Inconsistencies Between Two Cross-Cultural Adaptations of the Hospital Survey on Patient Safety Culture Into French

Boussat, Bastien; François, Patrice; Gandon, Gérald; Giai, Joris; Seigneurin, Arnaud; Perneger, Thomas; Labarère, José

doi:10.1097/pts.0000000000000443

Cited by 5 publications

(6 citation statements)

References 39 publications

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“…Cronbach's alpha was higher than 0.70 across habit subscales (median 0.83; range, 0.72-0.88) and compared favorably with those reported in the original US development (median, 0.66; range, 0.51-0.81) and German cross-cultural adaptation (median, 0.39; range, 0.31-0.46) ( Table 6). This finding contrasts with previous studies that usually report worse performance for crosscultural adaptations in comparison with original standardized instruments [30]. Krupat et al were not concerned by the moderate internal consistency of the original version of the 4-HCS and speculated that successful training in communication would result in more effective communication and therefore greater internal consistency [8].…”

Section: Discussioncontrasting

confidence: 60%

“…Second, exploratory factor analysis was performed in order to examine possible alternative structures to the original US version of the 4-HCS. An orthogonal rotation method (Varimax) of factors with eigenvalues higher than 1.00 was used, assuming that they were independent [30]. Primary loadings on intended dimensions higher than 0.40 with cross-loadings lower than 0.30 were considered satisfactory.…”

Section: Discussionmentioning

confidence: 99%

“…The use of validated standardized instruments is advocated for assessing physicians' interpersonal skills [8]. Indeed, validated instruments are likely to accurately reflect the concept to be measured while standardized instruments allow large-scale comparisons of physicians' communication skills across studies [30,35]. The 4-HCS was therefore developed and validated from over 1,025 video-recorded medical consultations across various settings in the US and Western Europe (Table 6).…”

Section: Discussionmentioning

confidence: 99%

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Cross-cultural adaptation of the 4-Habits Coding Scheme into French to assess physician communication skills

et al. 2020

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Background The Four Habits Coding Scheme (4-HCS) is a standardized instrument designed to assess physicians' communication skills from an external rater's perspective, based on videorecorded consultations. Objective To perform the cross-cultural adaptation of the 4-HCS into French and to assess its psychometric properties. Methods The 4-HCS was cross-culturally adapted by conducting forward and backward translations with independent translators, following international guidelines. Four raters rated 200 videorecorded medical student consultations with standardized patients, using the French version of the 4-HCS. We examined the internal consistency, factor structure, construct validity, and reliability of the 4-HCS. Results The mean overall 4-HCS score was 76.44 (standard deviation, 12.34), with no floor or ceiling effects across subscales. The median rating duration of rating was 8 min (range, 4-19). Cronbach's alpha was 0.94 for the overall 4-HCS, ranging from 0.72 to 0.88 across subscales. In confirmatory factor analysis, goodness-of-fit statistics did not corroborate the hypothesized 4-habit structure. Exploratory factor analysis resulted in two dimensions, with the merging of three conceptually related habits into a single dimension and substantial cross-loading for 15 out of 23 items. Median average absolute-agreement intra-class

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Section: Discussioncontrasting

confidence: 60%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Cross-cultural adaptation of the 4-Habits Coding Scheme into French to assess physician communication skills

et al. 2020

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“…As a psychometric tool, HSOPS adaptation versions [ 93 ] are subject to inconsistences due to language and cultural particularities. A previous validation of the tool was not an eligibility criterion in our review.…”

Section: Discussionmentioning

confidence: 99%

Healthcare Professional’s Perception of Patient Safety Measured by the Hospital Survey on Patient Safety Culture: A Systematic Review and Meta-Analysis

