The Arabic of the hospital survey on patient safety culture: a psychometric evaluation in Palestinian sample
Date
2013-05-24
Authors
Najjar, Shahenaz
Hamdan, Motasem
Baillien, Elfi
Vleugels, Arthur
Euwema, Martin
Sermeus, Walter
Bruyneel, Luk
Vanhaecht, Kris
Journal Title
Journal ISSN
Volume Title
Publisher
Health Systems Global (HSG) and BioMed Central
Abstract
Background: A growing global interest in patient safety culture has increased the development of validated
instruments to asses this phenomenon. The aim of this study is to investigate the psychometric properties of the
Hospital Survey on Patient Safety Culture (HSOPSC) and its appropriateness for Arab hospitals.
Methods: The 7-step guideline of the Agency for Healthcare Research and Quality was used to translate and
validate the HSOPSC. A panel of experts evaluated the face and content validity indexing of the Arabic version.
Data were collected from 13 Palestinian hospitals including 2022 healthcare professionals who had direct or indirect
interaction with patients, hospital supervisors, managers and administrators. Descriptive statistics and psychometric
evaluation (a split-half validation technique) were then used to test and strengthen the validity and reliability of the
instrument.
Results: With respect to face and content validity, the CVI analysis showed excellent results for the Arab context
(CVI = 0.96). As to construct validity, the 12 original dimensions could not be applied to the Palestinian data.
Furthermore, three of the 12 original dimensions were not reliable (α <0.6). The split-half technique resulted in an
optimal 11-factor model.
Conclusions: Our study is the first study in the Arab world to provide an evaluation of the HSOPSC using Arabic
data from Palestine. The Arabic translation of the HSOPSC comprises an 11-factor structure showing good validity
and acceptable reliability. Despite the similarity between the Arab factor structure of the HSOPSC and that of the
original one, and taking into account that our version may be applied in Arabic hospitals, there is a need for
caution in comparing HSOPSC data between countries.