UiS Business School, Department of Innovation, Management and Marketing, University of Stavanger, Stavanger, Norway.
Hospital of Southern Norway, Flekkefjord, Norway.
BMC Health Serv Res. 2024 May 18;24(1):642. doi: 10.1186/s12913-024-11097-7.
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'.
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.
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 = 0.38), followed by 'turnover intention' (adjusted R = 0.22), 'pleasure at work' (adjusted R = 0.14), and lastly, 'number of reported events' (adjusted R0.06).
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.
已有多项研究采用 1.0 版医院患者安全文化调查（HSOPSC）在挪威和全球范围内进行。2.0 版尚未在挪威医院环境中进行翻译和测试。本研究旨在 1）评估挪威语版本（N-HSOPSC 2.0）的心理测量学，2）评估 N-HSOPSC 2.0 的效标效度，增加两个额外的结果，即“工作满意度”和“离职意向”。
HSOPSC 2.0 采用顺序翻译过程进行翻译。使用方便样本，邀请来自两家医院的医院工作人员（N=1002）参与横断面问卷调查研究。使用 Mplus 分析数据。使用验证性因子分析（CFA）测试结构有效性。使用平均方差解释（AVE）测试收敛有效性，使用综合可靠性（CR）和 Cronbach 的 alpha 测试内部一致性。使用多元线性回归测试效标相关有效性。
使用 N-HSOPSC 2.0 的总体统计结果表明，基于 CFA 的模型拟合是可以接受的。N-HSOPSC 2.0 的五个维度的 AVE 得分低于 0.5 标准。除团队合作（0.61）外，所有维度均符合 CR 标准。然而，团队合作是最重要和最显著的预测结果之一。回归模型解释了与患者安全评分最相关的大部分方差（调整后的 R=0.38），其次是“离职意向”（调整后的 R=0.22）、“工作满意度”（调整后的 R=0.14），最后是“报告事件数量”（调整后的 R0.06）。
当翻译为挪威语并在两家挪威医院的员工中进行测试时，N-HSOPSC 2.0 具有可接受的结构有效性和内部一致性。因此，该工具适合在挪威医院环境中使用。十个维度预测了与“整体患者安全”最相关的大部分方差，而与“报告事件数量”的相关性较小。此外，安全文化维度预测了“工作满意度”和“离职意向”，这不是原始工具的一部分。
