Table 4.

Confirmatory Factor Analysis of H-CAHPS Survey Report Items—First-Order Factor Loadings

Construct	Survey Item Variable	English Version Loading (Uniqueness of Error)	Spanish Version Loading (Uniqueness of Error)	Equality of Factor Loadings across Language, χ2 Stat (p)
Nurse communications	Nurse respect (Q4)	0.812 (0.584)	0.766 (0.643)	4.668 (.031)*
	Nurse listen (Q5)	0.874 (0.486)	0.853 (0.522)	4.746 (.029)*
	Nurse explain (Q6)	0.772 (0.635)	0.709 (0.705)	3.011 (.083)
Doctor communications	Doctor respect (Q11)	0.833 (0.554)	0.791 (0.611)	0.250 (.617)
	Doctor listen (Q12)	0.910 (0.414)	0.876 (0.482)	8.257 (.004)*
	Doctor explain (Q13)	0.793 (0.610)	0.778 (0.628)	0.3540 (.552)
Communication about medicines	Allergies to Rx (Q40)	0.632 (0.775)	0.639 (0.769)	0.343 (.558)
	Rx side effects (Q41)	0.798 (0.603)	0.819 (0.574)	0.128 (.721)
Nursing services	Call button response (Q9)	0.778 (0.628)	0.771 (0.637)	0.015 (.903)
	How often bathroom (Q22)	0.720 (0.694)	0.718 (0.696)	0.116 (.733)
Discharge information	Help after discharge (Q48)	0.603 (0.798)	0.551 (0.834)	3.150 (.076)
	Symptoms in writing (Q49)	0.577 (0.817)	0.621 (0.784)	1.358 (.244)
Pain control	Pain controlled (Q32)	0.772 (0.635)	0.785 (0.619)	0.342 (.559)
	MD pain help (Q33)	0.916 (0.402)	0.907 (0.422)	6.303 (.012)*
Physical environment	Room clean (Q17)	0.633 (0.774)	0.651 (0.759)	1.244 (.265)
	Room quiet (Q18)	0.538 (0.843)	0.582 (0.813)	0.326 (.568)

Note: Model fit statistics for both models simultaneously: CFI=0.981, standard. RMR=0.116, RMSEA=0.027. Significance tests are based on the original sample size.

^*χ² statistic for unequal item level factor loadings across the Spanish and English versions has p <.05. All factor loadings significant at p <.01 level.

H-CAHPS, Hospital Survey-Consumer Assessments of Healthcare Providers and Systems; Rx, prescription medicines.