ArticleBMC health services research2023
Cross-cultural adaptation and validation of the Hospital Survey on Patient Safety Culture 2.0 - Brazilian version.
Article in BMC health services research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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Who cites it
20 citing papers in PubMed.
- Cross-Cultural Adaptation and Psychometric Validation of the Hospital Survey on Patient Safety Culture Version 2 (HSOPSv2) in Spanish Hospitals.Journal of evaluation in clinical practice · 2026Article
- Psychometric properties of the Chinese version of Nurses' Perception of Talent Management Scale(NPTMS-C): a structural equation modeling analysis.BMC nursing · 2026Article
- Nurses' perceptions of patient safety culture measured by the Hospital Survey on Patient Safety Culture in the Gulf Cooperation Council region: A systematic review.International journal of nursing studies advances · 2026Review
- Article
- Psychometric properties of the second version of the hospital survey on patient safety culture across a regional hospital system of Brazil.BMC health services research · 2026Article
- Patient safety culture and climate in Estonian hospitals: a cross-sectional study on employees and background characteristics.BMC health services research · 2026Article
- Enhancing adoption of patient safety culture assessments in Brazil: a strategy informed by CFIR and ERIC.Implementation science communications · 2026Article
- Factors Associated With Patient Safety Activities of Clinical Nurses: A Cross-Sectional Secondary Data Analysis.International nursing review · 2025Article
- Article
- Portuguese cross-cultural adaptation and validation of the hospital survey on patient safety culture 2.0.BMC health services research · 2025Article
- An Exploration of Safety Culture, Second Victim Phenomenon and Negative Work Outcomes in Health Care Settings.Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing · 2025Article
- Validity and Reliability Study of the Turkish Version of the Transactional Analysis Scale: A Sample of Nurse Managers.Journal of nursing management · 2025Article
- Patient safety culture in resource-limited healthcare settings: A multicentre survey.PloS one · 2025Article
- Patient safety culture assessment in five public hospitals of Sichuan Province: a cross-sectional study with HSOPSC 2.0.Frontiers in public health · 2025Article
- Revised Hospital Survey on Patient Safety Culture (HSOPSC 2.0): cultural adaptation, validity and reliability of the Malay version.BMC health services research · 2024Article
- Cross-cultural adaptation and validation of the Hospital Survey on Patient Safety questionnaire for a Chilean hospital.BMC nursing · 2024Article
- Patient Safety Culture from a Nursing Perspective in a Chilean Hospital.Nursing reports (Pavia, Italy) · 2024Article
- Challenges of safety culture in Surgical Center: mixed methods study.Revista latino-americana de enfermagem · 2024Article
- Patient Safety Culture and Safety Attitudes in the Estonian Context: Simultaneous Bilingual Cultural Adaptation and Validation of Instruments.International journal of public health · 2024Article
- Patient safety culture in South America: a cross-sectional study.BMJ open quality · 2023Article
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5 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundPatient safety culture concerns the values, beliefs and standards shared by an organisation's health staff and other personnel which influence their care provision actions and conduct. Several countries have made a priority of strengthening patient safety culture to improve the quality and safety of health care. In this direction, measuring the patient safety culture through validated instruments is a strategy applied worldwide. The purpose of this study was to adapt transculturally and validate the HSOPSC 2.0 to Brazilian Portuguese and the hospital context in Brazil.
methodsOf the various validated scales for measuring safety culture, the instrument most used internationally is the Hospital Survey on Patient Safety Culture (HSOPSC) developed by the United States Agency for Healthcare Research and Quality in 2004 and revised in 2019, when version 2.0 was released. Adaptation was conducted on a universalist approach and the adapted instrument was then applied to a sample of 2,702 respondents (56% response rate) comprising staff of a large general hospital in the city of São Paulo. Construct validity was investigated by Exploratory Structural Equation Modelling-within-Confirmatory Factor Analysis (ESEM-within-CFA) and reliability was measured in each dimension by means of Cronbach alpha coefficients.
resultsESEM fit indexes showed good data fit with the proposed model: χ2 = 634.425 df = 221 χ2/df ratio = 2.9 p-value < 0.0000; RMSEA = 0.045 (90% C.I. = 0.041-0.050) and probability RMSEA < = .05 = 0.963; CFI = 0.986; TLI = 0.968. However, ten items had loads lower than 0.4. Cronbach alpha values were 0.6 or more for all dimensions, except Handoffs and information exchange ([Formula: see text]= 0.50) and Staffing and work pace ([Formula: see text] = 0.41).
conclusionThe psychometric properties of the Brazilian version were found to be satisfactory, demonstrating good internal consistency and construct validity as expressed by estimates of reliability and indexes of model fit. However, given factor loadings smaller than 0.4 observed in ten items and considering that the scale translated and adapted to Portuguese was tested on a single sample during the Covid-19 pandemic, the authors recognize the need for it to be tested on other samples in Brazil to investigate its validity.
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