Development and initial validation of the Influences on Patient Safety Behaviours Questionnaire

Taylor, Natalie; Parveen, Sahdia; Robins, Victoria; Slater, Beverley; Lawton, Rebecca

doi:10.1186/1748-5908-8-81

Cited by 58Patient Safety and Medication ErrorsHealth Policy Implementation ScienceHealth Education and Validation

Development and initial validation of the Influences on Patient Safety Behaviours Questionnaire

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Taylor, Natalie, Parveen, Sahdia, Robins, Victoria, Slater, Beverley, Lawton, Rebecca·2013·Implementation Science

DOI 10.1186/1748-5908-8-81PMC PMC3846501

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Abstract

BACKGROUND: Understanding the factors that make it more or less likely that healthcare practitioners (HCPs) will perform certain patient safety behaviors is important in developing effective intervention strategies. A questionnaire to identify determinants of HCP patient safety behaviors does not currently exist. This study reports the development and initial validation of the Influences on Patient Safety Behaviors Questionnaire (IPSBQ) based on the Theoretical Domains Framework. METHODS: Two hundred and thirty-three HCPs from three acute National Health Service Hospital Trusts in the United Kingdom completed the 34-item measure focusing on one specific patient safety behavior (using pH as the first line method for checking the position of a nasogastric tube). Confirmatory factor analysis (CFA) was undertaken to generate the model of best fit. RESULTS: The final questionnaire consisted of 11 factors and 23 items, and CFA produced a reasonable fit: χ² (175) = 345.7, p < 0.001; CMIN/DF = 1.98; GFI = 0.90 and RMSEA = 0.06, as well as adequate levels of discriminant validity, and internal consistency (r = 0.21 to 0.64). CONCLUSIONS: A reliable and valid theoretically underpinned measure of determinants of HCP patient safety behavior has been developed. The criterion validity of the measure is still unknown and further work is necessary to confirm the reliability and validity of this measure for other patient safety behaviors.

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There are three published validated questionnaire measures of the TDF to identify influences on health care professionals' patient safety behaviours, physical activity in the general population, and generic health professional behaviours.
“There are three published validated questionnaire measures of the TDF to identify influences on the following behaviours: health care professionals' patient safety behaviours [48], physical activity in the general population [20] and generic health professional behaviours [49].”
From A guide to using the Theoretical Domains Framework of behaviour change to investigate implementation problems (2017) · cites this paper as [48]
Factor analysis implied that only one out of three TDF-based questionnaires was able to measure the theoretical domains independently.
“However, factor analysis implied that only one out of these three questionnaires was able to measure the theoretical domains independently [36].”
From Discriminant content validity of a theoretical domains framework questionnaire for use in implementation research (2014) · cites this paper as [36]
The TDF was demonstrated to be useful for the development of qualitative and quantitative measurement tools to assess potential implementation behavior determinants.
“The framework has been used in a number of studies and was demonstrated to be useful for the development of qualitative [32,33] and quantitative [34-36] measurement tools to assess potential implementation behavior determinants.”
From Discriminant content validity of a theoretical domains framework questionnaire for use in implementation research (2014) · cites this paper as [36]
These results correspond with Taylor et al., who found good discriminant validity of TDF domains in a questionnaire measuring influences on patient safety behaviors and in the Determinants of Physical Activity Questionnaire.
“These results correspond with Taylor et al.[36,63] who found good discriminant validity of TDF domains in a questionnaire measuring influences on patient safety behaviors [36] and in the Determinants of Physical Activity Questionnaire [63].”
From Discriminant content validity of a theoretical domains framework questionnaire for use in implementation research (2014) · cites this paper as [36]
Internal consistency reliability of the TDF-based questionnaires was low or could be improved.
“and internal consistency reliability was low [34] or could be improved [35,36].”
From Discriminant content validity of a theoretical domains framework questionnaire for use in implementation research (2014) · cites this paper as [36]

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Additional file 4 of Using a theory informed approach to design, execute, and evaluate implementation strategies to support offering reproductive genetic carrier screening in Australia
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Additional file 3 of Using a theory informed approach to design, execute, and evaluate implementation strategies to support offering reproductive genetic carrier screening in Australia
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Background
Parveen, S., Robins, V., Slater, B., Lawton, R., Taylor, N., Parveen, S., & Slater, B. (2013)
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Authors: Taylor, N., Parveen, S., Robins, V., Slater, B., & Lawton, R.
Affiliations: Bradford Royal Infirmary (GB)
University of Leeds (GB)
Corresponding author: Taylor, Natalie
ORCID: Taylor, Natalie
Parveen, Sahdia
Lawton, Rebecca
Venue: Implementation Science
Publisher: Springer Science and Business Media LLC
Published: 2013-07-29
Volume: 8
Issue: 1
Pages: 81-81
ISSN: 1748-5908 (ISSN-L)
DOI: 10.1186/1748-5908-8-81
PMC: PMC3846501
OpenAlex: W2062102458
Cited by: 58
References: 45
Citations by year: 2026: 1 · 2025: 3 · 2024: 5 · 2023: 7 · 2022: 7 · 2021: 5 · 2020: 7 · 2019: 4 · 2018: 4 · 2017: 5 · 2016: 1 · 2015: 4 · 2014: 3 · 2013: 2
FWCI: 5.20
Type: journal article
Language: en
Open access: gold
doi.org
Licence: cc-by
www.springer.com/tdm (unspecified)
Locations: Implementation Science (publishedVersion, cc-by)
Europe PMC (PubMed Central) (publishedVersion, cc-by)
PubMed Central (publishedVersion, cc-by)
PubMed (publishedVersion)
Bradford Scholars (University of Bradford) (publishedVersion, other-oa)
Topics: Health Sciences › Health Professions › Emergency Medical Services › Patient Safety and Medication Errors
Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
Social Sciences › Education › Health Education and Validation
Keywords: patient safety behavior, Theoretical Domains Framework, healthcare practitioners, pH measurement, questionnaire development, scale validation, behaviour change interventions
MeSH terms: Adult, Clinical Competence, Factor Analysis, Statistical, United Kingdom, Hospitals, Public, Humans, Medical Staff, Hospital, Surveys and Questionnaires, Safety Management, Risk Reduction Behavior, Young Adult, Patient Safety

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Development and initial validation of the Influences on Patient Safety Behaviours Questionnaire

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