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Tradução e adaptação cultural do Safety Attitudes Questionnaire – Short Form 2006 para Portugal

Ricardo Fonseca Saraiva D.M.a · Antunes de Almeida A.b

Author affiliations

aEscola de Saúde, Instituto Politécnico da Guarda, Guarda, Portugal
bNúcleo de Estudos em Ciências Empresariais da Universidade da Beira Interior, Covilhã, Portugal

Corresponding Author

Dora Maria Ricardo Fonseca Saraiva

Centro Hospitalar Cova da Beira, Portugal

PT–6200-251 Covilhã (Portugal)

E-Mail dorasaraiva1@hotmail.com

Palavras chave: Segurança do doenteClima de segurançaTraduçãoAdaptação culturalSafety Attitudes Questionnaire

Related Articles for ""
Port J Public Health 2017;35:145–154
https://doi.org/10.1159/000486015

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Resumo

Introdução: A segurança do doente é um parâmetro integrante da qualidade dos cuidados e uma prioridade dos sistemas de saúde. O Safety Attitudes Questionnaire (SAQ) – Short Form 2006 é o instrumento mais utilizado e rigorosamente validado para medir o clima de segurança do doente entre os prestadores de cuidados de saúde. Objetivo: O objetivo deste estudo foi traduzir e adaptar culturalmente este instrumento para Portugal originando a versão SAQ – Short Form 2006 PT. Material e métodos: Para o processo de tra­dução e adaptação cultural realizou-se um estudo meto­do­lógico baseado nas recomendações de Beaton e colaboradores [Recommendations for the Cross-Cultural Adaptation of Health Status Measures, 2002] com as etapas: tradução, síntese, retrotradução, avaliação por uma comissão de especialistas, pré-teste e submissão dos relatórios aos autores do instrumento. Resultados: O SAQ – Short Form 2006 foi traduzido linguisticamente e adaptado culturalmente ao novo contexto mantendo a congruência com a versão original. A validade de conteúdo foi garantida através de uma comissão de especialistas, que assegurou a equivalência semântica, idiomática, experimental e conceitual entre o instrumento original e a versão portuguesa. Conclusão: O SAQ – Short Form 2006 foi traduzido e adaptado para Portugal com sucesso, permitindo a sua aplicação em contexto cultural português.

© 2018 The Author(s). Published by S. Karger AG, Basel on behalf of NOVA National School of Public Health

Translation and Cultural Adaptation of the Safety Attitudes Questionnaire – Short Form 2006 for Portugal

Keywords

Patient safety · Safety climate · Translation · Cultural adaptation · Safety Attitudes Questionnaire ·

Abstract

Background: Patient safety is both a parameter embedded within the quality of care and a priority of health systems. The Safety Attitudes Questionnaire (SAQ) – Short Form 2006 is the most widely and rigorously validated instrument used to measure the patient’s safety environment among health care providers. The goal of this study was to translate and culturally adapt this instrument within the Portuguese context, thus creating the version SAQ – Short Form 2006 PT. Materials and Methods: For the translation and cultural adaptation process, a methodological study was carried out based on the recommendations of Beaton et al. [Recommendations for the Cross-Cultural Adaptation of Health Status Measures, 2002], with the following steps: translation, synthesis, back translation, assessment by a committee of experts, pre-test, and submission of reports to the instrument’s authors. Results: SAQ – Short Form 2006 was translated linguistically and culturally adapted to the new environment while maintaining consistency with the original version. The validity of its content was ensured by a committee of experts which ensured the semantic, idiomatic, experimental, and conceptual equivalence between the original instrument and the created version. Conclusion: The SAQ – Short Form 2006 was successfully translated and adapted to Portugal allowing its application in the Portuguese cultural context.



Related Articles:

