In recent years, patient safety has emerged as a critical concern within healthcare systems around the world. This has led to the development and adaptation of various surveys aimed at evaluating the safety culture in different healthcare settings. Among these, the Nursing Home Survey on Patient Safety Culture (NHSPSC) stands out as a vital tool for assessing perceptions of safety among care providers in nursing facilities. A recent study by Lee and Park has taken a significant step forward by conducting a psychometric evaluation of a Korean-language version of this survey, termed the Korean Nursing Home Survey on Patient Safety Culture (K-NHSPSC). This research is particularly timely and important as it addresses the cultural and linguistic nuances that may influence the responses of healthcare workers in Korea.
The K-NHSPSC is essential not only for assessing current safety practices but also for identifying areas that require improvement. Safety culture within nursing homes can significantly affect patient outcomes, making this survey imperative to the ongoing efforts to enhance care standards. Lee and Park’s study introduces an evaluation framework for the K-NHSPSC, ensuring it meets the strict psychometric criteria necessary for reliable and valid assessment. They collected data from nursing homes across South Korea, employing rigorous statistical methods to analyze the reliability and validity of the new instrument.
In their findings, Lee and Park highlighted critical components that form the nexus of patient safety culture including teamwork, communication, and organizational learning. Through comprehensive analysis, they demonstrated that the adapted version of the NHSPSC maintains a high level of acceptance from nursing staff, who voiced their perspectives on various safety-related practices. This aspect of the research is crucial, as it aligns the survey with the actual experiences of caregivers, thereby enriching the cultural relevance of the instrument in assessing patient safety.
Additionally, the results showcased that the Korean version of the survey would facilitate more effective communication and a deeper understanding of the existing safety culture within nursing homes. With the K-NHSPSC, administrators and policymakers are better equipped to identify specific challenges and implement targeted interventions aimed at bolstering patient safety. The study underscores the necessity of culturally and linguistically tailored research tools which can lead to more accurate assessments and ultimately contribute to improved health outcomes.
An intriguing aspect of the psychometric evaluation also involves the examination of the survey’s dimensionality. Lee and Park employed confirmatory factor analysis to explore whether the K-NHSPSC effectively captures the dimensions of safety culture as initially outlined in the original NHSPSC. This thorough analysis elucidates how cultural differences may manifest in responses, addressing potential biases that could arise from using an unaltered version of the survey in a distinct cultural context.
Overall, the implications of Lee and Park’s findings are far-reaching. They not only advocate for the importance of patient safety metrics in nursing homes but also exemplify how cultural considerations must be integrated into the development of assessment tools. By validating the K-NHSPSC, it sets a precedent for similar adaptations in other languages and regions, which can aid global efforts to enhance patient safety in long-term care settings.
Moreover, the research fills a significant gap in literature regarding patients’ safety culture in non-Western settings. It paves the way for further studies that could explore the nuances of patient safety in diverse cultural contexts, challenging the established norms and potentially revolutionizing the understanding of patient safety globally. The research demonstrates a clear pathway towards continued improvements in care practices, aligning with the World Health Organization’s ongoing global patient safety initiatives.
As nursing homes are integral to healthcare systems, research like that of Lee and Park provides crucial insights that can help shape the future of elder care. In an aging society where more individuals are seeking long-term care, understanding the dynamics of patient safety becomes even more vital. Their work holds the promise of inspiring policymakers to bring effective changes that align with the realities of caregivers on the ground.
Furthermore, the introduction of the K-NHSPSC could stimulate similar initiatives aimed at building a patient safety culture in other areas of healthcare. As healthcare evolves, so too must the methods by which we gauge quality and safety. The K-NHSPSC stands as an example of how localized efforts can lead to a broader understanding and improvement of healthcare practices.
In conclusion, Lee and Park’s psychometric evaluation of the K-NHSPSC not only underscores the importance of culturally specific assessments but also signals a necessary evolution in how we perceive and implement patient safety strategies. This research ignites a conversation about patient safety culture that extends beyond Korean nursing homes, emphasizing the need for tailored approaches in various contexts around the world. As healthcare continues to navigate complex challenges, studies like this provide a strong foundation for a safer future for all patients.
Subject of Research: Psychometric evaluation of the Korean-language version of the Nursing Home Survey on Patient Safety Culture.
Article Title: Psychometric evaluation of a Korean-language version of the Nursing Home Survey on Patient Safety Culture (K-NHSPSC).
Article References:
Lee, S.E., Park, S.Y. Psychometric evaluation of a Korean-language version of the Nursing Home Survey on Patient Safety Culture (K-NHSPSC).
BMC Nurs (2025). https://doi.org/10.1186/s12912-025-04243-x
Image Credits: AI Generated
DOI:
Keywords: Patient Safety, Nursing Homes, Safety Culture, Psychometric Evaluation, Healthcare, K-NHSPSC, Elder Care, Cultural Competence.

