Linguistic Validation and Cultural Adaptation of Bulgarian Version of Hospital Survey on Patient Safety Culture (HSOPSC)
DOI:
https://doi.org/10.3889/oamjms.2018.222Keywords:
Patient safety, HSOPSC, Linguistic validation, Cultural adaptationAbstract
BACKGROUND: Patient safety (PS) is one of the essential elements of health care quality and a priority of healthcare systems in most countries. Thus the creation of validated instruments and the implementation of systems that measure patient safety are considered to be of great importance worldwide.
AIM: The present paper aims to illustrate the process of linguistic validation, cross-cultural verification and adaptation of the Bulgarian version of the Hospital Survey on Patient Safety Culture (B-HSOPSC) and its test-retest reliability.
METHODS: The study design is cross-sectional. The HSOPSC questionnaire consists of 42 questions, grouped in 12 different subscales that measure patient safety culture. Internal conÂsistency was assessed using Cronbach’s alpha. The Wilcoxon signed-rank test and the split-half method were used; the SpearÂman-Brown coefficient was calculated.
RESULTS: The overall Cronbach’s alpha for B-HSOPSC is 0.918. Subscales 7 Staffing and 12 Overall perceptions of safety had the lowest coefficients. The high reliability of the instrument was confirmed by the Split-half method (0.97) and ICC-coefficient (0.95). The lowest values of Spearmen-Broun coefficients were found in items A13 and A14.
CONCLUSION: The study offers an analysis of the results of the linguistic validation of the B-HSOPSC and its test-retest reliability. The psychometric characteristics of the questions revealed good validity and reliability, except two questions. In the future, the instrument will be administered to the target population in the main study so that the psychometric properties of the instrument can be verified.Downloads
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References
Hughes RG, editor. Patient safety and quality: An evidence-based handbook for nurses. Chapter 44: Tools and strategies for quality improvement and patient safety. Rockville, MD: Agency for Healthcare Research and Quality, 2008.
Institute for Healthcare Improvement. Science of improvement: How to improve. Available at: http://www.ihi.org/knowledge/Pages/HowtoImprove/ScienceofImprovementHowtoImprove.aspx
The Health Foundation. Research scan: Measuring safety culture. Available at: http://www.health.org.uk/sites/health/files/MeasuringSafetyCulture.pdf
Soul B. Patient safety. International Federation of Infection Control: Basic concepts. Bulgarian version. Available at: http://theific.org/wp-content/uploads/2015/01/Ch-1-Bulgarian.pdf
Aspden P, Wolcott JA, Bootman JL. Preventing medication errors. Washington (DC): National Academy Press, 2007.
Expert Group on Learning from Adverse Events in the NHS (EGLAE). An organization with a memory. London:Stationery Office, 2000.
Braithwaite J, Runciman WB, Merry AF. Towards safer, better healthcare: harnessing the natural properties of complex sociotechnical systems. Qual Saf Health Care. 2009; 18:37-41. https://doi.org/10.1136/qshc.2007.023317 PMid:19204130 PMCid:PMC2629006
Christofferson K, Woods DD. How complex human–machine systems fail: putting ''human error'' in context. In: Karwowski W, Marraas WS, editors. The Occupational Ergonomics Handbook. Boca Raton: CRC Press, 1999:585-600.
Stoimenova A, Stoilova A, Petrova G. ISO 9001 certification for hospitals in Bulgaria: does it help service? Biotechnol. Biotechnol. Equip. 2014; 28(2):372-378.