References

  1. Nieva VF, Sorra J: Safety culture assessment: a tool for improving patient safety in healthcare organizations. Qual Saf Health Care 2003; 12(suppl 2): 17–23.
    External Resources
  2. Fragata J: Gestão de risco; in Campos L, Bor­ges M, Portugal R (eds): Governação dos hospitais. Lisboa, Casa das Letras, 2009, pp 75–105.
  3. Portugal, Ministério da Saúde: A organização interna e a governação dos hospitais. Lisboa, Grupo Técnico para a Reforma da Organização Interna dos Hospitais, 2010.
  4. Hansez I, Chmiel N: Safety behavior: job demands, job resources, and perceived management commitment to safety. J Occup Health Psychol 2010; 15: 267–278.
    External Resources
  5. Recomendação 2009/C. A segurança dos doentes incluindo a prevenção e controlo das infeções associadas aos cuidados de saúde. Jornal Oficial da União Europeia 2009; 151: 1–6.
  6. Gomes MJ: Cultura de segurança do doente no bloco operatório. Coimbra, Escola Superior de Enfermagem de Coimbra, 2012. Dissertação de Mestrado em Enfermagem. Área de Especialização Gestão de Unidades de Cuidados.
  7. Costa IM: Adaptação e validação para português do questionário Nursing Home Survey on Patient Safety Culture (NHSPSC). Coimbra, Faculdade de Economia. Universidade de Coimbra, 2013. Dissertação de Mestrado em Gestão e Economia da Saúde.
  8. Inchauspe JÁ, Moura GM, Carvalho C, Costa RS: Segurança do paciente no contexto hospitalar: revisão integrativa. Rev Saúde Dom Alberto 2013; 1: 29–40.
  9. Reis CT, Martins M, Laguardia J: A segurança do paciente como dimensão da qualidade do cuidado de saúde: um olhar sobre a literatura. Ciênc Saúde Coletiva 2013; 18: 2029–2036.
  10. Sousa P, Uva AS, Serranheira F: Livro de Proceedings do 3º Congresso Internacional de Qualidade em Saúde e Segurança do Doente. Lisboa, Escola Nacional de Saúde Pública, 2013.
  11. Sexton JB, Thomas EJ: The context of care and the patient care team: the Safety Attitudes Questionnaire; in Reid PP, Compton WD, Grossman JH, Fanjiang G (eds): Building a Better Delivery System: A New Engineering/Health Care Partnership. Washington, National Academy of Engineering, Institute of Medicine, Committee on Engineering and the Health Care System, The National Academies Press, 2005, pp 119–123.
  12. Sexton J, Thomas E, Grillo S: The Safety Attitudes Questionnaire (SAQ) guidelines for administration. Austin, The University of Texas Center of Excellence for Patient Safety Research and Practice, 2003 (Technical Report 03/02/2008).
  13. Scott T, Mannion R, Davies H, Marshall M: The quantitative measurement of organizational culture in healthcare: a review of the available instruments. Health Serv Res 2003; 38: 923–945.
    External Resources
  14. Gershon R, Stone P, Bakken S, Larson E: Measurement of organizational culture and climate in health-care. J Nurs Adm 2004; 34: 33–40.
    External Resources
  15. Portugal, Ministério da Saúde,: Avaliação da cultura de segurança do doente numa amostra de hospitais portugueses: resultados do estudo piloto. Lisboa, Departamento da Qualidade em Saúde, Direcção-Geral da Saúde, Associação Portuguesa para o Desenvolvimento Hospitalar, 2011.
  16. Portugal, Ministério da Saúde: Avaliação da cultura de segurança dos doentes em hospitais: norma 025/2013 de 20 de janeiro de 2014. Lisboa, Direcção Geral da Saúde, Ministério da Saúde, 2014.
  17. Sexton JB, Helmreich RL, Neilands TB, Rowan K, Vella K, Boyden J, et al: The Safety Attitudes Questionnaire: psychometric properties, benchmarking data, and emerging research. BMC Health Serv Res 2006; 6: 1–10.
  18. Fortin M: Fundamentos e etapas no processo de investigação. Loures, Lusodidacta, 2009.
  19. Polit DF, Beck CT, Hungler BP: Fundamentos de pesquisa em enfermagem. 5ª ed. Porto Alegre, Artmed, 2004.
  20. Thomas EJ, Sexton JB, Helmreich RL: Discrepant attitudes about teamwork among critical care nurses and physicians. Crit Care Med 2003; 31: 956–959.
    External Resources
  21. Pronovost PJ, Berenholtz SM, Goeschel C, Thom I, Watson SR, Holzmueller CG, et al: Improving patient safety in intensive care units in Michigan. J Crit Care 2008; 23: 207–221.
