Comparative study between the Patient Participation Culture Tool and the Hospital Survey on Patient Safety Culture using retrospective data from 2014 to 2021

Introduction Patient participation and safety are pivotal in healthcare quality, internationally acknowledged for enhancing health services. This study examines the correlation between two assessment tools, the Patient Participation Culture Tool (PACT) and the Hospital Survey on Patient Safety Cultu...

Full description

Saved in:
Bibliographic Details
Main Authors: Ward Schrooten, Ann Van Hecke, Marlies Claesen, Evelyne Punnewaert, Simon Malfait, Kristof Eeckloo
Format: Article
Language:English
Published: BMJ Publishing Group 2025-05-01
Series:BMJ Open Quality
Online Access:https://bmjopenquality.bmj.com/content/14/2/e003200.full
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1850035205264375808
author Ward Schrooten
Ann Van Hecke
Marlies Claesen
Evelyne Punnewaert
Simon Malfait
Kristof Eeckloo
author_facet Ward Schrooten
Ann Van Hecke
Marlies Claesen
Evelyne Punnewaert
Simon Malfait
Kristof Eeckloo
author_sort Ward Schrooten
collection DOAJ
description Introduction Patient participation and safety are pivotal in healthcare quality, internationally acknowledged for enhancing health services. This study examines the correlation between two assessment tools, the Patient Participation Culture Tool (PACT) and the Hospital Survey on Patient Safety Culture (HSPSC), using retrospective data from 2014 to 2021.Method For the main analysis, dimensional scores of the HSPSC and domain scores of the PACT were aggregated according to hospital and specific wards. In a second step, we used aggregated scores by hospital and profession. Descriptive statistics outlined the sociodemographic characteristics of participants. Spearman’s rank correlation coefficient was employed to evaluate relationships between continuous variables represented by PACT domain and HSPSC dimensional scores among study participants.Results Data from 17 hospitals were analysed. The participants were distributed across 43 wards, and a match based on staff positions resulted in 37 different groups, predominantly comprised of nurses (>89%). At ward level, five PACT domains correlated significantly with ten different HSPSC dimensions (p<0.05), while a significant correlation was found between four PACT domains and seven HSPSC dimensions based on function. The correlation graphs demonstrate strong internal coherence within safety and participation culture measurements, highlighting the distinctiveness and validity of each questionnaire in capturing intricacies within patient safety and participation culture, supporting their construct validity.Conclusions This study compared the PACT and the HSPSC, revealing their connections and unique features. Using Spearman’s correlation, it positively linked patient participation and safety culture, finding significant correlations, mainly moderate, between their specific aspects. It highlighted how patient involvement positively influences safety practices in healthcare, valuable for enhancing overall quality.
format Article
id doaj-art-2b27f4dfdbd442298244451653b3d0c0
institution DOAJ
issn 2399-6641
language English
publishDate 2025-05-01
publisher BMJ Publishing Group
record_format Article
series BMJ Open Quality
spelling doaj-art-2b27f4dfdbd442298244451653b3d0c02025-08-20T02:57:33ZengBMJ Publishing GroupBMJ Open Quality2399-66412025-05-0114210.1136/bmjoq-2024-003200Comparative study between the Patient Participation Culture Tool and the Hospital Survey on Patient Safety Culture using retrospective data from 2014 to 2021Ward Schrooten0Ann Van Hecke1Marlies Claesen2Evelyne Punnewaert3Simon Malfait4Kristof Eeckloo5Faculty of Medicine and Life Sciences, Hasselt University, Hasselt, BelgiumNursing and Midwifery, Ghent University, Ghent, BelgiumFaculty of Medicine and Life Sciences, Hasselt University, Diepenbeek, BelgiumFaculty of Medicine and Health Sciences, Ghent University, Gent, BelgiumUniversity Hospital Ghent, Ghent, BelgiumStrategic Policy Unit, University Hospital Ghent, Gent, BelgiumIntroduction Patient participation and safety are pivotal in healthcare quality, internationally acknowledged for