Australian Commission on Safety and Quality in Healthcare, Measurement for Improvement. Toolkit. Commonwealth of Australia. Available at: https://www.safetyandquality.gov.au/wp-content/uploads/2012/01/measurement-for-Improvement-toolkit-a.pdf
Pronovost P, Morlock L, Sexton B, Miller M, Holzmueller C, Thompson D, at al. Improving the Value of Patient Safety Reporting Systems. In: Advances in Patient Safety: New Directions and Alternative Approaches (Vol. 1: Assessment). Agency for Healthcare Research and Quality (US). Available at: https://www.ncbi.nlm.nih.gov/books/NBK43621/
Michell Ð . Defining Patient Safety and Quality Care in Patient Safety and Quality. In: Patient Safety and Quality: An Evidence-Based Handbook for Nurses. Vol. 1, Agency for Healthcare Research and Quality (US), Hughes RG, editor. Available at: https://www.ncbi.nlm.nih.gov/books/NBK2681/
Popova M. Conceptual Model for Building a Patient Safety System in Hospitals. Dissertation. Sofia, MU-Sofia, 2012. [Bulgarian]
Sorra JS, Nieva VF. Psychometric analysis of the Hospital Survey on Patient Safety. Rockville, MD: Agency for Healthcare Research and Quality, 2003. https://doi.org/10.1093/poq/nfm006
Beatty P, Willis G. Research synthesis: the practice of cognitive interviewing. Public Opin Q. 2007; 71:287-311. https://doi.org/10.1093/poq/nfm006
Beaton DE, Bombardier C, Guillemin F, Ferraz MB. Guidelines for the process of cross-cultural adaptation of self-report measures. Spine. 2000; 25:3186-3191. https://doi.org/10.1097/00007632-200012150-00014 PMid:11124735
Streiner DL, Norman GR. Health measurement scales. A practical guide to their development and use. New York: Oxford University Press, 2003.
Brborović H, Šklebar I, Brborović O, Brumen V, Mustajbegović J. Development of a Croatian version of the US Hospital Survey on Patient Safety Culture questionnaire: dimensionality and psychometric properties. Postgrad Med J. 2014; 90(1061):125-32. https://doi.org/10.1136/postgradmedj-2013-131814 PMid:24347647
Eiras M, Escoval A, Monteiro Grillo I, Silva-Fortes C. The hospital survey on patient safety culture in Portuguese hospitals: Instrument validity and reliability. Int J Health Care Qual Assur. 2014; 27(2):111-122. https://doi.org/10.1108/IJHCQA-07-2012-0072 PMid:24745137
Hellings J, Schrooten W, Klazinga N, Vleugels A. Challenging patient safety culture: survey results. Int J Health Care Qual Assur. 2007; 20:620-632. https://doi.org/10.1108/09526860710822752 PMid:18030963
Occelli P, Quenon JL, Kret M, Domecq S, Delaperche F, Claverie O, et al. Validation of the French version of the Hospital Survey on Patient Safety Culture questionnaire. Int J Qual Health Care. 2013; 25(4): 459-468. https://doi.org/10.1093/intqhc/mzt047 PMid:23833029
Olsen E. Reliability and validity of the hospital survey on patient safety culture at a Norwegian hospital. In: Øvretveit J, Sousa P, editors. Quality and Safety Improvement Research. Lisbon: National School of Public Health, 2008:173-186.
Robida A. Hospital survey on patient safety culture in Slovenia: a psychometric evaluation. Int J Qual Health Care. 2013; 25(4):469-475. https://doi.org/10.1093/intqhc/mzt040 PMid:23736832
Smits M, Dingelhoff IC, Wagner C, Wal Gv, Groenewegen PP. The psychometric properties of the 'Hospital Survey on Patient Safety Culture' in Dutch hospitals. BMC Health Serv Res. 2008; 8:230. https://doi.org/10.1186/1472-6963-8-230 PMid:18990256 PMCid:PMC2588576
Waterson PE, Griffiths P, Stride C, Murphy J, Hignett S. Psychometric properties of the hospital survey on patient safety: findings from the UK. Qual Saf Health Care. 2010; 19:1-5. https://doi.org/10.1136/qshc.2008.031625
Blegen MA, Gearhart S, O'Brien R, Sehgal NL, Alldredge BK. AHRQ's hospital survey on patient safety culture: psychometric analyses. J Patient Saf. 2009; 5(3):139-44. https://doi.org/10.1097/PTS.0b013e3181b53f6e PMid:19920453
Sorra JS, Dyer N. Multilevel psychometric properties of the AHRQ hospital survey on patient safety culture. BMC Health Serv Res. 2010; 10:199. https://doi.org/10.1186/1472-6963-10-199 PMid:20615247 PMCid:PMC2912897
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