    External Resources
  22. Helmreich RL, Merritt AC, Sherman PJ: Research project evaluates the effect of national culture on flight crew behaviour. ICAO J 1996; 51: 14–16.
    External Resources
  23. Pronovost PJ, Goeschel CA, Marsteller JÁ, Sexton JB, Pham JC, Berenholtz SM: Framework for patient safety research and improvement. Circulation 2009; 119: 330–337.
    External Resources
  24. Lee W, Wung H, Liao H, Lo C, Chang F, Wang P, et al: Hospital safety culture in Taiwan: a nationwide survey using Chinese version Safety Attitude Questionnaire. BMC Health Serv Res 2010; 10: 1–8.
    External Resources
  25. Makary MA, Sexton JB, Freischlag JA, Holz­mueller CG, Millman A, Rowen L, et al: Operating room teamwork among physicians and nurses: teamwork in the eye of the beholder. J Am Coll Surg 2006; 202: 746–752.
    External Resources
  26. Carvalho R: Adaptação transcultural do Safety Attitudes Questionnaire para o Brasil: questionário de atitudes de segurança. São Paulo, Universidade de São Paulo. Tese de Doutoramento em Ciências, 2011.
  27. Deilkås ET, Hofoss D: Psychometric properties of the Norwegian version of the Safety Attitudes Questionnaire (SAQ): generic version (Short Form 2006). BMC Health Serv Res 2008; 8: 1–10.
  28. Kar C, Hamid H: Adaptation of Safety Attitude Questionnaire (SAQ) in Malaysia healthcare setting; in: 10th Biennial Conference of Asian Association of Social Psychology, 21–24 August 2013, Yogyakarta, Indonesia. Riverton, Asian Association of Social Psychology, 2013.
  29. Nordén-Hägg A, Sexton JB, Kälvemark-Sporrong S, Ring L, Kettis-Lindblad A: Assessing safety culture in pharmacies: the psychometric validation of the Safety Attitudes Questionnaire (SAQ) in a national sample of community pharmacies in Sweden. BMC Clin Pharmacol 2010;10: 1–12.
    External Resources
  30. McGuire MJ, Noronha G, Samal L, Yeh H, Crocetti S, Kravet S: Patient safety perceptions of primary care providers after implementation of an electronic medical record system. J Gen Intern Med 2012; 28: 184–192.
    External Resources
  31. Pettker CM, Thung SF, Norwitz ER, Buhimschi CS, Raab CA, Copel JA, et al: Impact of a comprehensive patient safety strategy on obstetric adverse events. Am J Obstet Gynecol 2009; 200: 492.
    External Resources
  32. The Health Foundation: Measuring Safety Culture. London, The Health Foundation, 2011.
  33. Robb G, Seddon M: Measuring the safety culture in a hospital setting: a concept whose time has come? NZ Med J 2010; 123: 68–78.
    External Resources
  34. Abstoss KM, Shae BE, Owens TA, Juno JL, Commiskey EL, Niedner MF: Increasing medication error reporting rates while reducing harm through simultaneous cultural and system-level interventions in an intensive care unit. BMJ Qual Saf 2011; 20: 914–922.
    External Resources
  35. Vigorito MC, McNicoll L, Adams L, Sexton B: Improving safety culture results in Rhode Island ICUs: lessons learned from the development of action-oriented plans. Jt Comm J Qual Patient Saf 2011; 37: 509–514.
    External Resources
  36. Beaton DE, Bombardier C, Guillemin F, Ferraz MB: Guidelines for the process of cross-cultural adaptation of self-report measures. Spine 2000; 25: 3186–3191.
    External Resources
  37. Coluci MZ, Alexandre NM: Adaptação cultural de instrumento que avalia atividades do trabalho e sua relação com sintomas osteomusculares. Acta Paul Enferm 2009; 22: 149–154.
  38. Borsa JC, Damásio BF, Bandeira DR: Adap­tação e validação de instrumentos psicológicos entre culturas: algumas considerações. Paidéia 2012; 22: 423–432.
  39. Beaton D, Bombardier C, Guillemin F, Ferraz MB: Recommendations for the Cross-Cultural Adaptation of Health Status Measures. New York, American Academy of Orthopaedic Surgeons, 2002.
  40. Guillemin F, Bombardier C, Beaton D: Cross-cultural adaptation of health-related quality of life measures: literature review and proposed guidelines. J Clin Epidemiol 1993; 46: 1417–1432.
    External Resources

