Content validity and internal reliability of Slovene version of Medication Administration Error Survey
DOI:
https://doi.org/10.14528/snr.2016.50.1.69Keywords:
patients safety, instruments development, psychometric properties, hospitalsAbstract
Introduction: In Slovenia there is a lack of valid and reliable instruments for measuring medication administration errors. The aim of research is to determine the content validity and internal reliability of the Slovenian version of the ''Medication Administration Error Survey''. Methods: We used the translation and back translation tested the questionnaire for its content validity on the basis of an agreement of eight experts. Content validity was quantified by the content validity index and a modified Cohen kappa index. A cross-sectional design, with a convenience sample of 91 caregivers working in internal or surgical wards in two health care institutions, was used to test the internal consistency by calculating Cronbach's α and corrected item-total correlations. Results: 64 items showed an excellent content validity index, ranging from 0.875 to 1.000, and modified kappa index over 0.740. Two items had a content validity index 0.750 and modified kappa index 0.560. The average content validity index for three main parts of the questionnaire ranged from 0.940 to 0.959. Cronbach's α for these three parts ranged from 0.832 to 0.989. The corrected item-total correlations reached a required criterion for all items, except one. Discussion and conclusion: Instrument has an acceptable content validity and internal reliability, however, due to some methodological shortcomings results should be interpreted with caution. Further psychometric testing is needed.
Downloads
Metrics
References
Aboshaiqah, A.E., 2013. Barriers in reporting medication administration errors as perceived by nurses in Saudi Arabia. Middle-East Journal of Scientific Research, 17(2), pp. 130–136. Available at: http://www.idosi.org/mejsr/mejsr17(2)13/1.pdf
5. 2015].
Bahadori, M., Ravangard, R., Aghili, A., Sadeghifar, J., Gharsi Manshadi, M. & Smaeilnejad, J., 2013. The factors affecting the refusal of reporting on medication errors from the nurses' viewpoints: a case study in a hospital in Iran. ISRN Nursing, 876563. http://dx.doi.org/10.1155/2013/876563 PMid:23691354
Berdot, S., Gillaizeau, F., Caruba, T., Prognon, P., Durieux, P. & Sabatier, B., 2013. Drug administration errors in hospital inpatients: a systematic review. PloS one, 8(6), e68856. http://dx.doi.org/10.1371/journal.pone.0068856 PMid:23818992
Blegen, M.A., Vaughn, T., Pepper, G., Vojir, C., Stratton, K., Boyd, M., et al., 2004. Patient and staff safety: voluntary reporting. American Journal of Medical Quality, 19(2), pp. 67–74. http://dx.doi.org/10.1177/106286060401900204 PMid:15115277
Bračič, A., 2011. Varnost na področju predpisovanja in ravnanja z zdravili kot kompleksen sistemski problem. Obzornik
zdravstvene nege, 45(3), pp. 213–218.
Brady, A.M., Malone, A.M. & Fleming, S., 2009. A literature review of the individual and systems factors that contribute to medication errors in nursing practice. Journal of Nursing Management, 17(6), pp. 679–697. http://dx.doi.org/10.1111/j.1365-2834.2009.00995.x PMid:19694912
Chiang, H.Y. & Pepper, G.A., 2006. Barriers to nurses' reporting of medication administration errors in Taiwan. Journal of Nursing Scholarship, 38(4), pp. 392–399. http://dx.doi.org/10.1111/j.1547-5069.2006.00133.x PMid:17181090
Cicchetti, D.V., & Sparrow, S. 1981. Developing criteria for establishing interrater reliability of specific items: application to assessment of adaptive behavior. American Journal of Mental Deficiency, 86(2), pp. 127–137. PMid:7315877
Covell, C.L. & Ritchie, J.A., 2009. Nurses' responses to medication errors: suggestions for the development of organizational strategies to improve reporting. Journal of Nursing Care Quality, 24(4), pp. 287–297. http://dx.doi.org/10.1097/NCQ.0b013e3181a4d506 PMid:19755878
Devriendt, E., Van den Heede, K., Coussement, J., Dejaeger, E., Surmont, K., Heylen, D., et al., 2012. Content validity and internal consistency of the Dutch translation of the Safety Attitudes Questionnaire: an observational study. International Journal of Nursing Studies, 49(3), pp. 327–337. http://dx.doi.org/10.1016/j.ijnurstu.2011.10.002 PMid:22035966
Donaldson, N., Aydin, C. & Fridman, M., 2014. Predictors of unit-level medication adminstration accuracy: microsystem impacts on medication safety. Journal of Nursing Administration, 44(6), pp. 353–336. http://dx.doi.org/10.1097/nna.0000000000000081 PMid:24835141
Fleiss, J. 1971. Measuring nominal scale agreement among many raters. Psychological Bulletin, 76(5), pp. 378–382. http://dx.doi.org/10.1037/h0031619
Hajibabaee, F., Joolaee, S., Peyravi, H., Alijany-Renany, H., Bahrani, N. & Haghani, H., 2014. Medication error reporting in Tehran: a survey. Journal of Nursing Management, 22(3), pp. 304–310. http://dx.doi.org/10.1111/jonm.12226 PMid:24612424
Hartel, M.J., Staub, L.P., Roder, C. & Eggli, S., 2011. High incidence of medication documentation errors in a Swiss university hospital due to the handwritten prescription process. BioMed Central Health Services Research, 11, 199. http://dx.doi.org/10.1186/1472-6963-11-199 PMid:21851620
Haw, C., Stubbs, J. & Dickens, G.L., 2014. Barriers to the reporting of medication administration errors and near misses: an interview study of nurses at a psychiatric hospital. Journal of Psychiatric and Mental Health Nursing, 21(9), pp. 797–805.
