Evaluating Patient Safety Competency Acquisition Through Clinical Simulation: Development and Application of the Clinical Simulation Learning Patient Safety Scale.

Abstract

Introduction: Simulation is recognized as an effective method for integrating theory and practice, improving safety competence in nursing professionals and patient care.

Objectives: To develop and psychometrically validate the Clinical Simulation Learning Patient Safety Scale (CSL Patient Safety Scale), a self-administered instrument for undergraduate nursing students that assesses patient safety competencies acquired through clinical simulation.

Methods: A multicenter study was designed in two Spanish universities, with 450 students and a final sample of 208.

Results: The questionnaire showed a high content validity (Aiken's V > 0.8) and internal reliability (Cronbach's α = 0.832) with acceptable reliability for each factor separately (α = 0.877 for Factor 1 and α = 0.714 for Factor 2) and did not present significant variations in sensitivity analysis (McDonald's ω = 0.812). Intraobserver reliability was high (ICC = 0.959, 95% CI = 0.922-0.978).

Conclusions: The questionnaire demonstrated excellent validity and reliability, consolidating the Patient Safety Scale (CSL) as an effective tool for assessing patient safety competencies through clinical simulation.