AUTHOR=Asi Signe , Calsbeek Hiske , Kangasniemi Mari Katariina , Vähi Mare , Põlluste Kaja TITLE=Patient Safety Culture and Safety Attitudes in the Estonian Context: Simultaneous Bilingual Cultural Adaptation and Validation of Instruments JOURNAL=International Journal of Public Health VOLUME=69 YEAR=2024 URL=https://www.ssph-journal.org/journals/international-journal-of-public-health/articles/10.3389/ijph.2024.1607392 DOI=10.3389/ijph.2024.1607392 ISSN=1661-8564 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.