Translation and Psychometric Properties of the Persian Version of Patients' Perceptions of Safety Culture Scale in the Hospital Setting

Document Type : Original Article

Authors

1 Department of Pediatric Nursing, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.

2 Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.

3 Department of Biostatistics, School of Health, Social Determinants of Health Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.

Abstract

Introduction:
Patient safety culture (PSC) was considered an essential predictor of healthcare quality. Measurement of PSC required a valid and reliable scale. So, the current study aimed to determine the validity and reliability of patients' perceptions of safety culture scale (PPSCS) in the context of Iran.
Materials and Methods:
This study was a scale psychometric assessment in the Iran context. Current study had three phases: preparation, translation and psychometric evaluation. Scale translation was performed based on the forward-backward framework. Face and content validity, test-retest reliability, and internal consistency were evaluated. Also, corrected item-total correlation for each item was reported based on data collection from 119 patients admitted to Esfarayen Imam Khomeini hospital. Analysis was done in SPSS V.16.
Results:
Content validity ratio (CVR) and content validity index (CVI) were between 0.8 to 1. Also, corrected item-total correlation was between 0.604 and 0.864. Intra correlation coefficient (ICC) and alfa Cronbach were 0.974 and 0.939, respectively.
Conclusion:
Results showed PPSCS had acceptable validity and reliability in the Iran context. This scale can apply in different studies to measure patients' perceptions of safety culture in different hospital settings.

Keywords

Main Subjects


  1. Salarvand S, Moayyed Kazemi A, Bahri N, Dalvand P, Moghimian M, Mahmoudi GA, et al. Assessing medical staff's view of patient safety culture. Quarterly Journal of Nursing Management. 2016; 4(3):54-64.
  2. Lee SE, Scott LD, Dahinten VS, Vincent C, Lopez KD, Park CG. Safety culture, patient pafety, and quality of care outcomes: A literature review. West J Nurs Res. 2019; 41(2): 279-304.
  3. Halvani G, Ebrahimzadeh M, Dehghan M, Fallah H, Mortazavi M. Assessment of factors affecting safety culture in Yazd steel industry workers. Occupational Medicine Quarterly Journal. 2012;4(1):66-72.
  4. ERIC. Culture of safety: an overview. Health Syst Risk Manage 2019 [Available from: https://www. ecri.org/ components/ HRC/Pages/RiskQual21.aspx.
  5. Feng X, Bobay K, Weiss M. Patient safety culture in nursing: a dimensional concept analysis. Journal of Advanced Nursing. 2008;63(3):310-9.
  6. Moghri J, Ghanbarnezhad A, Moghri M, Rahimi Forooshani A, Akbari Sari A, Arab M. Validation of Farsi version of hospital survey on patient Safety culture questionnaire, using confirmatory factor analysis method. jhosp. 2012;11(2):19-30.
  7. Xuanyue M, Yanli N, Hao C, Pengli J, Mingming Z. Literature review regarding patient safety culture. Journal of Evidence-Based Medicine. 2013;6(1):43-9.
  8. Rahimi E, Alizadeh SS, Safaeian A-R, Abbasgholizadeh N. Dimensions analysis of the Hospital Survey on Patient Safety Culture questionnaire in Iran: Psychometric properties. The International Journal of Health Planning and Management. 2020; 35(6): 1532-45.
  9. Taghizadeh Z, Ebadi A, Montazeri A, Shahvari Z, Tavousi M, Bagherzadeh R. Psychometric properties of health related measures. Part 1: Translation, development, and content and face validity. Payesh (Health Monitor). 2017;16(3):343-57.
  10. Waltz CF, Strickland OL, ER L. Measurement in nursing and health research: Springer publishing company; 2010.
  11. Lawshe CH. A quantitative approach to content validity. Personnel psychology. 1975; 28(4):563-75.
  12. Polit DF, Beck CT, Owen SV. Is the CVI an acceptable indicator of content validity? Appraisal and recommendations. Research in nursing & health. 2007;30(4):459-67.
  13. Aziminasab N, Amini S, Morovatdar N. Validation of the Persian Version of the Safety Attitudes Questionnaire. Journal of Patient Safety & Quality Improvement. 2020; 8(3):139-43.
  14. Mohammadbeigi A, Mohammadsalehi N, Aligol M. Validity and reliability of the instruments and types of measurments in health applied researches. Journal of rafsanjan university of medical sciences. 2015; 13(12):1153-70.
  15. Gliem JA, Gliem RR, editors. Calculating, interpreting, and reporting Cronbach’s alpha reliability coefficient for Likert-type scales. 2003: Midwest research-to-Practice Conference in Adult, Continuing, and community.
  16. George D, Mallery M. Using SPSS for Windows step by step: a simple guide and reference. 2003.
  17. Moghri J, Arab M, Saari AA, Nateqi E, Forooshani AR, Ghiasvand H, et al. The Psychometric Properties of the Farsi Version of "Hospital Survey on Patient Safety Culture" In Iran's Hospitals. Iran J Public Health. 2012;41(4):80-6.
  18. Raubenheimer J. An item selection procedure to maximise scale reliability and validity. 2004;30 (4):59-64.
  19. Palmieri PA, Leyva-Moral JM, Camacho-Rodriguez DE, Granel-Gimenez N, Ford EW, Mathieson KM, et al. Hospital survey on patient safety culture (HSOPSC): a multi-method approach for target-language instrument translation, adaptation, and validation to improve the equivalence of meaning for cross-cultural research. BMC Nursing. 2020;19(1):23.