Psychometric properties and criterion related validity of the Norwegian version of hospital survey on patient safety culture 2.0.

Autor: Olsen E; UiS Business School, Department of Innovation, Management and Marketing, University of Stavanger, Stavanger, Norway., Addo SAJ; UiS Business School, Department of Innovation, Management and Marketing, University of Stavanger, Stavanger, Norway., Hernes SS; Hospital of Southern Norway, Flekkefjord, Norway.; Department of Clinical Sciences, University of Bergen, Bergen, Norway., Christiansen MH; Department of Obstetrics and Gynecology, Stavanger University Hospital, Stavanger, Norway., Haugen AS; Faculty of Health Sciences Department of Nursing and Health Promotion Acute and Critical Illness, OsloMet - Oslo Metropolitan University, Oslo, Norway.; Department of Anaesthesia and Intensive Care, Haukeland University Hospital, Bergen, Norway., Leonardsen AL; Faculty of Health, Welfare and Organization, Østfold University College, Fredrikstad, Norway. ann.c.leonardsen@hiof.no.; Department of anesthesia, Østfold Hospital Trust, Grålum, Norway. ann.c.leonardsen@hiof.no.
Jazyk: angličtina
Zdroj: BMC health services research [BMC Health Serv Res] 2024 May 18; Vol. 24 (1), pp. 642. Date of Electronic Publication: 2024 May 18.
DOI: 10.1186/s12913-024-11097-7
Abstrakt: Background: Several studies have been conducted with the 1.0 version of the Hospital Survey on Patient Safety Culture (HSOPSC) in Norway and globally. The 2.0 version has not been translated and tested in Norwegian hospital settings. This study aims to 1) assess the psychometrics of the Norwegian version (N-HSOPSC 2.0), and 2) assess the criterion validity of the N-HSOPSC 2.0, adding two more outcomes, namely 'pleasure of work' and 'turnover intention'.
Methods: The HSOPSC 2.0 was translated using a sequential translation process. A convenience sample was used, inviting hospital staff from two hospitals (N = 1002) to participate in a cross-sectional questionnaire study. Data were analyzed using Mplus. The construct validity was tested with confirmatory factor analysis (CFA). Convergent validity was tested using Average Variance Explained (AVE), and internal consistency was tested with composite reliability (CR) and Cronbach's alpha. Criterion related validity was tested with multiple linear regression.
Results: The overall statistical results using the N-HSOPSC 2.0 indicate that the model fit based on CFA was acceptable. Five of the N-HSOPSC 2.0 dimensions had AVE scores below the 0.5 criterium. The CR criterium was meet on all dimensions except Teamwork (0.61). However, Teamwork was one of the most important and significant predictors of the outcomes. Regression models explained most variance related to patient safety rating (adjusted R 2  = 0.38), followed by 'turnover intention' (adjusted R 2  = 0.22), 'pleasure at work' (adjusted R 2  = 0.14), and lastly, 'number of reported events' (adjusted R 2= 0.06).
Conclusion: The N-HSOPSC 2.0 had acceptable construct validity and internal consistency when translated to Norwegian and tested among Norwegian staff in two hospitals. Hence, the instrument is appropriate for use in Norwegian hospital settings. The ten dimensions predicted most variance related to 'overall patient safety', and less related to 'number of reported events'. In addition, the safety culture dimensions predicted 'pleasure at work' and 'turnover intention', which is not part of the original instrument.
(© 2024. The Author(s).)
Databáze: MEDLINE
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