Okuyama

Galvão

Silva

2018

The Scientific World Journal

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Objective To assess the culture of patient safety in studies that employed the hospital survey on patient safety culture (HSOPS) in hospitals around the world. Method We searched MEDLINE, EMBASE, SCOPUS, CINAHL, and SciELO. Two researchers selected studies and extracted the following data: year of publication, country, percentage of physicians and nurses, sample size, and results for the 12 HSOPS dimensions. For each dimension, a random effects meta-analysis with double-arcsine transformation was performed, as well as meta-regressions to investigate heterogeneity, and tests for publication bias. Results 59 studies with 755,415 practitioners surveyed were included in the review. 29 studies were conducted in the Asian continent and 11 in the United States. On average studies scored 9 out of 10 methodological quality score. Of the 12 HSOPS dimensions, six scored under 50% of positivity, with “nonpunitive response to errors” the lowest one. In the meta-regression, three dimensions were shown to be influenced by the proportion of physicians and five by the continent where survey was held. Conclusions The HSOPS is widely used in several countries to assess the culture of patient safety in hospital settings. The culture of culpability is the main weakness across studies. Encouraging event reporting and learning from errors should be priorities in hospitals worldwide.

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“…Construct validity of the AHRQ HSOPSC has been assessed using either exploratory or confirmatory factor analysis. Where exploratory factor analysis was used, the optimal factor structure ranged from 8 to 14 factors (Al Salem et al, 2019;Boussat et al, 2017;Gambashidze et al, 2017;Najjar et al, 2013;Pfeiffer & Manser, 2010;Sorra & Dyer, 2010;Tereanu et al, 2018;Waterson et al, 2019), and the same held true for the confirmatory factor analysis (Eiras et al, 2014;Gambashidze et al, 2017;Nordin et al, 2013;Pfeiffer & Manser, 2010;Sorra & Dyer, 2010;Waterson et al, 2019). Sorra and Dyer (2010) did multilevel psychometric properties examination of the AHRQ HSOPSC on data available from 331 U.S. hospitals and found that the Cronbach's α (a measure of internal consistency reliability) of the individual composites was greater than 0.7 except for the staffing composite which had a Cronbach's α value of 0.62 (Sorra & Dyer, 2010).…”

Section: Introductionmentioning

confidence: 99%

Psychometric Properties of the Hospital Survey of Patient Safety Culture in Type A Hospitals in Kingston and St. Andrew, Jamaica

Thompson

James

Chin-Bailey

et al. 2022

Journal of Health Management

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This study sought to examine the internal consistency reliability and underlying factor structure of the Agency of Health Research on Quality Hospital Survey on Patient Safety Culture (AHRQ HSOPSC) in two large acute care hospitals in a developing country setting (Jamaica). A cross-sectional study was done among 328 doctors and nurses. Reliability (internal consistency) analysis was done for each of the 12 composites and the Cronbach’s Alpha coefficients were reported. Principal axis factor analysis (PA) using Varimax rotation was done to identify the underlying factor structure. The Cronbach’s Alpha coefficient was ≥ 0.60 in ten composites. ‘Overall perception of patient safety’ and ‘staffing’ had Cronbach’s Alpha values of 0.585 and 0.553 respectively. A ten-factor solution (34 items) with factor loading of ≥ 0.40 is the best model fit, and composites are now named ‘handoff and transitions/information exchange,’ ‘communication/feedback,’ ‘frequency of events reported,’ ‘management support for patient safety,’ ‘teamwork in unit,’ ‘non-punitive response to errors,’ ‘overall perception of patient safety,’ ‘supervision/management expectations and actions promoting patient safety,’ ‘organizational learning - continuous improvement’ and ‘staffing’. The AHRQ HSOPSC is generally reliable in this developing country setting and the ten-factor structure is consistent with suggested modifications for the emergent AHRQ HSOPSC Version 2 tool.

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Inconsistencies Between Two Cross-Cultural Adaptations of the Hospital Survey on Patient Safety Culture Into French

Cited by 5 publications

References 39 publications

Cross-cultural adaptation of the 4-Habits Coding Scheme into French to assess physician communication skills

Cross-cultural adaptation of the 4-Habits Coding Scheme into French to assess physician communication skills

Healthcare Professional’s Perception of Patient Safety Measured by the Hospital Survey on Patient Safety Culture: A Systematic Review and Meta-Analysis

Psychometric Properties of the Hospital Survey of Patient Safety Culture in Type A Hospitals in Kingston and St. Andrew, Jamaica

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