Article / Publication Details

First-Page Preview
Abstract of Research Article

Received: March 03, 2015
Accepted: November 15, 2017
Published online: March 13, 2018
Issue release date: June 2018

Number of Print Pages: 10
Number of Figures: 2
Number of Tables: 1

ISSN: 2504-3137 (Print)
eISSN: 2504-3145 (Online)

For additional information: https://www.karger.com/PJP

References

  1. Nieva VF, Sorra J: Safety culture assessment: a tool for improving patient safety in healthcare organizations. Qual Saf Health Care 2003; 12(suppl 2): 17–23.
    External Resources
  2. Fragata J: Gestão de risco; in Campos L, Bor­ges M, Portugal R (eds): Governação dos hospitais. Lisboa, Casa das Letras, 2009, pp 75–105.
  3. Portugal, Ministério da Saúde: A organização interna e a governação dos hospitais. Lisboa, Grupo Técnico para a Reforma da Organização Interna dos Hospitais, 2010.
  4. Hansez I, Chmiel N: Safety behavior: job demands, job resources, and perceived management commitment to safety. J Occup Health Psychol 2010; 15: 267–278.
    External Resources
  5. Recomendação 2009/C. A segurança dos doentes incluindo a prevenção e controlo das infeções associadas aos cuidados de saúde. Jornal Oficial da União Europeia 2009; 151: 1–6.
  6. Gomes MJ: Cultura de segurança do doente no bloco operatório. Coimbra, Escola Superior de Enfermagem de Coimbra, 2012. Dissertação de Mestrado em Enfermagem. Área de Especialização Gestão de Unidades de Cuidados.
  7. Costa IM: Adaptação e validação para português do questionário Nursing Home Survey on Patient Safety Culture (NHSPSC). Coimbra, Faculdade de Economia. Universidade de Coimbra, 2013. Dissertação de Mestrado em Gestão e Economia da Saúde.
  8. Inchauspe JÁ, Moura GM, Carvalho C, Costa RS: Segurança do paciente no contexto hospitalar: revisão integrativa. Rev Saúde Dom Alberto 2013; 1: 29–40.
  9. Reis CT, Martins M, Laguardia J: A segurança do paciente como dimensão da qualidade do cuidado de saúde: um olhar sobre a literatura. Ciênc Saúde Coletiva 2013; 18: 2029–2036.
  10. Sousa P, Uva AS, Serranheira F: Livro de Proceedings do 3º Congresso Internacional de Qualidade em Saúde e Segurança do Doente. Lisboa, Escola Nacional de Saúde Pública, 2013.
  11. Sexton JB, Thomas EJ: The context of care and the patient care team: the Safety Attitudes Questionnaire; in Reid PP, Compton WD, Grossman JH, Fanjiang G (eds): Building a Better Delivery System: A New Engineering/Health Care Partnership. Washington, National Academy of Engineering, Institute of Medicine, Committee on Engineering and the Health Care System, The National Academies Press, 2005, pp 119–123.
  12. Sexton J, Thomas E, Grillo S: The Safety Attitudes Questionnaire (SAQ) guidelines for administration. Austin, The University of Texas Center of Excellence for Patient Safety Research and Practice, 2003 (Technical Report 03/02/2008).
  13. Scott T, Mannion R, Davies H, Marshall M: The quantitative measurement of organizational culture in healthcare: a review of the available instruments. Health Serv Res 2003; 38: 923–945.
    External Resources
  14. Gershon R, Stone P, Bakken S, Larson E: Measurement of organizational culture and climate in health-care. J Nurs Adm 2004; 34: 33–40.
    External Resources
  15. Portugal, Ministério da Saúde,: Avaliação da cultura de segurança do doente numa amostra de hospitais portugueses: resultados do estudo piloto. Lisboa, Departamento da Qualidade em Saúde, Direcção-Geral da Saúde, Associação Portuguesa para o Desenvolvimento Hospitalar, 2011.
  16. Portugal, Ministério da Saúde: Avaliação da cultura de segurança dos doentes em hospitais: norma 025/2013 de 20 de janeiro de 2014. Lisboa, Direcção Geral da Saúde, Ministério da Saúde, 2014.
  17. Sexton JB, Helmreich RL, Neilands TB, Rowan K, Vella K, Boyden J, et al: The Safety Attitudes Questionnaire: psychometric properties, benchmarking data, and emerging research. BMC Health Serv Res 2006; 6: 1–10.
  18. Fortin M: Fundamentos e etapas no processo de investigação. Loures, Lusodidacta, 2009.
  19. Polit DF, Beck CT, Hungler BP: Fundamentos de pesquisa em enfermagem. 5ª ed. Porto Alegre, Artmed, 2004.
  20. Thomas EJ, Sexton JB, Helmreich RL: Discrepant attitudes about teamwork among critical care nurses and physicians. Crit Care Med 2003; 31: 956–959.
    External Resources
