å. Assessing safety culture in pharmacies: The psychometric validation of the safety attitudes questionnaire (SAQ) in a national sample of community pharmacies in Sweden. BMC Clin. Pharmacol. 2010, 10, 8. [Google Scholar] [CrossRef]
- Hewitt, C.E.; Kumaravel, B.; Dumville, J.C.; Torgerson, D.J.; Trial attrition study group. Assessing the impact of attrition in randomized controlled trials. J. Clin. Epidemiol. 2010, 63, 1264–1270. [Google Scholar] [CrossRef]
Variables | Mean ± SD or Frequency (%) | |
---|---|---|
Age | 22.04 ± 4.12 | |
Gender | Male | 59 (47.2) |
Female | 66 (52.8) | |
Academic Year | 3rd | 54 (43.2) |
4th | 64 (51.2) | |
Both | 7 (5.6) | |
Current Professional Position | Not working | 97 (77.6) |
Working in a health non-related area | 23 (18.4) | |
Working in health area | 5 (4.0) | |
Previous Studies | High School | 104 (83.2) |
University | 4 (3.2) | |
Training & Development | 6 (4.8) | |
Training & Development + High School | 11 (8.8) | |
Encountered Previous Content in Patient Security | No | 70 (56.0) |
Yes | 55 (44.0) | |
Previous Experiences in Physical Therapy (as a patient) | No | 25 (20.0) |
Yes | 100 (80.0) | |
Number of Visits to Physical Therapy (as a patient) | <10 visits | 64 (51.2) |
10–20 visits | 47 (37.6) | |
>20 visits | 14 (11.2) |
Dimensions | N | Straight Scores | Scores with Reversed Items | Average Positive Response Rate | |||
---|---|---|---|---|---|---|---|
Mean | SD | Mean | SD | Mean | SD | ||
Pre | |||||||
ST | 121 | 10.363 | 1.914 | 56.473 | 30.984 | ||
ER | 122 | 10.000 | 2.263 | 44.262 | 31.620 | ||
WH | 121 | 11.363 | 2.469 | 69.146 | 35.529 | ||
EI | 122 | 9.819 | 1.391 | 13.262 | 1.761 | 84.972 | 21.039 |
PR | 122 | 7.426 | 2.096 | 10.590 | 2.091 | 51.092 | 30.054 |
DR | 119 | 9.025 | 1.820 | 10.050 | 2.629 | 49.859 | 34.953 |
TF | 122 | 8.967 | 1.246 | 91.803 | 22.601 | ||
PA | 122 | 7.942 | 1.312 | 70.491 | 32.622 | ||
SC | 122 | 10.623 | 1.565 | 12.672 | 1.801 | 85.792 | 21.817 |
Post | |||||||
ST | 103 | 11.223 | 2.057 | 71.153 | 29.398 | ||
ER | 105 | 10.628 | 2.481 | 54.088 | 35.769 | ||
WH | 105 | 12.647 | 2.556 | 77.358 | 31.722 | ||
EI | 104 | 9.924 | 1.689 | 13.105 | 2.028 | 82.857 | 24.070 |
PR | 104 | 8.247 | 2.282 | 9.826 | 2.235 | 42.539 | 32.190 |
DR | 103 | 9.532 | 1.866 | 10.359 | 2.195 | 50.320 | 32.179 |
TF | 104 | 8.798 | 1.585 | 87.142 | 27.759 | ||
PA | 104 | 8.009 | 1.597 | 73.333 | 34.714 | ||
SC | 105 | 10.978 | 1.789 | 12.647 | 2.196 | 79.245 | 27.775 |
Test Parameters | Dimensions | ||||||||
---|---|---|---|---|---|---|---|---|---|
ST | ER | WH | EI | PR | DR | TF | PA | SC | |
Z score | −3.471 | −2.014 | −1.893 | −1.026 | −2.212 | −0.283 | −1.779 | −0.790 | −1.874 |
p-value | 0.001 | 0.044 | 0.058 | 0.305 | 0.027 | 0.777 | 0.075 | 0.430 | 0.061 |
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Montilla-Herrador, J.; Lozano-Meca, J.A.; Baño-Alcaraz, A.; Lillo-Navarro, C.; Martín-San Agustín, R.; Gacto-Sánchez, M. Knowledge and Attitudes towards Patient Safety among Students in Physical Therapy in Spain: A Longitudinal Study. Int. J. Environ. Res. Public Health 2022, 19, 11618. https://doi.org/10.3390/ijerph191811618
Montilla-Herrador J, Lozano-Meca JA, Baño-Alcaraz A, Lillo-Navarro C, Martín-San Agustín R, Gacto-Sánchez M. Knowledge and Attitudes towards Patient Safety among Students in Physical Therapy in Spain: A Longitudinal Study. International Journal of Environmental Research and Public Health. 2022; 19(18):11618. https://doi.org/10.3390/ijerph191811618
Chicago/Turabian StyleMontilla-Herrador, Joaquina, José A. Lozano-Meca, Aitor Baño-Alcaraz, Carmen Lillo-Navarro, Rodrigo Martín-San Agustín, and Mariano Gacto-Sánchez. 2022. "Knowledge and Attitudes towards Patient Safety among Students in Physical Therapy in Spain: A Longitudinal Study" International Journal of Environmental Research and Public Health 19, no. 18: 11618. https://doi.org/10.3390/ijerph191811618