enhancing health services. This study examines the correlation between two assessment tools, the Patient Participation Culture Tool (PACT) and the Hospital Survey on Patient Safety Culture (HSPSC), using retrospective data from 2014 to 2021.Method For the main analysis, dimensional scores of the HSPSC and domain scores of the PACT were aggregated according to hospital and specific wards. In a second step, we used aggregated scores by hospital and profession. Descriptive statistics outlined the sociodemographic characteristics of participants. Spearman’s rank correlation coefficient was employed to evaluate relationships between continuous variables represented by PACT domain and HSPSC dimensional scores among study participants.Results Data from 17 hospitals were analysed. The participants were distributed across 43 wards, and a match based on staff positions resulted in 37 different groups, predominantly comprised of nurses (>89%). At ward level, five PACT domains correlated significantly with ten different HSPSC dimensions (p<0.05), while a significant correlation was found between four PACT domains and seven HSPSC dimensions based on function. The correlation graphs demonstrate strong internal coherence within safety and participation culture measurements, highlighting the distinctiveness and validity of each questionnaire in capturing intricacies within patient safety and participation culture, supporting their construct validity.Conclusions This study compared the PACT and the HSPSC, revealing their connections and unique features. Using Spearman’s correlation, it positively linked patient participation and safety culture, finding significant correlations, mainly moderate, between their specific aspects. It highlighted how patient involvement positively influences safety practices in healthcare, valuable for enhancing overall quality.https://bmjopenquality.bmj.com/content/14/2/e003200.full
spellingShingle Ward Schrooten
Ann Van Hecke
Marlies Claesen
Evelyne Punnewaert
Simon Malfait
Kristof Eeckloo
Comparative study between the Patient Participation Culture Tool and the Hospital Survey on Patient Safety Culture using retrospective data from 2014 to 2021
BMJ Open Quality
title Comparative study between the Patient Participation Culture Tool and the Hospital Survey on Patient Safety Culture using retrospective data from 2014 to 2021
title_full Comparative study between the Patient Participation Culture Tool and the Hospital Survey on Patient Safety Culture using retrospective data from 2014 to 2021
title_fullStr Comparative study between the Patient Participation Culture Tool and the Hospital Survey on Patient Safety Culture using retrospective data from 2014 to 2021
title_full_unstemmed Comparative study between the Patient Participation Culture Tool and the Hospital Survey on Patient Safety Culture using retrospective data from 2014 to 2021
title_short Comparative study between the Patient Participation Culture Tool and the Hospital Survey on Patient Safety Culture using retrospective data from 2014 to 2021
title_sort comparative study between the patient participation culture tool and the hospital survey on patient safety culture using retrospective data from 2014 to 2021
url https://bmjopenquality.bmj.com/content/14/2/e003200.full
work_keys_str_mv AT wardschrooten comparativestudybetweenthepatientparticipationculturetoolandthehospitalsurveyonpatientsafetycultureusingretrospectivedatafrom2014to2021
AT annvanhecke comparativestudybetweenthepatientparticipationculturetoolandthehospitalsurveyonpatientsafetycultureusingretrospectivedatafrom2014to2021
AT marliesclaesen comparativestudybetweenthepatientparticipationculturetoolandthehospitalsurveyonpatientsafetycultureusingretrospectivedatafrom2014to2021
AT evelynepunnewaert comparativestudybetweenthepatientparticipationculturetoolandthehospitalsurveyonpatientsafetycultureusingretrospectivedatafrom2014to2021
AT simonmalfait comparativestudybetweenthepatientparticipationculturetoolandthehospitalsurveyonpatientsafetycultureusingretrospectivedatafrom2014to2021
AT kristofeeckloo comparativestudybetweenthepatientparticipationculturetoolandthehospitalsurveyonpatientsafetycultureusingretrospectivedatafrom2014to2021