Validation of the Arabic Childbirth Care Satisfaction Survey

Background: Measuring maternal satisfaction in Arab countries is an essential indicator of care quality. However, exist-ing surveys have limited psychometric properties and inclusion criteria. Aims: To present the psychometric properties of the Arabic Childbirth Care Satisfaction Survey (CCSS). Methods: The Arabic CCSS was developed from 2 English surveys. In 2017, 13 mothers assessed survey items in terms of clarity, importance and acceptability. The CCSS was distributed to all mothers who delivered a live baby during the 4-week study period in 9 hospitals in Oman. A sample of 461 participants was used for principal component analysis (PCA) and an-other sample of 408 participants (after removing missing data) was used for confirmatory factor analysis (CFA). Two-sample independent t tests were conducted to establish discriminant validity. Stata software was used for the analysis. Results: The survey demonstrated good face and content validity with all items rated above 3 out of 5. Out of the 3566 targeted population, 958 (26.9%) mothers participated. PCA identified 2 factors labelled as communication and control (Cronbach’s α = 0.90) and care organization (Cronbach’s α = 0.68) with good internal reliability. CFA demonstrated good model fit, confirming construct validity. Mothers who had vaginal delivery were more satisfied (P < 0.05) compared with those who underwent caesarean section, thus establishing good discriminant validity. Conclusion: A short Arabic CCSS tool was developed. This new 10-item tool had good face and content validity, good internal reliability, construct validity and discriminant validity. It can provide valuable information to clinicians and deci-sion-makers about the quality of maternity services.

Association between the nationality of nurses and safety culture in maternity units of Oman

Background: Patient safety culture/climate in maternity units has been linked to better safety outcomes. Nurses have a crucial role in patient safety and represent the majority of staff in maternity units. In many countries, nurses are recruited from abroad, bringing their own perceptions of patient safety culture. Nonetheless, little is known about the relationship between perceptions of patient safety culture and nurses’ nationality. Understanding this relationship will assist stake-holders in designing a responsive programme to improve patient safety culture. Aims: To investigate the association between nurses’ nationality and their perceptions about patient safety culture in maternity units in Ministry of Health hospitals in Oman.Methods: In 2017, the Safety Attitude Questionnaire (SAQ) was distributed to all staff (892 distributed, 735 returned) in 10 maternity units.Results: About three-quarters (74%, 541/735) of the returned SAQs were completed by nurses, of whom 34% were non-Om-ani, 21.8% were Omani and 44.7% did not report their nationality (missing). Overall, the mean safety score for non-Omani nurses was significantly higher than for the Omani nurses: 3.9 (SD 1.3) vs 3.6 (SD 1.2) (P < 0.001). The mean safety score for stress recognition was significantly lower for non-Omani nurses: 2.8 (SD 1.5) vs 3.2 (SD 1.3) (P < 0.001). Conclusion: Non-Omani nurses have a more positive perception of patient safety culture than Omani nurses except in respect of stress recognition. Decision-makers, directors, and clinicians should consider these differences when designing interventions to improve patient safety culture.

Contexte : Un lien a été établi entre la culture/le climat de sécurité des patients dans les services de maternité et de meilleurs résultats sur le plan de la sécurité. Les infirmiers(ères) jouent un rôle crucial dans la sécurité des patients et représentent la majorité du personnel des services de maternité. Dans de nombreux pays, les personnels infirmiers sont recrutés à l’étranger et apportent leurs propres perceptions de la culture de la sécurité des patients. Néanmoins, le lien entre les perceptions de la culture de la sécurité des patients et la nationalité des personnels infirmiers est mal connu. Comprendre ce lien aidera les parties prenantes à concevoir un programme pertinent pour améliorer la culture de sécurité des patients. Objectifs : La présente étude visait à examiner le lien entre la nationalité des personnels infirmiers et leurs perceptions de la culture de la sécurité des patients dans les services de maternité des hôpitaux du ministère de la Santé à Oman. Méthodes : En 2017, le « Safety attitudes Questionnaire » (SAQ) a été distribué à l’ensemble du personnel de dix services de maternité (892 questionnaires distribués, 735 questionnaires retournés). Résultats : Près des trois quarts (74 %, 541/735) des questionnaires SAQ retournés ont été remplis par des infirmiers(ères), parmi lesquel(le)s 34 % n’étaient pas omanais(es), 21,8 % étaient omanais(es) et 44,7 % n’avaient pas indiqué leur nationalité (manquante). Globalement, le score de sécurité moyen pour les personnels infirmiers non omanais était beaucoup plus élevé que pour ceux qui étaient omanais : 3,9 (E.T. 1,3) contre 3,6 (E.T. 1,2) (p < 0,001). Le score de sécurité moyen concernant la reconnaissance du stress était beaucoup moins élevé pour les personnels infirmiers non omanais : 2,8 (E.T. 1,5) contre 3,2 (E.T. 1,3) (p < 0,001). Conclusion : Les personnels infirmiers non omanais ont une perception plus positive de la culture de la sécurité des patients que les ceux qui sont de nationalité omanaise, excepté pour la reconnaissance du stress. Les décideurs, les directeurs et les cliniciens devraient prendre en compte ces différences pour concevoir des interventions visant à améliorer la culture de la sécurité des patients.