Safety climate in the operating room: Translation, validation and application of the Safety Attitudes Questionnaire
Autor(a) principal: | |
---|---|
Data de Publicação: | 2016 |
Outros Autores: | |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://scielo.pt/scielo.php?script=sci_arttext&pid=S0870-90252016000200002 |
Resumo: | 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 to conclude that working conditions and job satisfaction 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. |
id |
RCAP_6c17f77a9a6a9a7db5c5a36b106d07e9 |
---|---|
oai_identifier_str |
oai:scielo:S0870-90252016000200002 |
network_acronym_str |
RCAP |
network_name_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository_id_str |
7160 |
spelling |
Safety climate in the operating room: Translation, validation and application of the Safety Attitudes QuestionnaireSafety climateOperating roomErgonomicsPatient safetyHealthcare qualityBackground 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 to conclude that working conditions and job satisfaction 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.Escola Nacional de Saúde Pública2016-06-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articletext/htmlhttp://scielo.pt/scielo.php?script=sci_arttext&pid=S0870-90252016000200002Revista Portuguesa de Saúde Pública v.34 n.2 2016reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPenghttp://scielo.pt/scielo.php?script=sci_arttext&pid=S0870-90252016000200002Pinheiro,João Pedro AlexandreUva,António de Sousainfo:eu-repo/semantics/openAccess2024-02-06T17:01:23Zoai:scielo:S0870-90252016000200002Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T02:16:52.237210Repositório 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 |
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 |
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.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 |
topic |
Safety climate Operating room Ergonomics Patient safety Healthcare quality |
description |
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 to conclude that working conditions and job satisfaction 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 |
2016-06-01 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://scielo.pt/scielo.php?script=sci_arttext&pid=S0870-90252016000200002 |
url |
http://scielo.pt/scielo.php?script=sci_arttext&pid=S0870-90252016000200002 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
http://scielo.pt/scielo.php?script=sci_arttext&pid=S0870-90252016000200002 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Escola Nacional de Saúde Pública |
publisher.none.fl_str_mv |
Escola Nacional de Saúde Pública |
dc.source.none.fl_str_mv |
Revista Portuguesa de Saúde Pública v.34 n.2 2016 reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
repository.mail.fl_str_mv |
|
_version_ |
1799137264515678208 |