Patient safety culture in Portuguese dentistry: Instrument validity and reliability
Objectives: The purpose of this study was to adapt, validate, and analyze the reliability of the Medical Office Survey on Patient Safety Culture (MOSPSC) for Portuguese dental care. Methods: The Portuguese version of the MOSPSC of the Agency for Healthcare Research and Quality (AHRQ) was adapted...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Sociedade Portuguesa de Estomatologia e Medicina Dentária
2022-06-01
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| Series: | Revista Portuguesa de Estomatologia, Medicina Dentária e Cirurgia Maxilofacial |
| Subjects: | |
| Online Access: | http://administracao.spemd.pt/app/assets/imagens/files_img/1_19_62bf1df97848a.pdf |
| _version_ | 1798002353327046656 |
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| author | Catarina Figueira Fátima Bizarra Margarida Eiras Carina Silva |
| author_facet | Catarina Figueira Fátima Bizarra Margarida Eiras Carina Silva |
| author_sort | Catarina Figueira |
| collection | DOAJ |
| description | Objectives: The purpose of this study was to adapt, validate, and analyze the reliability of the
Medical Office Survey on Patient Safety Culture (MOSPSC) for Portuguese dental care.
Methods: The Portuguese version of the MOSPSC of the Agency for Healthcare Research and
Quality (AHRQ) was adapted for Portuguese dental care. Six specialists conducted the content validity and semantic analysis. The reliability analysis was performed using Cronbach’s
alpha and average inter-item correlation (AIIC). Confirmatory factor analysis (CFA) was conducted to assess the fit quality of the model associated with the theoretical model proposed
by the AHRQ. The following goodness-of-fit indexes were used: the quotient between chisquare and the number of degrees of freedom (χ2/df), the goodness-of-fit index (GFI), the
comparative fit index (CFI), the Tucker-Lewis index (TLI), Parsimony GFI, and the root mean
square error of approximation index (RMSEA).
Results: The initial sample (n=237) was subjected to an analysis of missing values, resulting
in a final sample of 143 participants. The model proposed by the CFA corresponded to the
joining of two pairs of dimensions (“communication about error” and “communication openness” dimensions; “office processes and standardization” and “work pressure and pace”
dimensions). The proposed model obtained good overall consistency (Cronbach’s α=0.93;
AIIC=0.27) and moderate overall fit considering the study sample (χ2/df=5.63; GFI=0.90;
CFI=0.90; TLI=0.88; PGFI=0.67; RMSEA=0.18; p<0.001; 90% CI RMSEA [0.175;0.186]).
Conclusions: The proposed model structure resulted in eight dimensions, which achieved
good reliability and moderate construct validity. |
| first_indexed | 2024-04-11T11:50:42Z |
| format | Article |
| id | doaj.art-3792ab75ddd3444d8ec57b6347aff060 |
| institution | Directory Open Access Journal |
| issn | 1646-2890 1647-6700 |
| language | English |
| last_indexed | 2024-04-11T11:50:42Z |
| publishDate | 2022-06-01 |
| publisher | Sociedade Portuguesa de Estomatologia e Medicina Dentária |
| record_format | Article |
| series | Revista Portuguesa de Estomatologia, Medicina Dentária e Cirurgia Maxilofacial |
| spelling | doaj.art-3792ab75ddd3444d8ec57b6347aff0602022-12-22T04:25:24ZengSociedade Portuguesa de Estomatologia e Medicina DentáriaRevista Portuguesa de Estomatologia, Medicina Dentária e Cirurgia Maxilofacial1646-28901647-67002022-06-01632687510.24873/j.rpemd.2022.06.872Patient safety culture in Portuguese dentistry: Instrument validity and reliabilityCatarina Figueira0https://orcid.org/0000-0001-5310-2033Fátima Bizarra1https://orcid.org/0000-0003-2186-0563Margarida Eiras2https://orcid.org/0000-0001-5759-7336Carina Silva3https://orcid.org/0000-0003-1021-7935Escola Superior de Tecnologia da Saúde de Lisboa, Instituto Politécnico de Lisboa, Lisbon, Portugal; Faculdade de Medicina Dentária, Universidade de Lisboa, Lisbon, PortugalFaculdade de Medicina Dentária, Universidade de Lisboa, Lisbon, PortugalEscola Superior de Tecnologia da Saúde de Lisboa, Instituto Politécnico de Lisboa, Lisbon, PortugalEscola Superior de Tecnologia da Saúde de Lisboa, Instituto Politécnico de Lisboa, Lisbon, Portugal; Centro de Estatística e Aplicações, Universidade de Lisboa, Lisbon, PortugalObjectives: The purpose of this study was to adapt, validate, and analyze the reliability of the Medical Office Survey on Patient Safety Culture (MOSPSC) for Portuguese dental care. Methods: The Portuguese version of the MOSPSC of the Agency for Healthcare Research and Quality (AHRQ) was adapted for Portuguese dental care. Six specialists conducted the content validity and semantic analysis. The reliability analysis was performed using Cronbach’s alpha and average inter-item correlation (AIIC). Confirmatory factor analysis (CFA) was conducted to assess the fit quality of the model associated with the theoretical model proposed by the AHRQ. The following goodness-of-fit indexes were used: the quotient between chisquare and the number of degrees of freedom (χ2/df), the goodness-of-fit index (GFI), the comparative fit index (CFI), the Tucker-Lewis index (TLI), Parsimony GFI, and the root mean square error of approximation index (RMSEA). Results: The initial sample (n=237) was subjected to an analysis of missing values, resulting in a final sample of 143 participants. The model proposed by the CFA corresponded to the joining of two pairs of dimensions (“communication about error” and “communication openness” dimensions; “office processes and standardization” and “work pressure and pace” dimensions). The proposed model obtained good overall consistency (Cronbach’s α=0.93; AIIC=0.27) and moderate overall fit considering the study sample (χ2/df=5.63; GFI=0.90; CFI=0.90; TLI=0.88; PGFI=0.67; RMSEA=0.18; p<0.001; 90% CI RMSEA [0.175;0.186]). Conclusions: The proposed model structure resulted in eight dimensions, which achieved good reliability and moderate construct validity.http://administracao.spemd.pt/app/assets/imagens/files_img/1_19_62bf1df97848a.pdfdentistrypatient safetyportugalreliabilitysafety culturevalidity |
| spellingShingle | Catarina Figueira Fátima Bizarra Margarida Eiras Carina Silva Patient safety culture in Portuguese dentistry: Instrument validity and reliability Revista Portuguesa de Estomatologia, Medicina Dentária e Cirurgia Maxilofacial dentistry patient safety portugal reliability safety culture validity |
| title | Patient safety culture in Portuguese dentistry: Instrument validity and reliability |
| title_full | Patient safety culture in Portuguese dentistry: Instrument validity and reliability |
| title_fullStr | Patient safety culture in Portuguese dentistry: Instrument validity and reliability |
| title_full_unstemmed | Patient safety culture in Portuguese dentistry: Instrument validity and reliability |
| title_short | Patient safety culture in Portuguese dentistry: Instrument validity and reliability |
| title_sort | patient safety culture in portuguese dentistry instrument validity and reliability |
| topic | dentistry patient safety portugal reliability safety culture validity |
| url | http://administracao.spemd.pt/app/assets/imagens/files_img/1_19_62bf1df97848a.pdf |
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