Patient safety in the surgical environment: Translation and cross-cultural adaptation of validated instrument

Abstract

Objective: To translate and adapt the Safety Attitudes Questionnaire/Operating Room Version into Portuguese. Methods: Methodological research of cross-cultural adaptation which applied the stages: Translation, synthesis, back-translation, expert panel evaluation, pretest, submission and evaluation of the reports by the authors of the original instrument. The content validation was performed using the semantic, idiomatic, conceptual, experiential and content equivalence. A total of 12 experts participated and the agreement index corresponded to ≥ 80%. Results: The stages of translation and back-translation were considered adequate and in the synthesis evaluation by the experts, changes were indicated in 41 items from the total of 137. Regarding the equivalence of the validation process carried out by the experts, the general consensus of the instrument obtained 84.1% equivalence, 9.3% of non-equivalence and 6.6% undecided. In the pretest, the mean time to fill in the questionnaire corresponded to 16.5 minutes. Conclusion: The process of translation and adaptation presented adequacy as to the validity of content through the indices obtained in equivalences and understanding for the subjects, and it was approved by the authors.