Patient Safety Culture and Safety Attitudes in the Estonian Context: Simultaneous Bilingual Cultural Adaptation and Validation of Instruments

Signe Asi; Hiske Calsbeek; Mari Katariina Kangasniemi; Mare Vähi; Kaja Põlluste

doi:10.3389/ijph.2024.1607392

Patient Safety Culture and Safety Attitudes in the Estonian Context: Simultaneous Bilingual Cultural Adaptation and Validation of Instruments

Int J Public Health. 2024 Sep 4:69:1607392. doi: 10.3389/ijph.2024.1607392. eCollection 2024.

Authors

Signe Asi¹, Hiske Calsbeek², Mari Katariina Kangasniemi³, Mare Vähi⁴, Kaja Põlluste¹

Affiliations

¹ Institute of Clinical Medicine, University of Tartu, Tartu, Estonia.
² Department of IQ Healthcare, Radboud University Medical Centre, Nijmegen, Netherlands.
³ Department of Nursing Science, Faculty of Medicine, University of Turku, Turku, Finland.
⁴ Institute of Mathematical Statistics, University of Tartu, Tartu, Estonia.

Abstract

Objectives: This study aimed to simultaneously and bilingually validate the Hospital Survey on Patient Safety Culture (HSOPSC 2.0) and the Safety Attitudes Questionnaire (SAQ).

Methods: The validation included translation, cultural adaptation, and assessment of validity and consistency. Data were collected in three hospitals in 2022 via online and paper surveys, with Estonian- and Russian-speaking employees participating.

Results: In total, 579 (30%) participants from the three hospitals completed both questionnaires. Among them, 293 (51%) were Russian-speaking and 286 (49%) were Estonian-speaking. Cronbach's αhy for HSOPSC 2.0 was ≥0.60, except in the Russian version for the three dimensions. Cronbach's α for SAQ was ≥0.60, except in the Russian version for one dimension. Pearson's correlations of the Estonian HSOPSC 2.0 ranged from 0.26 to 0.60 and in the Russian version from 0.18 to 0.47.

Conclusion: The validity of the HSOPSC 2.0 and SAQ questionnaires was confirmed in the Estonian versions. Minor corrections were recommended for the Russian. Both versions are considered suitable for assessing PSC in Estonian hospitals.

Keywords: attitude; healthcare surveys; organizational culture; patient safety; validation study.

Publication types

Validation Study

MeSH terms

Adult
Attitude of Health Personnel
Estonia
Female
Humans
Male
Middle Aged
Organizational Culture
Patient Safety*
Psychometrics
Reproducibility of Results
Russia
Safety Management
Surveys and Questionnaires / standards
Translations

Grants and funding

The author(s) declare financial support was received for the research, authorship, and/or publication of this article. This study was carried out as a part of the PATSAFE project, which was funded by the European Union’s Horizon 2020 research and innovation program under grant agreement No. 857359.