An efficiency-oriented reform of safety attitudes questionnaire–Korean version (Development of SAQ-K2)

Abstract

The Safety Attitudes Questionnaire has long been used in the healthcare industry to measure healthcare workers' attitudes toward patient safety culture; as a result, it has been translated into a variety of languages, including Korean. Recently, with the help of item response theory, we realised we do not need the original 41 items of the questionnaire to guarantee accuracy, so we reduced the instrument to a 23-item survey. Except for the stress recognition domain, every domain functioned well. We suspect the stress recognition domain did not fare well due to cultural differences. Stress recognition refers to individuals understanding that significant stress can lead to a greater probability to make an error. However, healthcare workers, especially those in Asian countries such as Taiwan and Korea, do not accept such an idea. Rather, we found that such workers believe they should finish their work, regardless of how tired they are. They believe that admitting to stress makes them appear weak and can lead to them being fired. As the chasm between these two concepts cannot easily be crossed, we ultimately decided to remove the stress recognition domain from this second version of the survey. In sum, the new version of the Safety Attitudes Questionnaire contains 23 items across five domains. Their psychometric property was tested using confirmatory factor analysis, and information function curves helped us determine which items should be retained in the new instrument by visualising the behaviour of items and domains.

The relation of clinical governance climate on quality of care mediated by patient safety culture

“…A survey form with 42 questions was used to collect data; it was self-administered and included nine filtering questions and three standardized, valid, and reliable Likert-scale instruments for; i) CGC survey [7], ii) Safety attitudes questionnaire [33], iii) Perceived QOC survey [25], and iv) Adaptable Workload survey [34]. The survey used a questionnaire consisting of 3 sections, the first section consists of informed consent for the purpose of this study, voluntarily, and anonymously, and will be used only for academic (noncommercial) purposes.…”

Safety Climate and Organizational Communication Satisfaction Among Korean Perianesthesia Care Unit Nurses

“…Safety climate was assessed using the Safety Attitudes Questionnaire-Korean version 2 (SAQ-K2), originally developed by Sexton et al 18 and translated and validated into Korean by Jeong et al 19 The SAQ-K2 contains 23 items with five subdomains: teamwork climate (5 items), safety climate (5 items), job satisfaction (5 items), perception of management (4 items), and working conditions (4 items). Each item is rated on a 5-point Likert scale from 1 (strongly disagree) to 5 (strongly agree), and the subdomain score is the average of the scores of the subdomain items, with higher scores indicating a more positive safety climate.…”

Effects of Patient Safety Culture on Nurse Burnout in the Operating Room

“…Descriptive statistics of safety attitude questionnaire in nurses 재구성한 도구이다. SAQ-K2는 팀워크(5문항), 안전환경 (6문항), 직무만족도(5문항), 운영진의 안전의식(4문항), 근무환경(4문항)의 5개 하위 영역에 대해서 5점 Likert 척도(1점 '매우 그렇지 않다'-5점 '매우 그렇다')로 측정 한다(Jeong et al, 2019). 5가지 하위 영역별 점수가 높…”