Hospital Survey on Patient Safety version 2.0 (HSOSPS 2.0) from the Agency for Healthcare Research and Quality enables hospitals to gather the information needed to evaluate the patient safety culture within their institution. However, version 2.0 has not been widely implemented in Chile. This study aims to customize and validate the original HSOSPS 2.0 for a Chilean hospital. Translation and cross-cultural adaptation, content validity through a group of experts, and a pilot test with cognitive pretest were applied to 259 participants from the nursing team in 11 hospital services to study construct validity and reliability. In the current study, a version of the questionnaire adapted to the Chilean cultural context showed excellent content validity with an index of 0.982 (S-CVI). After conducting exploratory factor analysis, a new model with 7 dimensions and 23 questions was proposed, down from the original 10 dimensions and 32 questions. This new model explains 71% of the variability. The model’s goodness of fit indicators were CFI=0.995, TLI=0.994, and RMSEA=0.048. The results of McDonald’s Omega showed high overall reliability with 0.9325. This study provides a validated measurement instrument that contributes to improving patient safety conditions at the level of the hospital nursing team in highly complex establishments in Chile. However, the dimensions, such as the number of items, were reduced This questionnaire can be used in future nursing research by expanding the sample among health professionals in Chile. Applying this version of the questionnaire will be highly beneficial for clinical administrators and nursing staff. It will improve their care practices and promote patient safety in public hospitals in Chile, as well as assist in enhancing nursing policies.

Patient safety culture is relevant both in the delivery of care and in the training of nursing staff, its purpose being to prevent and reduce risks associated with health care. This research aims to evaluate patient safety culture from the perspective of the nursing teams in a highly complex public hospital in the city of Valparaíso, Chile. A cross-sectional study with a quantitative approach applying descriptive, bivariate, and inferential statistical analysis was conducted on 259 nurses and nursing assistants from 13 adult medical–surgical units of the Carlos Van Buren hospital. The participants were obtained through a non-probabilistic convenience sample, answering the hospital survey on Patient Safety Culture version 2.0 (HSOPS 2.0), adapted to the Chilean population. The best-evaluated dimension was communication and receptivity; the worst was the support administrators provide for patient safety. This study identified the weaknesses and strengths of the hospital, the most worrying weakness being the shortage of human capital, material, and financial resources necessary to improve patient safety. This study was not registered.

To compare techniques to analyze the content validity of measurement instruments applicable to nursing care research through a practical case. Secondary study derived from validating the Hospital Survey on Patient Safety (HSOPS) in a Chilean hospital. The study setting was hospital care, with a population focused on nursing staff and a sample of 12 expert nurses who are teachers or have clinical experience in quality and patient safety. Design and content validity test based on three phases: identification of primary methods, calculation of methods, comparison of similarities and differences of methods. Lawsche, Tristan-López, Lynn, Polit et al. methods are similar. The modified kappa value is similar to the content validity index (I-CVI) value, with a slight variation when penalizing the value by probability according to chance. There are significant differences between all methods and Hernández Nieto's content validity coefficient (CVC). The Polit et al. method is more rigorous, and its mathematical formulation is better justified, providing solidity to clinical nursing research. Furthermore, the Hernandez-Nieto method is suggested when validating more than one characteristic.

Palabras clave: Neoplasias; incertidumbre; anciano; enfermería oncológica

Objective. To perform a modern bibliometric analysis of the research based on the Roy Adaptation Model, a founding nursing model proposed by Sor Callista Roy in the1970s. Method. A descriptive and longitudinal study. We used information from the two dominant scientific databases, Web Of Science and SCOPUS. We obtained 137 publications from the Core Collection of WoS, and 338 publications from SCOPUS. We conducted our analysis using the software Bibliometrix, an R-package specialized in creating bibliometric analyses from a perspective of descriptive statistics and network analysis, including co-citation, co-keyword occurrence and collaboration networks. Results. Our quantitative results show the main actors around the research based on the model and the founding literature or references on which this research was based. We analyze the main keywords and how they are linked. Furthermore, we present the most prolific authors both in number of publications and in centrality in the network of coauthors. We present the most central institutions in the global network of collaboration. Conclusions. We highlight the relevance of this theoretical model in nursing and detail its evolution. The United States is the dominant country in production of documents on the topic, and the University of Massachusetts Boston and Boston College are the most influential institutions. The network of collaboration also describes clusters in Mexico, Turkey and Spain. Our findings are useful to acquire a general vision of the field.