Psychometric properties of the Bulgarian version of Hospital Survey on Patient Safety Culture

Abstract

Objective To explore the psychometrics of the Bulgarian version of the Hospital Survey on Patient Safety Culture (B-HSOPSC) and its suitability for use in Bulgaria. Design A national web-based cross-sectional survey of the safety patient culture. Setting The hospitals’ staffs from 28 administrative areas in the country. Interventions Web-based self-administered questionnaire. Participants Physicians and non-physicians such as nurses, midwifes, etc., working at hospitals. Main Outcome Measures Confirmatory factor analysis (CFA) was performed to assess the psychometric properties of the original US structure. Assessment of construct validity included convergent validity, discriminant validity, and nomological validity of constructs. Results A total of 525 valid cases were included in the analysis. The results of CFA revealed acceptable values for absolute indices and lower for the incremental index, comparative fit index. Due to the very low convergence validity, the dimension ‘staffing’ was removed from the model. Additionally, one item was removed from another dimension. The B-HSOPSC included 11 dimensions and 37 items. Conclusions The B-HSOPSC had acceptable levels of global and local fits. Its safety culture dimensions were sufficiently distinguishable and correlated with outcome variables.

Correlación del grado de percepción y cultura de seguridad del paciente en una Institución de tercer nivel 2015-2019

“…Instrumento: La información fue recolectada de manera electrónica con el uso del instrumento institucional que se usa para valorar la cultura de seguridad del paciente y que corresponde al instrumento "Cuestionario sobre Seguridad de los Pacientes en Hospitales", versión Española adaptada del Hospital Survey on Patient Safety Culture, de la Agencia de Investigación y la Calidad de la Atención Sanitaria (AHRQ) 24 , En el contexto Colombiano se ha desarrollado la validación cultural de este instrumento obteniendo datos de fiabilidad mediante el α Cronbach entre 0,64 hasta 0,88 25 . El cuestionario utilizado en este estudio corresponde al de origen español que es el que institucionalmente se viene usando desde el año 2015 a la fecha y consta de 62 ítems, clasificado en una escala tipo Likert de 5 puntos, los ítems 1 a 33: 1 (muy en desacuerdo), 2 (en desacuerdo), 3 (ni de acuerdo ni en desacuerdo), 4 (de acuerdo), 5 (muy de acuerdo) y los ítems 34 a 51: 1 (Nunca), 2 (Raramente), 3 (A veces), 4 (Casi siempre), 5 (Siempre) 26,27 . Según el instrumento, para cada dimensión, respectivamente a la puntuación de frecuencia (porcentaje), se puede clasificar en tres componentes: Fortaleza, que es la puntuación de respuestas positivas ≥ 75%, Oportunidad de mejora con puntuación de respuestas positivas ≥ 50% hasta 74.9% y Debilidad con puntuación de respuestas positivas < 50% 28 .…”

Dimensions analysis of the Hospital Survey on Patient Safety Culture questionnaire in Iran: Psychometric properties

“…Although in the Arabloo study, the probable cause of the structural difference was assumed to be the inadequate sample size (KMO = 0.59); however, in the present study, despite the sufficient sample size (KMO = 0.79), the similarity of the factor structure in the data of Iranians in Ardabil to the original HSOPSC was very little. The results of the studies conducted in some countries also showed a different factor structure including 8 factors in Germany, 24 11 factors in Turkey, 33 11 factors in Netherland, 20 9 factors in UK based on 27 items, 25 9 factors in Norway based on 21 items, 26 10 factors in Brazil and Greece, 37,40 8 factors in Kosovo, 36 11 factors in Bolghare, 43 9 factors in Mexico and Latin America 19,44 and 5 factors in Goergia 45 . It seems that, differences in the distribution of items and the number of dimensions in studies conducted in most of the countries mostly depend on factors such as cultural diversity between countries, organizational structure, management, and policy of health care systems 19 .…”

Cross-cultural adaptation and validation of the Chinese version of the revised surveys on patient safety culture™ (SOPS®) hospital survey 2.0

“…In this study, the ICC ranged from 0.78 to 0.95, suggesting that the retest reliability of the questionnaire was up to the requirements of psychological measurement, showing good stability. Overall, the above evidence reveals that the Chinese version of HSOPS 2.0. had adequate reliability [ 36 ].…”

“…Discriminant validity assesses whether the items in a dimension are strongly correlated with another dimension, and it was acceptable if correlation coefficient < Sqrt (AVE) [24,35]. Moreover, Spearman correlation coefficients were calculated to examine the correlation between the 10 dimensions of the Chinese version of HSOPS 2.0 and the single item that measured patient safety grade [36].…”