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Validation and reliability of a questionnaire for evaluating the performance of hospital food service operations

Osman, Noor Suzana and Md Nor, Norazmir and Ishak, Ruzaina and Mohd Yusoff, Rashidah (2026) Validation and reliability of a questionnaire for evaluating the performance of hospital food service operations. Malaysian Journal of Medicine and Health Sciences, 22 (3). pp. 1-12. ISSN 1675-8544 E-ISSN 2636-9346

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Abstract

Introduction: This study aimed to identify standardized indicators for food service operations in Malaysian hospitals and to validate these indicators comprehensively. Methods: A new questionnaire was distributed to 160 government, private, and teaching hospital food service administrators. Construct validity and reliability were assessed using exploratory factor analysis (EFA), discriminant and convergent validity, composite reliability (CR), and internal con-sistency reliability. Results: The final Kaiser-Meyer-Olkin (KMO) measure of sampling adequacy (MSA) of EFA was 0.869. A total of 69.9% of the variation was explained by the factors “Food Production and Distribution Manage-ment,” “Patient or Customer Service Management,” and “Operational Management”. Items correlation with factors grouping established internal consistency (Cronbach’s alpha = 0.891). The AVEs above 0.5 showed convergent va-lidity and composite reliability above 0.80, indicating the internal consistency of scale items. There were significant correlations between “Operational Management” and “Patient or Customer Service Management” (r = 0.550, p < 0.01), “Food Production and Distribution Management” (r = 0.204, p < 0.01), and “Operational Management” and “Food Production and Distribution Management” (r = 0.156, p < 0.05). The significant difference in subscale means for “Patient or Customer Service Management” (in-house: 2.96, outsourced: 2.55, p < 0.05) and “Food Production and Distribution Management” (in-house: 2.83, outsourced: 3.25, p < 0.05) between food service operations indi-cate discriminant validity. Conclusion: The findings of this study revealed that this questionnaire is validated and re-liable, and further research should be undertaken to identify specific indicators that can be used to evaluate hospital food service quality.

Item Type: Article (Journal)
Uncontrolled Keywords: Hospital Food Service, Exploratory Factor Analysis, Questionnaire Development, Food Service Quality, Total Quality Management
Subjects: T Technology > TX Home economics > TX341 Nutrition. Foods and food supply
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button): Kulliyyah of Allied Health Sciences > Department of Nutrition Sciences
Kulliyyah of Allied Health Sciences
Kulliyyah of Nursing
Kulliyyah of Nursing > Department of Professional Nursing Studies
Depositing User: Dr Noor Suzana Osman
Date Deposited: 13 Aug 2026 09:33
Last Update: 13 Aug 2026 09:33
Queue Number: 2026-08-Q4711
URI: http://irep.iium.edu.my/id/eprint/130759

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