{
  "abstract": "Objectives To evaluate the psychometric properties of the Hospital Survey on Patient Safety Culture (HSoPSC) version 2.0 in Ethiopian public hospitals.Design A cross-sectional study.Settings Five public hospitals in Eastern Ethiopia.Participants Healthcare professionals (N=582).Main outcome measure An adapted and contextualised version of HSoPSC 2.0 was used to conduct structural validity using exploratory and confirmatory factor analyses (EFA and CFA). Convergent and discriminant validity were evaluated through item loadings and interfactor correlations, respectively. Reliability was measured using McDonald’s omega and Cronbach’s alpha.Results CFA indicated a poor model fit for the original 10-factor, 32-item HSoPSC 2.0 across all statistical indices: relative chi-square (χ²/df=7.71), root mean square error of approximation (RMSEA=0.108), standardised root mean square residual (SRMR=0.088), comparative fit index (CFI=0.814) and Tucker-Lewis’s index (TLI=0.780). Consequently, a comprehensive EFA was conducted, which identified a revised model comprising 5-factor, 21-item. This model accounted for 62.8% of the total variance and demonstrated strong construct validity, with excellent fit indices (χ²/df=3.67, RMSEA=0.068, SRMR=0.034, CFI=0.969, TLI=0.945). Internal consistency, assessed via McDonald’s omega and Cronbach’s alpha, exceeded the acceptable threshold of 0.70 across all dimensions, except for Response to Error (0.66). The convergent and discriminant validity of the new model was confirmed, ensuring an accurate representation of the underlying constructs.Conclusions The original HSoPSC 2.0 with 10-factor, 32-item failed to demonstrate structural validity in the Ethiopian healthcare context. In contrast, a revised 5-factor, 21-item model showed strong validity and acceptable reliability. This adapted version provides a culturally and contextually relevant tool for assessing patient safety culture in Ethiopian healthcare settings.",
  "authors": [
    {
      "affiliations": [
        "School of Nursing and Midwifery, Griffith University, Southport, Queensland, Australia",
        "School of Nursing, Haramaya University, College of Health and Medical Sciences, Harar, Ethiopia"
      ],
      "name": "Gelana Fekadu"
    },
    {
      "affiliations": [
        "School of Nursing and Midwifery, Griffith University, Southport, Queensland, Australia",
        "Nursing and Midwifery Education and Research Unit, Gold Coast Hospital and Health Service, Southport, Queensland, Australia"
      ],
      "name": "Andrea P Marshall"
    },
    {
      "affiliations": [
        "School of Nursing and Midwifery, Griffith University, Southport, Queensland, Australia",
        "Faculty of Health, Southern Cross University, Gold Coast Campus, Bilinga, Queensland, Australia",
        "Department of Emergency Medicine, Gold Coast Hospital and Health Service, Southport, Queensland, Australia",
        "Florence Nightingale Faculty of Nursing, Midwifery and Palliative Care, King’s College, London, UK"
      ],
      "name": "Rachel Muir"
    },
    {
      "affiliations": [
        "Nursing and Midwifery Education and Research Unit, Gold Coast Hospital and Health Service, Southport, Queensland, Australia",
        "National Health and Medical Research Council, Centre of Research Excellence in Wiser Wound Care, Griffith University, Southport, Queensland, Australia"
      ],
      "name": "Georgia Tobiano"
    },
    {
      "affiliations": [
        "School of Psychology and Wellbeing, University of Southern Queensland, Ipswich, Queensland, Australia"
      ],
      "name": "Michael J Ireland"
    }
  ],
  "title": "Psychometric Evaluations of the Hospital Survey on Patient Safety Culture Version 2.0 in Ethiopia (E-HSoPSC 2.0): A Cross-Sectional Study",
  "uid": "fea50ff1-bf38-58da-9acf-ba681ad20930"
}