Evaluation of the hospital accreditation program: face and content validation

Area of Science:

• Healthcare Quality
• Health Services Research
• Psychometrics

Background:

• Quality Improvement (QI) initiatives are crucial for enhancing healthcare delivery.
• Adapting existing measurement tools to new cultural contexts is essential for valid research.
• The Quality Improvement Implementation Survey (QIIS) is a key instrument for assessing QI.

Purpose of the Study:

• To describe the face and content validation of the Quality Improvement Implementation Survey (QIIS).
• To report on the adaptation of the QIIS to the Brazilian language and culture.
• To validate two complementary scales alongside the QIIS.

Main Methods:

• Translation and synthesis of translations.
• Expert committee review.
• Back-translation process.
• Target population evaluation for verbal understanding.

Main Results:

• The QIIS was translated into Portuguese, comprising 90 items.
• The target population found all items easy to understand, with a high average score of 4.58/5.
• Expert committee and target population confirmed face and content validity.

Conclusions:

• The QIIS is now available in Portuguese, adapted for the Brazilian context.
• The adapted QIIS demonstrates semantic, idiomatic, conceptual, and cultural equivalence.
• The study confirms the face and content validity of the Brazilian version of the QIIS.