http://dx.doi.org/10.1111/jpm.12143 PMid:24646372
Helsinki Declaration/Helsinška deklaracija, 2013. Available at: http://www.wma.net/en/30publications/10policies/b3/ [20. 6. 2014].
Hughes, R.G. & Blegen, M.A., 2008. Medication administration safety. In: Hughes R.G. ed. Patient safety and quality: an evidence-based handbook for nurses. Rockville MD: Agency for Healthcare Research and Quality. Available at: http://www.ncbi.nlm.nih.gov/books/NBK2656/ [15. 5. 2015].
Keers, R.N., Williams, S.D., Cooke, J. & Ashcroft, D.M., 2013. Causes of medication administration errors in hospitals: a systematic review of quantitative and qualitative evidence. Drug Safety, 36(11), pp. 1045–1067. http://dx.doi.org/10.1007/s40264-013-0090-2 PMid:23975331
Leendertse, A.J., Van Den Bemt, P.M., Poolman, J.B., Stoker, L.J., Egberts, A.C. & Postma, M.J., 2011. Preventable hospital admissions related to medication (HARM): cost analysis of the HARM study. Value in Health, 14(1), pp. 34–40. http://dx.doi.org/10.1016/j.jval.2010.10.024 PMid:21211484
Lynn, M.R., 1986. Determination and quantification of content validity. Nursing Research, 35(6), pp. 382-385. PMid:3640358
Mahieu, L., de Casterle, B.D., Van Elssen, K. & Gastmans, C., 2013. Nurses' knowledge and attitudes towards aged sexuality: validity and internal consistency of the Dutch version of the Aging Sexual Knowledge and Attitudes Scale. Journal of Advanced Nursing, 69(11), pp. 2584–2596. http://dx.doi.org/10.1111/jan.12113 PMid:23444972
Maiden, J.M., 2008. A quantitative and qualitative inquiry into moral distress, compassion fatigue, medication error, and critical care nursing: doctoral disertation. San Diego (CA): University of San Diego, Hahn School of Nursing and Health Sciences, p. 68.
Mayo, A.M. & Duncan, D., 2004. Nurse perceptions of medication errors: what we need to know for patient safety. Journal of Nursing Quality Assurance, 19(3), pp. 209–217. http://dx.doi.org/10.1097/NNA.0000000000000188 PMid:15326990
Mrayyan, M.T. & Al-Atiyyat, N., 2011. Medication errors in university-affiliated teaching hospitals as compared to nonuniversity- affiliated teaching hospitals in Jordan. Nursing Forum, 46(4), pp. 206–217. http://dx.doi.org/10.1111/j.1744-6198.2011.00241.x PMid:22029764
Pazokian, M., Zagheri Tafreshi, M., & Rassouli, M., 2014. Iranian nurses' perspectives on factors influencing medication errors. International Nursing Review, 61(2), pp. 246–254. http://dx.doi.org/10.1111/inr.12086 PMid:24571495
Polit, D.F. & Beck, C.T., 2004. Nursing research: principles and methods. 7th ed. Philadelphia: Lippincott Williams & Wilkins., pp. 423–424.
