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Swedish translation and psychometric testing of the safety attitudes questionnaire (operating room version)
Anesthesia and Intensive Care Unit, Falu Lasarett, Falun, Sweden; School of Health and Social Studies, Dalarna University, Falun, Sweden; School of Health and Social Studies, Dalarna University, Falun, Sweden.
(Department of Statistics, Uppsala University, Uppsala, Sweden)
Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.ORCID iD: 0000-0001-5403-4183
School of Health and Social Studies, Dalarna University, Falun, Sweden.ORCID iD: 0000-0002-3964-196X
2013 (English)In: BMC Health Services Research, ISSN 1472-6963, E-ISSN 1472-6963, Vol. 13, no 104, p. 1-7Article in journal (Refereed) Published
Abstract [en]

Background: Tens of millions of patients worldwide suffer from avoidable disabling injuries and death every year. Measuring the safety climate in health care is an important step in improving patient safety. The most commonly used instrument to measure safety climate is the Safety Attitudes Questionnaire (SAQ). The aim of the present study was to establish the validity and reliability of the translated version of the SAQ.

Methods: The SAQ was translated and adapted to the Swedish context. The survey was then carried out with 374 respondents in the operating room (OR) setting. Data was received from three hospitals, a total of 237 responses. Cronbach's alpha and confirmatory factor analysis (CFA) was used to evaluate the reliability and validity of the instrument.

Results: The Cronbach's alpha values for each of the factors of the SAQ ranged between 0.59 and 0.83. The CFA and its goodness-of-fit indices (SRMR 0.055, RMSEA 0.043, CFI 0.98) showed good model fit. Intercorrelations between the factors safety climate, teamwork climate, job satisfaction, perceptions of management, and working conditions showed moderate to high correlation with each other. The factor stress recognition had no significant correlation with teamwork climate, perception of management, or job satisfaction.

Conclusions: Therefore, the Swedish translation and psychometric testing of the SAQ (OR version) has good construct validity. However, the reliability analysis suggested that some of the items need further refinement to establish sound internal consistency. As suggested by previous research, the SAQ is potentially a useful tool for evaluating safety climate. However, further psychometric testing is required with larger samples to establish the psychometric properties of the instrument for use in Sweden.

Place, publisher, year, edition, pages
2013. Vol. 13, no 104, p. 1-7
Keywords [en]
Patient safety, Operating room, Safety climate, Psychometrics, Translation, Safety attitudes questionnaire
National Category
Nursing
Research subject
Caring sciences
Identifiers
URN: urn:nbn:se:oru:diva-28904DOI: 10.1186/1472-6963-13-104ISI: 000317113300001PubMedID: 23506044Scopus ID: 2-s2.0-84875072612OAI: oai:DiVA.org:oru-28904DiVA, id: diva2:619683
Available from: 2013-05-06 Created: 2013-05-03 Last updated: 2018-05-17Bibliographically approved

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