Safety climate in the operating room: translation, validation and application of the Safety Attitudes Questionnaire

Detalhes bibliográficos
Autor(a) principal: Pinheiro, João Pedro Alexandre
Data de Publicação: 2016
Outros Autores: Uva, António de Sousa
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10362/22881
Resumo: A B S T R A C T - Background: Safety climate assessment is increasingly recognized as an important factor in healthcare quality improvement, especially in operating rooms (OR). One of the most commonly used and rigorously validated tools to measure safety culture is the Safety Attitudes Questionnaire (SAQ). This study presents the validation of the Operating Room Version of the SAQ (SAQ-OR) for use in Portuguese Hospitals. The psychometric properties of the translated questionnaire are also presented. Methods: The original English version of the SAQ-OR was translated and adapted to the Portuguese setting by forward–backward translation method and applied in a central public hospital. Scale psychometrics were analyzed using Cronbach’s alpha and inter-correlations among the scales. Results: The internal consistency test yielded values around 0.9 for all 73 items. The CFA and its goodness-of-fit indices (SRMR 0.05, RMSEA 0.002, CFI 0.90) showed an acceptable model fit. Inter-correlations between the factors safety climate, teamwork climate, job satisfaction, perceptions of management, and working conditions showed moderate correlation with each other. 82 valid questionnaires were analyzed revealing significant differences in communication ratings between different jobs, mainly between surgeons (4.2) and between nurses and surgeons (2.9). Working conditions and job satisfaction have the highest score with 3.8 and 3.5, respectively, and perceptions of management have the lowest score (2.8). Conclusion: The Portuguese translation of the SAQ-OR reveals good psychometric properties for studying the organizational safety climate, however larger and further studies are required to compensate the lack of subjects in some items. Like other studies, this scale seems to be an acceptable to adequate tool to evaluate the safety climate. Results allowed are satisfactory. However, there is latitude for improvement, especially in the involvement of the management bodies as this factor has the lowest score for the majority of healthcare professionals.
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spelling Safety climate in the operating room: translation, validation and application of the Safety Attitudes QuestionnaireClima de segurança no bloco operatório: tradução, validação e aplicação do Questionário de Atitudes de SegurançaSafety climateOperating roomErgonomicsPatient safetyHealthcare qualityClima de segurançaBloco operatórioErgonomiaSegurança do doenteQualidade em saúdeA B S T R A C T - Background: Safety climate assessment is increasingly recognized as an important factor in healthcare quality improvement, especially in operating rooms (OR). One of the most commonly used and rigorously validated tools to measure safety culture is the Safety Attitudes Questionnaire (SAQ). This study presents the validation of the Operating Room Version of the SAQ (SAQ-OR) for use in Portuguese Hospitals. The psychometric properties of the translated questionnaire are also presented. Methods: The original English version of the SAQ-OR was translated and adapted to the Portuguese setting by forward–backward translation method and applied in a central public hospital. Scale psychometrics were analyzed using Cronbach’s alpha and inter-correlations among the scales. Results: The internal consistency test yielded values around 0.9 for all 73 items. The CFA and its goodness-of-fit indices (SRMR 0.05, RMSEA 0.002, CFI 0.90) showed an acceptable model fit. Inter-correlations between the factors safety climate, teamwork climate, job satisfaction, perceptions of management, and working conditions showed moderate correlation with each other. 82 valid questionnaires were analyzed revealing significant differences in communication ratings between different jobs, mainly between surgeons (4.2) and between nurses and surgeons (2.9). Working conditions and job satisfaction have the highest score with 3.8 and 3.5, respectively, and perceptions of management have the lowest score (2.8). Conclusion: The Portuguese translation of the SAQ-OR reveals good psychometric properties for studying the organizational safety climate, however larger and further studies are required to compensate the lack of subjects in some items. Like other studies, this scale seems to be an acceptable to adequate tool to evaluate the safety climate. Results allowed are satisfactory. However, there is latitude for improvement, especially in the involvement of the management bodies as this factor has the lowest score for the majority of healthcare professionals.R E S U M O Introdução: A avaliação do clima de segurança é cada vez mais reconhecida como um fator na melhoria da prestação de cuidados de saúde, especialmente no bloco operatório (BO). Um dos instrumentos mais comumente validados e utilizados para medir a Cultura de Segurança é o Safety Attitudes Questionnaire (SAQ) ou Questionário de Atitude de Segurança (QAS). Este estudo apresenta a validação da versão para Bloco Operatório (QAS-BO), para aplicação nas instituições de saúde portuguesas. As características psicométricas do questionário traduzido são também apresentadas. Metodologia: A versão original em inglês do QAS-BO, foi traduzida e adaptada para o contexto português, através do processo de tradução-retradução e aplicado num hospital público central. A análise psicométrica foi feita através do alfa de Cronbach e das correlações entre escalas. Resultados: Os testes de consistência interna obtiveram valores médios de 0.9 para os 73 itens. A análise fatorial e o grau de ajuste (SRMR 0.05, RMSEA 0.002, CFI 0.90) obtiveram valores satisfatórios. As relações entre o clima de segurança, trabalho em equipa, satisfação