Application of the Safety Attitudes Questionnaire (SAQ) in Albanian hospitals: a cross-sectional study

Abstract

ObjectiveTo establish the reliability and validity of the translated version of the Safety Attitudes Questionnaire (SAQ) by evaluating its psychometric properties and to determine possible differences among nurses and physicians regarding safety attitudes.DesignA cross-sectional study utilising the Albanian version of the SAQ and a demographic questionnaire.SettingFour regional hospitals in Albania.Participants341 healthcare providers, including 132 nurses and 209 doctors.Main outcome measure(s)The translation, construct validity and internal validity of the SAQ. The SAQ includes six scales and 30 items.ResultsA total of 341 valid questionnaires were returned, for a response rate of 70%. The confirmatory factor analysis and its goodness-of-fit indices (standardised root mean square residual 0.075, root mean square error of approximation 0.044 and comparative fit index 0.97) showed good model fit. The Cronbach's α values for each of the scales of the SAQ ranged from 0.64 to 0.82. The percentage of hospital healthcare workers who had a positive attitude was 60.3% for the teamwork climate, 57.2% for the safety climate, 58.4% for job satisfaction, 37.4% for stress recognition, 59.3% for the perception of management and 49.5% for working conditions. Intercorrelations showed that the subscales had moderate-to-high correlations with one another. Nurses were more hesitant to admit and report errors; only 55% of physicians and 44% of nurses endorsed this statement (χ2=4.9, p=0.02). Moreover, nurses received lower scores on team work compared with doctors (N 45.7 vs D 52.3, p=0.01). Doctors denied the effects of stress and fatigue on their performance (N 46.7 vs D 39.5, p<0.01), neglecting the workload.ConclusionsThe SAQ is a useful tool for evaluating safety attitudes in Albanian hospitals. In light of the health workforce's poor recognition of stress, establishing patient safety programmes should be a priority among policymakers in Albania.

Promoting Patient-oriented Medical Services: The Perceptions of Nurses toward Patient Safety Culture

“…Safety attitudes questionnaire (SAQ) developed by Sexton et al [7] has been widely used to identify the attitudes of patient safety culture in hospitals [8,9]. As shown in Table 1, the SAQ has six dimension and thirty questions, including teamwork climate, safety climate, perceptions of management, job satisfaction, stress recognition, and working conditions.…”

Clima de segurança dos profissionais da saúde em um hospital universitário

“…Para tanto, se as organizações de saúde desejam melhorar a segurança do paciente, é importante conhecer a cultura de segurança do paciente, pois trata-se de um instrumento amplamente utilizado para medir a cultura de segurança do paciente é o Questionário de Atitudes de Segurança (SAQ) (Sexton et al, 2006;Parker et al, 2015;Gabrani et al, 2015;Research, Society and Development, v. 9, n. 3, e93932523, 2020(CC BY 4.0) | ISSN 2525-3409 | DOI: http://dx.doi.org/10.33448/rsd-v9i3.2523Nguyen et al, 2015, sendo escolhido devido a sua praticidade e possibilidade de rápido preenchimento, demandando aproximadamente 10 minutos. Ainda, seus resultados podem ser associados aos indicadores de segurança do paciente.…”

Assessing the Trends of Patient Safety Culture from Viewpoints of Physicians and Nurses Based on Safety Attitudes Questionnaire of a State-Owned Regional Hospital in Taiwan

“…A healthcare organization should develop a patient safety culture among its medical staffs and establish its structural interventions to enhance quality and safety for its patients [2]. Safety attitudes questionnaire (SAQ) developed by Sexton et al [3] is one of the most frequent instruments to measure patient safety culture because SAQ has been linked to patient outcomes with good psychometric properties worldwide from medical staffs' viewpoints [4]- [7]. Through assessing the patient safety culture by SAQ, the drawbacks of the provision of patient safety can be identified and healthcare organizations can learn from errors to provide better healthcare and improve patient safety relentlessly [4], [8].…”