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

Cross-cultural adaptation and validation of the Chinese version of the revised surveys on patient safety culture™ (SOPS®) hospital survey 2.0.
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患者安全文化调查修订版 (SOPS®) 医院调查 2.0 中文版的跨文化适应和验证

DOI:
10.1186/s12912-022-01142-3
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发表时间:
2022-12-26
期刊:
影响因子:
3.2
通讯作者:
Hasegawa, Tomonori
Hasegawa, Tomonori
中科院分区:
医学2区
文献类型:
--
作者:
Wu, Yinghui;Hua, Wenzhe;Zhu, Daqiao;Onishi, Ryo;Yang, Yanna;Hasegawa, Tomonori

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由美国医疗保健研究和质量局于2004年开发的患者安全文化调查(SOPS®)医院调查(HSOPS 1.0)已在美国和国际上广泛采用。2019年发布的更新版本SOPS医院调查2.0(HSOPS 2.0)尚未在中国应用。本研究旨在将HSOPS 2.0翻译成具有跨文化适应性的中文版本,并检验其心理测量学特性。使用了方便的样品。医院护士(N = 1013)和一个子集(n = 200)被邀请进行重新测试。进行了一项三阶段研究。首先,HSOPS 2.0由专家组翻译。其次,采用两轮德尔菲法和认知访谈法对问卷内容效度进行了检验。其次,通过验证性因素分析对结构效度进行检验,并进一步通过聚合效度、区分效度以及与患者安全结局的相关性进行验证。第三,采用内部一致性信度和重测信度对量表进行信度检验。“浮动或PRN”和“经理”的措辞被删除,因为被认为不适合中国的医疗保健系统。内容效度指数(I-CVI = 0.84 ~ 1.00,S-CVI = 0.98)显示了较强的内容效度。模型拟合度良好(χ2/df = 4.05,RMSEA = 0.06,CFI = 0.94),因子负荷在0.41 ~ 0.97之间。收敛效度和判别效度支持HSOPS2.0中文版的因子结构。结构效度的进一步证据来自与患者安全结局的相关性(r = 0.10 ~ 0.41)。该量表具有良好的内部一致性(Cronbach α = 0.68 ~ 0.93,McDonald's omega = 0.84 ~ 0.96)和重测信度(ICC = 0.78 ~ 0.95)。此外,中国护士报告的三个维度,包括“错误的反应”,“沟通开放性”和“报告患者安全事件”的得分明显较低,当比较本研究的结果与美国的研究使用HSOPS 2.0。HSOPS 2.0中文版在中国医院护士样本中显示了良好的信度和效度,可用于护士感知患者安全文化的测量。HSOPS 2.0中文版在其他中国医疗保健专业人员中的心理测量学特性仍有待证实。在线版本包含补充材料,可通过10.1186/s12912-022-01142-3获得。
Surveys on Patient Safety Culture™ (SOPS®) Hospital Survey (HSOPS 1.0), developed by the U.S. Agency for Healthcare Research and Quality in 2004, has been widely adopted in the United States and internationally. An updated version, the SOPS Hospital Survey 2.0 (HSOPS 2.0), released in 2019, has not yet been applied in China. The aim of the present study was to translate HSOPS 2.0 into Chinese version with cross-cultural adaptations and test its psychometric properties. A convenience sample was used. Hospital nurses (N = 1013) and a sub-set (n = 200) was invited for the re-test. A three-stage study was conducted. Firstly, the HSOPS 2.0 was translated by a panel. Secondly, the content validity was tested using the two-round Delphi method and cognitive interview. Next, the construct validity was tested by the confirmatory factor analysis and further demonstrated by the convergent validity, discriminant validity, and correlations with the outcome of patient safety. Thirdly, the reliability was tested by internal consistency reliability and re-test reliability. The “float or PRN” and “manager” words were deleted as considered unfitted for the Chinese health care system. The content validity index provided evidence of strong content validity (I-CVI = 0.84 ~ 1.00, S-CVI = 0.98). Confirmatory factor analysis revealed a good model fit (χ2/df = 4.05, RMSEA = 0.06, CFI = 0.94) and acceptable factor loadings (0.41 ~ 0.97). Convergent validity, and discriminant validity supported the factorial structure of the Chinese version of HSOPS 2.0. Further evidence for the construct validity was derived from correlations with the outcome of patient safety (r = 0.10 ~ 0.41). A good internal consistency (Cronbach’s α = 0.68 ~ 0.93, McDonald’s omega = 0.84 ~ 0.96) and test-retest reliability (ICC = 0.78 ~ 0.95) showed acceptable reliability. Additionally, Chinese nurses reported markedly lower scores for three dimensions, including “Response to Error”, “Communication Openness”, and “Reporting Patient Safety Events”, when comparing the findings of this study with those from U.S. research utilizing the HSOPS 2.0. The Chinese version of HSOPS 2.0 demonstrated good validity and reliability in a Chinese sample of hospital nurses, which suggests that it can be used to measure nurse-perceived patient safety culture in future research and practice. Psychometric properties of the Chinese version of HSOPS 2.0 among other Chinese healthcare professionals remain to be confirmed. The online version contains supplementary material available at 10.1186/s12912-022-01142-3.
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