title: [Development and validation of the Korean patient safety culture scale for nursing homes].
abstract: OBJECTIVE
  The purpose of this study was to develop a tool to evaluate patient safety culture in nursing homes and to test its validity and reliability.
  
  
  METHODS
  A preliminary tool was developed through interviews with focus group, content validity tests, and a pilot study. A nationwide survey was conducted from February to April, 2011, using self-report questionnaires. Participants were 982 employees in nursing homes. Data were analyzed using Cronbach's alpha, item analysis, factor analysis, and multitrait/multi-Item analysis.
  
  
  RESULTS
  From the results of the analysis, 27 final items were selected from 49 items on the preliminary tool. Items with low correlation with total scale were excluded. The 4 factors sorted by factor analysis contributed 63.4% of the variance in the total scale. The factors were labeled as leadership, organizational system, working attitude, management practice. Cronbach's alpha for internal consistency was .95 and the range for the 4 factors was from .86 to .93.
  
  
  CONCLUSIONS
  The results of this study indicate that the Korean Patient Safety Culture Scale has reliability and validity and is suitable for evaluation of patient safety culture in Korean nursing homes.
authors.affiliation: Department of Nursing, Institute of Health Science, Inje University, Busan, Korea.
authors.forename: Sook Hee
authors.initials: SH
authors.lastname: Yoon
authors.forename: Byungsoo
authors.initials: B
authors.lastname: Kim
authors.forename: Se Young
authors.initials: SY
authors.lastname: Kim
mesh_terms: D000328:Adult; D000368:Aged; D044466:Asian People; D001291:Attitude of Health Personnel; D005163:Factor Analysis, Statistical; D005260:Female; D006282:Health Personnel / Q000523:psychology*; D006801:Humans; D007407:Interviews as Topic; D007857:Leadership; D008297:Male; D008332:Management Quality Circles; D008875:Middle Aged; D009735:Nursing Homes; D015279:Organizational Culture; D061214:Patient Safety; D010865:Pilot Projects; D016730:Program Development; D015397:Program Evaluation; D056910:Republic of Korea; D011795:Surveys and Questionnaires
keywords: Culture; Leadership; Nursing homes; Patient safety