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Validation of the Dutch language version of the Safety Attitudes Questionnaire (SAQ-NL)

BACKGROUND: As the first objective of caring for patients is to do no harm, patient safety is a priority in delivering clinical care. An essential component of safe care in a clinical department is its safety climate. Safety climate correlates with safety-specific behaviour, injury rates, and accide...

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Autores principales: Haerkens, Marck HTM, van Leeuwen, Wouter, Sexton, J. Bryan, Pickkers, Peter, van der Hoeven, Johannes G.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4986249/
https://www.ncbi.nlm.nih.gov/pubmed/27528393
http://dx.doi.org/10.1186/s12913-016-1648-3
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author Haerkens, Marck HTM
van Leeuwen, Wouter
Sexton, J. Bryan
Pickkers, Peter
van der Hoeven, Johannes G.
author_facet Haerkens, Marck HTM
van Leeuwen, Wouter
Sexton, J. Bryan
Pickkers, Peter
van der Hoeven, Johannes G.
author_sort Haerkens, Marck HTM
collection PubMed
description BACKGROUND: As the first objective of caring for patients is to do no harm, patient safety is a priority in delivering clinical care. An essential component of safe care in a clinical department is its safety climate. Safety climate correlates with safety-specific behaviour, injury rates, and accidents. Safety climate in healthcare can be assessed by the Safety Attitudes Questionnaire (SAQ), which provides insight by scoring six dimensions: Teamwork Climate, Job Satisfaction, Safety Climate, Stress Recognition, Working Conditions and Perceptions of Management. The objective of this study was to assess the psychometric properties of the Dutch language version of the SAQ in a variety of clinical departments in Dutch hospitals. METHODS: The Dutch version (SAQ-NL) of the SAQ was back translated, and analyzed for semantic characteristics and content. From October 2010 to November 2015 SAQ-NL surveys were carried out in 17 departments in two university and seven large non-university teaching hospitals in the Netherlands, prior to a Crew Resource Management human factors intervention. Statistical analyses were used to examine response patterns, mean scores, correlations, internal consistency reliability and model fit. Cronbach’s α’s and inter-item correlations were calculated to examine internal consistency reliability. RESULTS: One thousand three hundred fourteen completed questionnaires were returned from 2113 administered to health care workers, resulting in a response rate of 62 %. Confirmatory Factor Analysis revealed the 6-factor structure fit the data adequately. Response patterns were similar for professional positions, departments, physicians and nurses, and university and non-university teaching hospitals. The SAQ-NL showed strong internal consistency (α = .87). Exploratory analysis revealed differences in scores on the SAQ dimensions when comparing different professional positions, when comparing physicians to nurses and when comparing university to non-university hospitals. CONCLUSIONS: The SAQ-NL demonstrated good psychometric properties and is therefore a useful instrument to measure patient safety climate in Dutch clinical work settings. As removal of one item resulted in an increased reliability of the Working Conditions dimension, revision or deletion of this item should be considered. The results from this study provide researchers and practitioners with insight into safety climate in a variety of departments and functional positions in Dutch hospitals. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s12913-016-1648-3) contains supplementary material, which is available to authorized users.
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spelling pubmed-49862492016-08-17 Validation of the Dutch language version of the Safety Attitudes Questionnaire (SAQ-NL) Haerkens, Marck HTM van Leeuwen, Wouter Sexton, J. Bryan Pickkers, Peter van der Hoeven, Johannes G. BMC Health Serv Res Research Article BACKGROUND: As the first objective of caring for patients is to do no harm, patient safety is a priority in delivering clinical care. An essential component of safe care in a clinical department is its safety climate. Safety climate correlates with safety-specific behaviour, injury rates, and accidents. Safety climate in healthcare can be assessed by the Safety Attitudes Questionnaire (SAQ), which provides insight by scoring six dimensions: Teamwork Climate, Job Satisfaction, Safety Climate, Stress Recognition, Working Conditions and Perceptions of Management. The objective of this study was to assess the psychometric properties of the Dutch language version of the SAQ in a variety of clinical departments in Dutch hospitals. METHODS: The Dutch version (SAQ-NL) of the SAQ was back translated, and analyzed for semantic characteristics and content. From October 2010 to November 2015 SAQ-NL surveys were carried out in 17 departments in two university and seven large non-university teaching hospitals in the Netherlands, prior to a Crew Resource Management human factors intervention. Statistical analyses were used to examine response patterns, mean scores, correlations, internal consistency reliability and model fit. Cronbach’s α’s and inter-item correlations were calculated to examine internal consistency reliability. RESULTS: One thousand three hundred fourteen completed questionnaires were returned from 2113 administered to health care workers, resulting in a response rate of 62 %. Confirmatory Factor Analysis revealed the 6-factor structure fit the data adequately. Response patterns were similar for professional positions, departments, physicians and nurses, and university and non-university teaching hospitals. The SAQ-NL showed strong internal consistency (α = .87). Exploratory analysis revealed differences in scores on the SAQ dimensions when comparing different professional positions, when comparing physicians to nurses and when comparing university to non-university hospitals. CONCLUSIONS: The SAQ-NL demonstrated good psychometric properties and is therefore a useful instrument to measure patient safety climate in Dutch clinical work settings. As removal of one item resulted in an increased reliability of the Working Conditions dimension, revision or deletion of this item should be considered. The results from this study provide researchers and practitioners with insight into safety climate in a variety of departments and functional positions in Dutch hospitals. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s12913-016-1648-3) contains supplementary material, which is available to authorized users. BioMed Central 2016-08-15 /pmc/articles/PMC4986249/ /pubmed/27528393 http://dx.doi.org/10.1186/s12913-016-1648-3 Text en © The Author(s). 2016 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Haerkens, Marck HTM
van Leeuwen, Wouter
Sexton, J. Bryan
Pickkers, Peter
van der Hoeven, Johannes G.
Validation of the Dutch language version of the Safety Attitudes Questionnaire (SAQ-NL)
title Validation of the Dutch language version of the Safety Attitudes Questionnaire (SAQ-NL)
title_full Validation of the Dutch language version of the Safety Attitudes Questionnaire (SAQ-NL)
title_fullStr Validation of the Dutch language version of the Safety Attitudes Questionnaire (SAQ-NL)
title_full_unstemmed Validation of the Dutch language version of the Safety Attitudes Questionnaire (SAQ-NL)
title_short Validation of the Dutch language version of the Safety Attitudes Questionnaire (SAQ-NL)
title_sort validation of the dutch language version of the safety attitudes questionnaire (saq-nl)
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4986249/
https://www.ncbi.nlm.nih.gov/pubmed/27528393
http://dx.doi.org/10.1186/s12913-016-1648-3
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