Polit, D.F. & Beck, C.T., 2006. The content validity index: are you sure you know what's being reported? Critique and recommendations. Research in Nursing & Health, 29(5), pp. 489–497. http://dx.doi.org/10.1002/nur.20147 PMid:16977646
Polit, D.F., Beck, C.T. & Owen, S.V., 2007. Is the CVI an acceptable indicator of content validity? Appraisal and recommendations. Research in Nursing & Health, 30(4), pp. 459–467. http://dx.doi.org/10.1002/nur.20199 PMid:17654487
Polit, D.F & Beck, C.T., 2012. Nursing research: generating and assessing evidence for nursing practice. 9th ed. Philadelphia: Wolters Kluwer, Lippincott Williams & Wilkins, pp. 336–337.
Reason, J., 2000. Human error: models and management. British Medical Journal, 320(7237), pp. 768–770. Available at:
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1117770/ [15. 5. 2015].
Robida, A., 2012. Kriminalizacija človeških napak v zdravstvu: rešitev ali poguba za paciente? Isis, 21(12), pp. 17–23.
Shanty, J.A., 2011. The influence of perceived safety culture and nurses' work environment on medication error occurrence and reporting: doctoral disertation. Morgantown (WA): West Virginity University, School of Nursing.
Stratton, K.M., Blegen, M.A., Pepper, G. & Vaughn, T., 2004. Reporting of medication errors by pediatric nurses. Journal of Pediatric Nursing, 19(6), pp. 385–392. http://dx.doi.org/10.1016/j.pedn.2004.11.007 PMid:15637579
Streiner, D.L., 2003. Starting at the beginning: an introduction to coefficient alpha and internal consistency. Journal of Personality Assessment, 80(1), pp. 99–103. http://dx.doi.org/10.1207/S15327752JPA8001_18 PMid:12584072
Svet Evrope/Council of Europe., 2006. Priporočilo Rec (2006)7 Odbora ministrov državam članicam o ravnanju z varnostjo pacientov in preprečevanju neželenih dogodkov v zdravstvu. Ljubljana: Ministrstvo za zdravje, Republika Slovenija. Available at: http://www.mz.gov.si/fileadmin/mz.gov.si/pageuploads/mz_dokumenti/delovna_podrocja/zdravstveno_varstvo/kakovost/VARNOST/SE-Varnost_Pacientov_2007.pdf [15. 5. 2015].
Wakefield, D.S., Wakefield, B.J., Uden-Holman, T. & Blegen, M.A., 1996. Perceived barriers in reporting medication administration errors. Best Practices and Benchmarking in Healthcare, 1(4), pp. 191–197. PMid: 9192569
Wakefield, B.J., Wakefield, D.S., Uden-Holman, T. & Blegen, M.A., 1998. Nurses' perceptions of why medication administration errors occur. Medsurg Nursing, 7(1), pp. 39–44. PMid:9544009
Wakefield, D.S., Wakefield, B. J., Borders, T., Uden-Holman, T., Blegen, M., & Vaughn, T., 1999a. Understanding and comparing differences in reported medication administration error rates. American Journal of Medical Quality, 14(2), pp. 73–80. PMid:10446668
Wakefield, D.S., Wakefield, B.J., Uden-Holman, T., Borders, T., Blegen, M. & Vaughn, T., 1999b. Understanding why medication administration errors may not be reported. American Journal of Medical Quality, 14(2), pp. 81–88. PMid: 10446669
Wakefield, B.J., Uden-Holman, T. & Wakefield, D.S., 2005. Development and validation of the medication administration error reporting survey. In: Henriksen, K., Battles, J.B., Marks, E.S. & Lewin, D.I. eds. Advances in patient safety: from research to implementation (Volume 4: Programs, tools, and products). Rockville: Agency for Healthcare Research and Quality, pp. 1–12. Available at: http://www.ncbi.nlm.nih.gov/books/NBK20599/ [15. 5. 2015].
Downloads
Published
How to Cite
Issue
Section
License
As the author undersigned hereby, I transfer, assign, or otherwise convey the following authorship rights as comprised in the Copyright and Related Rights Act (CRRA) to the Slovenian Nursing Review, Ob železnici 30A, 1000 Ljubljana: the right of reproduction - the exclusive right to fix the work in a material medium or in another copy directly or indirectly, temporarily or permanently, by any means and in any digital form, in whole or in part (CRRA, Article 23); the right of distribution (CRRA, Article 24); the right of making a work available and accessible through the internet (CRRA, Article 32a); the right of transformation, especially the exclusive right to translate a pre-existing work (CRRA, Article 33). The transfer of author rights applies to the article in its entirety, including pictorial and/or graphic works and possible supplements. The transfer of rights is exclusive and unlimited in duration or territory.
