The Safety Attitudes Questionnaire: psychometric properties, benchmarking data, and emerging research.

The Safety Attitudes Questionnaire: psychometric properties, benchmarking data, and emerging research.
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DOI:
10.1186/1472-6963-6-44
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发表时间:
2006-04-03
影响因子:
2.8
通讯作者:
Thomas, Eric J.
Thomas, Eric J.
中科院分区:
医学3区
文献类型:
--
作者:
Sexton, John B.;Helmreich, Robert L.;Neilands, Torsten B.;Rowan, Kathy;Vella, Keryn;Boyden, James;Roberts, Peter R.;Thomas, Eric J.

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人们广泛关注衡量医疗保健提供者对患者安全相关问题(通常称为安全氛围或安全文化)的态度。在这里,我们报告心理测量特性,建立基准数据,并通过德克萨斯大学安全态度调查问卷讨论新兴研究领域。对三个国家(美国、英国、新西兰)203 个临床领域(包括重症监护病房、手术室、住院环境和门诊诊所)的医疗保健提供者(n = 10,843)进行了六次横断面调查。多层次因素分析在临床领域层面和临床领域层面的受访者中产生了结果。我们报告量表可靠性、下限/上限效应、项目因子负载、因子间相关性以及同意每个项目和量表的受访者百分比。提供者态度的六因素模型适合临床领域和嵌套在临床领域级别的受访者的数据。这些因素是:团队合作氛围、安全氛围、管理层的看法、工作满意度、工作条件和压力认知。量表信度为 0.9。组织内部和组织之间提供者的态度差异很大。提出结果是为了在组织之间进行基准测试,并讨论新兴研究。安全态度问卷显示出良好的心理测量特性。医疗保健组织可以利用该调查来衡量护理人员对六个患者安全相关领域的态度,将其与其他组织进行比较,提示采取干预措施以改善安全态度,并衡量这些干预措施的有效性。
There is widespread interest in measuring healthcare provider attitudes about issues relevant to patient safety (often called safety climate or safety culture). Here we report the psychometric properties, establish benchmarking data, and discuss emerging areas of research with the University of Texas Safety Attitudes Questionnaire. Six cross-sectional surveys of health care providers (n = 10,843) in 203 clinical areas (including critical care units, operating rooms, inpatient settings, and ambulatory clinics) in three countries (USA, UK, New Zealand). Multilevel factor analyses yielded results at the clinical area level and the respondent nested within clinical area level. We report scale reliability, floor/ceiling effects, item factor loadings, inter-factor correlations, and percentage of respondents who agree with each item and scale. A six factor model of provider attitudes fit to the data at both the clinical area and respondent nested within clinical area levels. The factors were: Teamwork Climate, Safety Climate, Perceptions of Management, Job Satisfaction, Working Conditions, and Stress Recognition. Scale reliability was 0.9. Provider attitudes varied greatly both within and among organizations. Results are presented to allow benchmarking among organizations and emerging research is discussed. The Safety Attitudes Questionnaire demonstrated good psychometric properties. Healthcare organizations can use the survey to measure caregiver attitudes about six patient safety-related domains, to compare themselves with other organizations, to prompt interventions to improve safety attitudes and to measure the effectiveness of these interventions.
DOI: 10.1080/10705519909540118
发表时间: 1999-01-01
影响因子: 6
作者:
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通讯作者: Bentler, Peter M.
DOI: 10.1097/00005650-199108000-00004
发表时间: 1991-08-01
期刊: MEDICAL CARE
影响因子: 3
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发表时间: 2003-04-01
影响因子: --
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DOI: 10.1136/bmj.316.7138.1154
发表时间: 1998-04-11
影响因子: --
作者:
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通讯作者: Stanhope, N
DOI: 10.1001/jama.260.12.1743
发表时间: 1988-09-23
影响因子: 120.7
作者:
DONABEDIAN, A
通讯作者: DONABEDIAN, A