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- Determinants influencing distance learning at health technology higher education institutions in PortugalPublication . Teresa Ribeiro, Ricardo; Cunha, Gilda; Silva, Carina; Medeiros, Nuno; Viegas, Cláudia; Borges-Ferro, A; Poças, Ilda Maria; Raposo, Hélder António; Eiras, MargaridaIntroducing distance learning within higher education institutions (HEIs) is a key societal issue, especially in the health sector, due to its in vivo learning nature. Public policies play an important role in these digital environments. This study aims to identify the determinants influencing national public policies that foster digital learning transformation in Health HEIs in Portugal. A prospective survey, using the structural analysis of Godet’s method, is conducted, and data are gathered from different health sector stakeholders. Despite the efforts to increase digital literacy and funding for digital learning in HEIs, a weak strategy and implementation of a national plan for distance learning in Health HEIs are still prevalent. The driver to success is grounded on national and international cooperation between health professionals, hospitals, and HEIs through transferability processes of innovative practices.
- Portuguese cross-cultural adaptation and validation of the Hospital Survey on Patient Safety Culture 2.0Publication . Freitas, Elsa; Silva, Carina; Eiras, MargaridaBackground: As patient safety continues to be a global priority, it is crucial to emphasize the assessment and development of Patient Safety Culture to advance healthcare quality and safety initiatives worldwide. This study focused on the assessment of patient safety culture in Portuguese hospitals, specifically through the translation and cultural adaptation of the Hospital Survey on Patient Safety Culture 2.0 (HSOPSC 2.0) for the Portuguese context. Methods: The research involved a two-phase study design, including translation, cultural adaptation, and psychometric analysis of the HSOPSC 2.0. The study sample comprised seven public hospitals from different regions in Portugal, ensuring a diverse representation within the Portuguese National Health System. Analysis of the data involved statistical methods such as Structural Equation Models, Exploratory Factor Analysis, Confirmatory Factor Analysis, and composite reliability analysis. Results: The results showed that the translated version of HSOPSC 2.0 (PT-HSOPSC 2.0) had good internal consistency and construct validity. Therefore, the instrument is reliable and valid for assessing Patient Safety Culture in Portuguese healthcare settings. The analysis revealed both strengths and areas for improvement in the patient safety culture in Portuguese hospitals. Strengths included teamwork and management support for patient safety, while opportunities for improvement were related to open communication and hospital management. Conclusion: This study contributes significantly to enhancing patient safety culture assessment in Portuguese healthcare settings by updating and validating the Portuguese version of HSOPSC 2.0.
- Portuguese cross-cultural adaptation and validation of the hospital survey on patient safety culture 2.0Publication . Freitas, Elsa; Silva, Carina; Eiras , MargaridaBackground: As patient safety continues to be a global priority, it is crucial to emphasize the assessment and development of Patient Safety Culture [PSC] to advance healthcare quality and safety initiatives worldwide. This study focused on the assessment of PSC in Portuguese hospitals, specifically through the translation and cultural adaptation of the Hospital Survey on Patient Safety Culture 2.0 [HSOPSC 2.0] for the Portuguese context. Methods: The study followed a two-phase design, encompassing the translation, cultural adaptation, and psychometric evaluation of HSOPSC 2.0. A total of 2,604 fully completed questionnaires were collected. The sample consisted of seven public hospitals from different regions of Portugal, ensuring broad representation within the Portuguese National Health System. The translation process includes four stages: forward translation, back translation, expert panel review, and pre-testing. Instrument reliability was assessed using Cronbach’s alpha coefficients and Exploratory Factor Analysis (EFA). Construct validity was evaluated through Confirmatory Factor Analysis (CFA), while convergent and discriminant validity were examined using Average Variance Extracted (AVE) and Pearson’s correlation coefficients, respectively. Results: The Portuguese translated version of the HSOPSC 2.0 [PT-HSOPSC 2.0] demonstrated good internal consistency, with Cronbach’s alpha values ranging from 0.63 to 0.88, and factor loadings above 0.80 indicating strong factor reliability. CFA results supported the adequacy of the model fit: χ²/df = 4.64, p < 0.01; RMSEA = 0.05; CFI = 0.93; GFI = 0.90; TLI = 0.91; PCFI = 0.78; PGFI = 0.71. The instrument demonstrated good convergent validity, with AVE values at or above 0.50. Strengths included “Teamwork” and “Management Support for Patient Safety”, whereas “Open Communication” and “Hospital Management” were identified as areas requiring improvement. Overall, the PT-HSOPSC 2.0 demonstrated robust psychometric properties, confirming its suitability for assessing PSC in Portuguese hospitals. Conclusion: This study contributes to enhancing PSC assessment in Portuguese healthcare settings by providing a translated and validated version of the HSOPSC 2.0 adapted to the Portuguese context. Findings support that PT-HSOPSC 2.0 is a reliable and valid tool for evaluating PSC in Portuguese healthcare settings.