Moghri Javad, Jamali Jamshid, Satarzadeh Laleh
Social Determinants of Health Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
Department of Health Economics and Management Sciences, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran.
Sci Rep. 2025 Jul 26;15(1):27277. doi: 10.1038/s41598-025-13461-x.
Patient safety culture (PSC) is a critical determinant of healthcare quality, as it influences error reduction and clinical outcomes. The hospital survey on patient safety culture (HSOPSC), a globally validated tool for assessing PSC, was translated and validated in Afghanistan a setting facing unique healthcare challenges, including resource constraints and a fragmented healthcare system. The translation adhered to WHO guidelines, involving forward-backward translation, expert review, and pilot testing with nurses and midwives at one of Afghanistan's largest hospitals, located in the capital city. Psychometric evaluations included face, content, and construct validity. Reliability was assessed through internal consistency (Cronbach's α, Omega coefficients) and test-retest reliability. The 42-item questionnaire demonstrated robust validity and reliability. Content Validity Index (CVI) scores ranged from 0.82 to 1.0, exceeding acceptable thresholds, while the Content Validity Ratio (CVR) ranged from 0.64 to 1.0, meeting required standards. Face validity was confirmed by an impact score > 1.5 (range 1.86-3.96). Two items from the Staffing dimension exhibited factor loadings below the recommended threshold of 0.4 and were removed, leading to the exclusion of this dimension (fewer than three retained items). Overall reliability was strong, with Cronbach's α = 0.848 and Omega = 0.841. The validated Dari version of the HSOPSC comprises 11 dimensions after removing Staffing. It demonstrates good validity and reliability, establishing its suitability for patient safety research in Afghanistan.
患者安全文化（PSC）是医疗质量的关键决定因素，因为它会影响减少差错和临床结果。医院患者安全文化调查（HSOPSC）是一种全球认可的评估PSC的工具，在阿富汗进行了翻译和验证。阿富汗面临着独特的医疗挑战，包括资源限制和医疗系统碎片化。翻译工作遵循世界卫生组织的指南，包括前后向翻译、专家评审以及在阿富汗首都一家最大医院对护士和助产士进行预测试。心理测量学评估包括表面效度、内容效度和结构效度。通过内部一致性（克朗巴哈α系数、欧米伽系数）和重测信度来评估信度。这份包含42个条目的问卷显示出很强的效度和信度。内容效度指数（CVI）得分在0.82至1.0之间，超过了可接受阈值，而内容效度比率（CVR）在0.64至1.0之间，符合要求标准。表面效度通过影响得分>1.5（范围为1.86 - 3.96）得到确认。人员配置维度中的两个条目显示因子载荷低于推荐阈值0.4，因此被删除，导致该维度被排除（保留项目少于三个）。总体信度很强，克朗巴哈α系数 = 0.848，欧米伽系数 = 0.841。经过验证的达里语版本的HSOPSC在删除人员配置维度后包含11个维度。它显示出良好的效度和信度，表明其适用于阿富汗的患者安全研究。
