Older, vulnerable patient view: a pilot and feasibility study of the patient measure of safety (PMOS) with patients in Australia

Taylor, Natalie; Hogden, Emily; Clay‐Williams, Robyn; Li, Zhicheng; Lawton, Rebecca; Braithwaite, Jeffrey

doi:10.1136/bmjopen-2016-011069

Cited by 15 publications

(19 citation statements)

References 33 publications

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“…communication and team work, organisation of care planning, information flow resonate strongly with themes arising in this review. However, whilst PMOS have been explored within other hospital settings [55], this review has profiled areas of safety particular to intensive care e.g. family visiting and staff competence and from the perspective of family members.…”

Section: Discussionmentioning

confidence: 99%

Factors influencing family member perspectives on safety in the intensive care unit: a systematic review

Coombs

Statton

Endacott

et al. 2020

International Journal for Quality in Health Care

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Purpose Patient safety has developed as a strong marker for health care quality. Safety matters are important in the intensive care unit (ICU) where complex clinical decisions are made, intensive technology is used, and families hold a unique role. The aim of this review was to identify and describe factors that influence family member’s perceptions of safety in the adult intensive care unit. Data sources Searches were conducted during September – November 2018, and repeated July 2020 using CINAHL, MEDLINE (EBSCO), PubMed, and PsycINFO databases. Study selection Published primary studies undertaken in adult ICUs and involving adult family member participants exploring safety or feeling safe. No date restrictions were applied. Data extraction A data extraction form collected information about sample, study design, data collection methods and results from each paper. Methodological quality was assessed using the QualSyst tools for qualitative and quantitative studies. Narrative synthesis was undertaken. Results of data synthesis Twenty papers were included with 11 papers published since 2010. The majority of papers reported on qualitative studies (n=16). Four factors were identified that influenced whether family members felt that the patient was safe in ICU: family visiting, information and communication, caring, and professional competence. Conclusion In detailing specific practices that make families feel safe and unsafe in ICU, these review findings provide a structure for clinicians, educators and researchers to inform future work, and gives opportunity for the family role in patient safety to be reconsidered.

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Section: Discussionmentioning

confidence: 99%

Factors influencing family member perspectives on safety in the intensive care unit: a systematic review

Coombs

Statton

Endacott

et al. 2020

International Journal for Quality in Health Care

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“…We aimed to produce two revised patient measures of safety that are practical, feasible and simple for patients to complete, responding directly to the need to enhance patient acceptability of the original measure 19 20. PMOS-30 included less negatively worded items compared with PMOS-44 (37% as opposed to 57%), and the internal reliability of PMOS-30 was established.…”

Section: Discussionmentioning

confidence: 99%

“…Indeed, in a formative evaluation of the implementation of PRASE with hospital volunteers—volunteers described how the measure was too time consuming for patients to complete, and that its length impacted on the conversation and rapport they were able to build with patients 19. Furthermore, in recognition of the potential difficulties described above, researchers in Australia have produced a revised version of the measure for use with vulnerable older adult groups 20…”

Section: Introductionmentioning

confidence: 99%

Validation of revised patient measures of safety: PMOS-30 and PMOS-10

Louch¹,

Reynolds²,

Moore³

et al. 2019

BMJ Open

Self Cite

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ObjectivesThere is growing evidence that patients can provide feedback on the safety of their care. The 44-item Patient Measure of Safety (PMOS) was developed for this purpose. While valid and reliable, the length of this questionnaire makes it potentially challenging for routine use. Our study aimed to produce revised, shortened versions of PMOS (PMOS-30 and PMOS-10), which retained the psychometric properties of the longer version.ParticipantsTo produce a shortened diagnostic measure, we analysed data from 2002 patients who completed PMOS-44, and examined the reliability of the revised measure (PMOS-30) in a sample of 751 patients. To produce a brief standalone measure, we again analysed data from 2002 patients who completed PMOS-44, and tested the reliability and validity of the brief standalone measure (PMOS-10) in a sample of 165 patients.MethodsThe process of shortening the questionnaire involved a combination of secondary data analysis (eg, Standard Deviation and inter-item correlations) and a consensus group exercise to produce PMOS-30 and examine face validity. Analysis of PMOS-30 data examined reliability (eg, Cronbach’s alpha). Further secondary data analysis (ie, corrected item-total correlations) produced PMOS-10, and primary data collection assessed its reliability and validity (eg, Cronbach’s alpha, analysis of variance).ResultsFourteen items were removed to produce PMOS-30 and the percentage of negatively worded items was reduced from 57% to 33%. PMOS-30 demonstrated good internal reliability (α=0.89). The 10 items with the highest corrected item-total correlations across both PMOS-44 and PMOS-30 composed PMOS-10. PMOS-10 had good internal reliability (α=0.79), demonstrated convergent validity; however, discriminant validity was not established.ConclusionsTwo revised, shortened versions of the original PMOS-44 (PMOS-30 and PMOS-10) were produced to capture patient feedback about safety in hospital. The measures demonstrated good reliability and validity, and preserved the psychometric properties of the original measure.

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“…This choice was justified based on previous studies with adult, older adult and acute hospitalized patients, in which it was found that simple questions would be more effective. 33 In the transcultural adaptation process of the PMOS to Brazilian Portuguese, no difficulties were found related to the negatively worded items; therefore, they were maintained as in the original instrument.…”

Section: /16mentioning

confidence: 99%

Translation and Transcultural Adaptation of the Patient Measure of Safety (Pmos) Questionnaire to Brazilian Portuguese

Mello

Barbosa

2021

Texto contexto - enferm.

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Objective to translate and culturally adapt the Patient Measure of Safety questionnaire to Brazilian Portuguese. Method a transcultural adaptation study conducted in six stages: translation, synthesis, back-translation, review by experts committee, pre-test, and presentation of the documentation of the entire process to the authors of the instrument. Results in the initial translation and cultural adaptation stage, two versions of the questionnaire were generated. The divergences between both versions and other suggestions were discussed, and the decisions were made by consensus, thus creating a single version. In the back-translation stage, there were no significant differences between the versions and the original instrument. The assessment of the semantic, idiomatic, cultural and conceptual equivalences of the Patient Measure of Safety items was performed by a committee of experts from different Brazilian regions. The results of the content validity index were above 0.9 for most of the items. The pre-test was conducted with 30 patients. The mean time for the application of the questionnaire was 31.9 minutes. In relation to the understanding of the items by the patients, a regular or poor interpretation was identified only for 6 of the 44 items, which were modified. Conclusion the “Questionário de Avaliação da Segurança pelo Paciente”, name given to the translated and transculturally adapted version, resulted from a thoughtful process, presenting consistency in the equivalence of the translation and constituting an applicable instrument understood by the target population.

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Older, vulnerable patient view: a pilot and feasibility study of the patient measure of safety (PMOS) with patients in Australia

Cited by 15 publications

References 33 publications

Factors influencing family member perspectives on safety in the intensive care unit: a systematic review

Factors influencing family member perspectives on safety in the intensive care unit: a systematic review

Validation of revised patient measures of safety: PMOS-30 and PMOS-10

Translation and Transcultural Adaptation of the Patient Measure of Safety (Pmos) Questionnaire to Brazilian Portuguese

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