Initial Psychometric Evaluation of the Staff Perception of the Disruptive Patient Behavior Scale.
OBJECTIVE
The aim of this study is to develop and psychometrically test the Staff Perception of Disruptive Patient Behavior (SPDPB) Scale.


BACKGROUND
Disruptive patient behaviors impact work safety for nurses in hospitals. There is no standardized approach to capturing staff perceptions of these behaviors.


METHODS
A mixed-methods approach was used to develop and psychometrically evaluate the SPDPB Scale. Items were generated from a survey completed by 770 healthcare providers. A prototype 66-item instrument was developed and content validity was obtained. Evaluation of the psychometric properties of the SPDPB Scale was completed with 558 nurses. Evaluation included internal consistency reliability, principal components analysis, and internal consistency reliability derived subscales to refine the final scale.


RESULTS
The SPDPB Scale is a multidimensional measure of perceptions of disruptive patient behaviors. The analysis identified 6 components explaining 54.1% of the variance. The final scale contained 65 items.


CONCLUSIONS
This scale demonstrated psychometric adequacy and can be recommended to measure staff perceptions of disruptive patient behavior.
Author Affiliations: Director (Ms Lipkis-Orlando), Office of Patient Advocacy, Office of Quality and Safety; Nurse Scientist (Dr Carroll), Senior Nurse Scientist (Dr Duffy), Director Emeritus, Munn Center for Nursing Research, Institute for Patient Care Massachusetts General Hospital, Boston, and Professor, Boston College, Massachusetts (Dr Jones); and Chief Medical Officer and Associate Dean for Medical Affairs (Dr Weiss), SUNY Upstate Medical University, Syracuse, New York.
Robin
R
Lipkis-Orlando
Diane L
DL
Carroll
Mary E
ME
Duffy
Anthony
A
P Weiss
Dorothy A
DA
Jones
D000046:Academic Medical Centers; D000328:Adult; D001291:Attitude of Health Personnel; D005260:Female; D006801:Humans; D008297:Male; D015399:Nursing Research / Q000379:methods*; D009741:Nursing Staff, Hospital / Q000523:psychology*; D016272:Occupational Health; D010361:Patients / Q000523:psychology*; D010465:Perception; D000066553:Problem Behavior; D011594:Psychometrics; D015203:Reproducibility of Results; D011795:Surveys and Questionnaires; D014481:United States