profissional, perceção sobre os órgãos de gestão e condições de trabalho são moderadas. Um total de 82 questionários foram analisados e revelaram diferenças significativas na comunicação entre diferentes classes profissionais, nomeadamente entre cirurgiões (4.2) e entre cirurgiões e enfermeiros (2.9). As condições de trabalho e a satisfação profissional obtiveram os valores mais elevados, com 3.8 e 3.5 respetivamente, e a perceção sobre os órgãos de gestão o valor mais baixo (2.8). Conclusão: A versão portuguesa do QAS-BO, apresenta boas características psicométricas para estudar o clima de segurança das instituições de saúde, não obstante, são necessários estudos mais abrangentes de forma a colmatar o reduzido número de elementos em alguns itens. Tal como outros estudos revelaram, este instrumento é aceitável para analisar o clima de segurança. Os resultados permitem concluir que as condições de trabalho e a satisfação profissional são satisfatórias. No entanto, existe oportunidade de intervenção e melhoria, principalmente no envolvimento dos órgãos de gestão.Universidade Nova de Lisboa, Escola Nacional de Saúde PúblicaRUNPinheiro, João Pedro AlexandreUva, António de Sousa2017-08-22T13:22:51Z2016-052016-05-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10362/22881eng0870-9025info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-03-11T04:10:51Zoai:run.unl.pt:10362/22881Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T03:27:33.066622Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Safety climate in the operating room: translation, validation and application of the Safety Attitudes Questionnaire
Clima de segurança no bloco operatório: tradução, validação e aplicação do Questionário de Atitudes de Segurança
title Safety climate in the operating room: translation, validation and application of the Safety Attitudes Questionnaire
spellingShingle Safety climate in the operating room: translation, validation and application of the Safety Attitudes Questionnaire
Pinheiro, João Pedro Alexandre
Safety climate
Operating room
Ergonomics
Patient safety
Healthcare quality
Clima de segurança
Bloco operatório
Ergonomia
Segurança do doente
Qualidade em saúde
title_short Safety climate in the operating room: translation, validation and application of the Safety Attitudes Questionnaire
title_full Safety climate in the operating room: translation, validation and application of the Safety Attitudes Questionnaire
title_fullStr Safety climate in the operating room: translation, validation and application of the Safety Attitudes Questionnaire
title_full_unstemmed Safety climate in the operating room: translation, validation and application of the Safety Attitudes Questionnaire
title_sort Safety climate in the operating room: translation, validation and application of the Safety Attitudes Questionnaire
author Pinheiro, João Pedro Alexandre
author_facet Pinheiro, João Pedro Alexandre
Uva, António de Sousa
author_role author
author2 Uva, António de Sousa
author2_role author
dc.contributor.none.fl_str_mv RUN
dc.contributor.author.fl_str_mv Pinheiro, João Pedro Alexandre
Uva, António de Sousa
dc.subject.por.fl_str_mv Safety climate
Operating room
Ergonomics
Patient safety
Healthcare quality
Clima de segurança
Bloco operatório
Ergonomia
Segurança do doente
Qualidade em saúde
topic Safety climate
Operating room
Ergonomics
Patient safety
Healthcare quality
Clima de segurança
Bloco operatório
Ergonomia
Segurança do doente
Qualidade em saúde
description A B S T R A C T - Background: Safety climate assessment is increasingly recognized as an important factor in healthcare quality improvement, especially in operating rooms (OR). One of the most commonly used and rigorously validated tools to measure safety culture is the Safety Attitudes Questionnaire (SAQ). This study presents the validation of the Operating Room Version of the SAQ (SAQ-OR) for use in Portuguese Hospitals. The psychometric properties of the translated questionnaire are also presented. Methods: The original English version of the SAQ-OR was translated and adapted to the Portuguese setting by forward–backward translation method and applied in a central public hospital. Scale psychometrics were analyzed using Cronbach’s alpha and inter-correlations among the scales. Results: The internal consistency test yielded values around 0.9 for all 73 items. The CFA and its goodness-of-fit indices (SRMR 0.05, RMSEA 0.002, CFI 0.90) showed an acceptable model fit. Inter-correlations between the factors safety climate, teamwork climate, job satisfaction, perceptions of management, and working conditions showed moderate correlation with each other. 82 valid questionnaires were analyzed revealing significant differences in communication ratings between different jobs, mainly between surgeons (4.2) and between nurses and surgeons (2.9). Working conditions and job satisfaction have the highest score with 3.8 and 3.5, respectively, and perceptions of management have the lowest score (2.8). Conclusion: The Portuguese translation of the SAQ-OR reveals good psychometric properties for studying the organizational safety climate, however larger and further studies are required to compensate the lack of subjects in some items. Like other studies, this scale seems to be an acceptable to adequate tool to evaluate the safety climate. Results allowed are satisfactory. However, there is latitude for improvement, especially in the involvement of the management bodies as this factor has the lowest score for the majority of healthcare professionals.
publishDate 2016
dc.date.none.fl_str_mv 2016-05
2016-05-01T00:00:00Z
2017-08-22T13:22:51Z
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dc.relation.none.fl_str_mv 0870-9025
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dc.publisher.none.fl_str_mv Universidade Nova de Lisboa, Escola Nacional de Saúde Pública
publisher.none.fl_str_mv Universidade Nova de Lisboa, Escola Nacional de Saúde Pública
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