Transcultural adaptation and psychometric study of the French version of the nursing home survey on patient safety culture questionnaire

Abstract

Background The Nursing Home Survey on Patient Safety Culture (NHSOPS) questionnaire was developed by the Agency for Healthcare Research and Quality (AHRQ), particularly as an intervention to raise staff awareness about patient safety issues. The main objective of the present study was to provide a validated French-language measure of the safety culture (SC) in nursing homes. Thus the aim was i) to carry out a transcultural adaptation into French of the NHSOPS questionnaire, ii) to assess its psychometric properties in a sample of professionals working in French EHPAD facilities and iii) to develop our own tool. Methods The study was carried out on volunteering professionals from 61 nursing homes (from January to March 2016). Two phases were conducted: an initial phase involving the translation and cultural adaptation of the questionnaire, and a second phase in which the psychometric properties of the questionnaire were assessed. A Structural Equation Model (SEM) with a maximum likelihood estimation method was used to evaluate the construct validity of the questionnaire. As the fit of the structure was not sufficient, an exploratory factor analysis using a principal axis factoring with an oblique rotation was then performed. Internal consistency was evaluated and we examined test-retest reliability using Intra-class Correlation Coefficients (ICC). Results During the initial phase, all items were retained and minor adjustments were made. The participation rate by professionals was 58.4%. The exploratory analysis led to the identification of seven dimensions: Teamwork, Staffing, Compliance with procedures, Handoffs, Feedback and communication about incidents, Supervisor expectations and actions promoting resident safety, Overall perceptions of resident safety and Organizational learning. The SEM confirmed the existence of the seven latent dimensions (CFI = 0.946; TLI = 0.933; SRMR = 0.059; RMSEA = 0.061); internal consistency was acceptable. ICC per item ranged from 0.19 to 0.88. Conclusions The results from this study were robust on seven dimensions. This French version is the first on Patient SC to have been applied to the medical-social sector caring for dependent elderly people in France. The NHSOPS questionnaire provides the opportunity to broach this subject. A national evaluation campaign should provide the opportunity to confirm or improve this measure. Trial registration NCT02908373 (September 21, 2016) «Retrospectively registered». Electronic supplementary material The online version of this article (10.1186/s12913-019-4333-5) contains supplementary material, which is available to authorized users.

Transcultural adaptation and psychometric evaluation of the mainland China version of Nursing Home Survey on Patient Safety Culture Questionnaire: a cross-sectional survey based on 50 nursing homes in China

“…The recovery rate was significantly higher than the French version of 58.4%, 16 the Norwegian version of 69% 15 and the Swiss version of 66%. 17 However, it was lower than Xiao's study of 92.3% 22 and the Taiwan and…”

“…12 The recovery rate in this study is relatively satisfactory. In this study, the average age of participants was (42.05±13.04), and staff aged from 60 to 80 accounted for 11.7%, while in the French version, 16 only 7.2% of respondents were aged above 56. In Taiwan and China versions, the average age was (37.7±10.5).…”

“…In the translation period, there were 42 items, which was similar to Xiao's study, 22 Taiwan and China versions, 12 and French version, 16 compared with the Norwegian version with 43 items 15 in which it split item B3, 'we have all the information we need when residents are transferred from hospital', into two items. Quality of translation and cultural adaptation were guaranteed by translation, backtranslation and cultural adaptation process.…”

“…12 In 2008, the Agency for Healthcare Research and Quality (AHRQ) developed a specific tool-Nursing Home Survey on Patient Safety Culture (NHSOPS) for NHs, 14 which had previously developed HSOPS. Subsequently, NHSOPS has also been validated into different regions and cultures, including Norway, 15 France, 16 Switzerland 17 and Spain 18 . In mainland China, NHs are categorised by the government into three types: NHs hosted and managed by government party (named as type A in this research), hosted by the government but managed by the non-government party (type B) and hosted and managed by the non-government party (type C).…”

What is the level of safety culture in French nursing homes? The EHPAGE study

“…The French version of the psychometrically-validated NHSOPS [ 13 ] includes 22 items that measure the following seven dimensions of SC: Overall perceptions of resident safety and Organisational learning; Handoffs; Teamwork; Supervisor expectations and actions promoting resident safety; Compliance with procedures; Staffing; and Feedback and communication about incidents (Table 2 ). The content is presented under four headings: “work in your facility”, “communication”, “your hierarchy” and “your facility”.…”