  21. Pronovost PJ, Berenholtz SM, Goeschel C, Thom I, Watson SR, Holzmueller CG, et al: Improving patient safety in intensive care units in Michigan. J Crit Care 2008; 23: 207–221.
    External Resources
  22. Helmreich RL, Merritt AC, Sherman PJ: Research project evaluates the effect of national culture on flight crew behaviour. ICAO J 1996; 51: 14–16.
    External Resources
  23. Pronovost PJ, Goeschel CA, Marsteller JÁ, Sexton JB, Pham JC, Berenholtz SM: Framework for patient safety research and improvement. Circulation 2009; 119: 330–337.
    External Resources
  24. Lee W, Wung H, Liao H, Lo C, Chang F, Wang P, et al: Hospital safety culture in Taiwan: a nationwide survey using Chinese version Safety Attitude Questionnaire. BMC Health Serv Res 2010; 10: 1–8.
    External Resources
  25. Makary MA, Sexton JB, Freischlag JA, Holz­mueller CG, Millman A, Rowen L, et al: Operating room teamwork among physicians and nurses: teamwork in the eye of the beholder. J Am Coll Surg 2006; 202: 746–752.
    External Resources
  26. Carvalho R: Adaptação transcultural do Safety Attitudes Questionnaire para o Brasil: questionário de atitudes de segurança. São Paulo, Universidade de São Paulo. Tese de Doutoramento em Ciências, 2011.
  27. Deilkås ET, Hofoss D: Psychometric properties of the Norwegian version of the Safety Attitudes Questionnaire (SAQ): generic version (Short Form 2006). BMC Health Serv Res 2008; 8: 1–10.
  28. Kar C, Hamid H: Adaptation of Safety Attitude Questionnaire (SAQ) in Malaysia healthcare setting; in: 10th Biennial Conference of Asian Association of Social Psychology, 21–24 August 2013, Yogyakarta, Indonesia. Riverton, Asian Association of Social Psychology, 2013.
  29. Nordén-Hägg A, Sexton JB, Kälvemark-Sporrong S, Ring L, Kettis-Lindblad A: Assessing safety culture in pharmacies: the psychometric validation of the Safety Attitudes Questionnaire (SAQ) in a national sample of community pharmacies in Sweden. BMC Clin Pharmacol 2010;10: 1–12.
    External Resources
  30. McGuire MJ, Noronha G, Samal L, Yeh H, Crocetti S, Kravet S: Patient safety perceptions of primary care providers after implementation of an electronic medical record system. J Gen Intern Med 2012; 28: 184–192.
    External Resources
  31. Pettker CM, Thung SF, Norwitz ER, Buhimschi CS, Raab CA, Copel JA, et al: Impact of a comprehensive patient safety strategy on obstetric adverse events. Am J Obstet Gynecol 2009; 200: 492.
    External Resources
  32. The Health Foundation: Measuring Safety Culture. London, The Health Foundation, 2011.
  33. Robb G, Seddon M: Measuring the safety culture in a hospital setting: a concept whose time has come? NZ Med J 2010; 123: 68–78.
    External Resources
  34. Abstoss KM, Shae BE, Owens TA, Juno JL, Commiskey EL, Niedner MF: Increasing medication error reporting rates while reducing harm through simultaneous cultural and system-level interventions in an intensive care unit. BMJ Qual Saf 2011; 20: 914–922.
    External Resources
  35. Vigorito MC, McNicoll L, Adams L, Sexton B: Improving safety culture results in Rhode Island ICUs: lessons learned from the development of action-oriented plans. Jt Comm J Qual Patient Saf 2011; 37: 509–514.
    External Resources
  36. Beaton DE, Bombardier C, Guillemin F, Ferraz MB: Guidelines for the process of cross-cultural adaptation of self-report measures. Spine 2000; 25: 3186–3191.
    External Resources
  37. Coluci MZ, Alexandre NM: Adaptação cultural de instrumento que avalia atividades do trabalho e sua relação com sintomas osteomusculares. Acta Paul Enferm 2009; 22: 149–154.
  38. Borsa JC, Damásio BF, Bandeira DR: Adap­tação e validação de instrumentos psicológicos entre culturas: algumas considerações. Paidéia 2012; 22: 423–432.
  39. Beaton D, Bombardier C, Guillemin F, Ferraz MB: Recommendations for the Cross-Cultural Adaptation of Health Status Measures. New York, American Academy of Orthopaedic Surgeons, 2002.
  40. Guillemin F, Bombardier C, Beaton D: Cross-cultural adaptation of health-related quality of life measures: literature review and proposed guidelines. J Clin Epidemiol 1993; 46: 1417–1432.
    External Resources
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Os resultados deste estudo encontram-se publicados no âmbito de uma Dissertação de Mestrado no Repositório Digital da Universidade da Beira Interior (http://ubibliorum.ubi.pt/handle/10400.6/3429).

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