Other Titles

Psychometric Testing of the Filipino Translation of Patient Perceptions on Safety Culture in a Hospital Setting (PPSC-H) Scale [Title Slide]

Abstract

A reliable and valid tool that measures patient safety perception is essential in developing patient-centered safety initiatives, improving quality of care, and supporting sound organizational decision-making. The Patient Perception on Safety Culture in a Hospital Setting Scale (PPSC) is a newly developed instrument that assesses how hospitalized patients perceive safety culture (Valdez et al., 2023). This study aimed to determine the psychometric properties of the Tagalog translation of the PPSC.

This quantitative methodological research was conducted in three phases. Phase 1 involved the Tagalog translation of the tool by a professional linguist, followed by expert review to establish content validity. Phase 2 focused on validity testing, where the Tagalog PPSC and the Patient Measure of Safety (PMOS-10) were administered simultaneously to 989 participants to assess construct and concurrent validity. Phase 3 evaluated reliability through a seven-day test–retest procedure using the same instrument to determine its stability over time.

The tool achieved a CVR of 0.76, supporting strong content validity. Factor analysis identified four factors explaining 53.97% of the variance, providing evidence of construct validity. A moderate-to-strong correlation with the PMOS-10 (r = 0.642, p < 0.001) indicated good concurrent validity. Subscale Cronbach’s alpha values ranged from 0.74 to 0.88, demonstrating acceptable to good internal consistency across its four dimensions. Test–retest reliability showed moderate-to-good agreement between measurements (Individual ICC = 0.525, Average ICC = 0.689, p < 0.001), indicating that the Tagalog PPSC-H yields reasonably stable results over time.

Overall, the Tagalog version of the PPSC-H demonstrated good content validity, robust construct validity, acceptable internal consistency, strong concurrent validity, and moderate test–retest reliability. These findings support its psychometric soundness as a tool for assessing patients’ perceptions of safety culture in hospital settings. The scale shows potential as a culturally relevant instrument for integrating patient perspectives into safety assessments, enhancing engagement, and informing data-driven strategies for continuous quality and safety improvement. Further validation across other major Filipino dialects is recommended to broaden its applicability and ensure usability among diverse patient populations in the Philippines.

Notes

Reference list included as separate file.

Presenter notes available in attached slide deck. To see the notes in Adobe Acrobat, go to Tools > Comment or look at your Layers Panel. If the notes were saved as comments or layers, you can toggle them visible.  

Description

This presentation highlights the translation and validation of the Tagalog PPSC-H, a tool that captures patients’ perceptions of hospital safety culture. Attendees will gain insights into its psychometric strengths and its value in enhancing patient engagement and informing quality and safety initiatives.

Author Details

Kathlyn Sharmaine Valdez, MPH, RN; Andrew Sumpay, MHA, RN

Sigma Membership

Non-member

Lead Author Affiliation

Philippine General Hospital, Manila, Philippines

Type

Presentation

Format Type

Text-based Document

Study Design/Type

Other

Research Approach

Quantitative Research

Keywords:

Instrument and Tool Development, Patient Safety, Patients' Attitudes, Psychometrics, Hospital Patients, Hospitals, Philippines

Conference Name

37th International Nursing Research Congress

Conference Host

Sigma Theta Tau International

Conference Location

Toronto, Ontario, Canada

Conference Year

2026

Rights Holder

All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record. All permission requests should be directed accordingly and not to the Sigma Repository. All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

Abstract Review Only: Reviewed by Event Host

Acquisition

Proxy-submission

Date of Issue

2026-09-25

Click above link to access the slide deck.

Additional Files

References.pdf (93 kB)

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Psychometric Testing of the Filipino PPSC to Assess Patient Perceptions of Hospital Safety Culture

Toronto, Ontario, Canada

A reliable and valid tool that measures patient safety perception is essential in developing patient-centered safety initiatives, improving quality of care, and supporting sound organizational decision-making. The Patient Perception on Safety Culture in a Hospital Setting Scale (PPSC) is a newly developed instrument that assesses how hospitalized patients perceive safety culture (Valdez et al., 2023). This study aimed to determine the psychometric properties of the Tagalog translation of the PPSC.

This quantitative methodological research was conducted in three phases. Phase 1 involved the Tagalog translation of the tool by a professional linguist, followed by expert review to establish content validity. Phase 2 focused on validity testing, where the Tagalog PPSC and the Patient Measure of Safety (PMOS-10) were administered simultaneously to 989 participants to assess construct and concurrent validity. Phase 3 evaluated reliability through a seven-day test–retest procedure using the same instrument to determine its stability over time.

The tool achieved a CVR of 0.76, supporting strong content validity. Factor analysis identified four factors explaining 53.97% of the variance, providing evidence of construct validity. A moderate-to-strong correlation with the PMOS-10 (r = 0.642, p < 0.001) indicated good concurrent validity. Subscale Cronbach’s alpha values ranged from 0.74 to 0.88, demonstrating acceptable to good internal consistency across its four dimensions. Test–retest reliability showed moderate-to-good agreement between measurements (Individual ICC = 0.525, Average ICC = 0.689, p < 0.001), indicating that the Tagalog PPSC-H yields reasonably stable results over time.

Overall, the Tagalog version of the PPSC-H demonstrated good content validity, robust construct validity, acceptable internal consistency, strong concurrent validity, and moderate test–retest reliability. These findings support its psychometric soundness as a tool for assessing patients’ perceptions of safety culture in hospital settings. The scale shows potential as a culturally relevant instrument for integrating patient perspectives into safety assessments, enhancing engagement, and informing data-driven strategies for continuous quality and safety improvement. Further validation across other major Filipino dialects is recommended to broaden its applicability and ensure usability among diverse patient populations in the Philippines.