Assessing safety culture in <scp>NICU</scp>: psychometric properties of the <scp>I</scp>talian version of <scp>S</scp>afety <scp>A</scp>ttitude <scp>Q</scp>uestionnaire and result implications

Zenere, Alessandra; Zanolin, Maria Elisabetta; Negri, Roberta; Moretti, Francesca; Grassi, Mario; Tardivo, Stefano

doi:10.1111/jep.12472

Cited by 17 publications

(12 citation statements)

References 34 publications

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“…This was necessary because the domain Process presented five different evaluation characteristics, so a new organization of the items in this domain was required, and the category of topics was chosen. Studies have presented similar configurations, using domains and items in their structure (15,(25)(26) .…”

Section: Discussionmentioning

confidence: 99%

Validation of self-assessment instrument for the Patient Safety Center

Macedo

Bohomol

2019

Rev. Bras. Enferm.

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Objective: To develop and validate an instrument for the self-assessment of the Patient Safety Centers in health care institutions. Method: Non-experimental methodological study. Divided in the following stages: literature review and construction of the preliminary instrument; content validation by nine professionals with experience in Quality Management and patient safety, who contributed to the adequacy of the items in terms of clarity and relevance; finally, 12 PSC coordinators, which conducted the reliability validation of the final instrument, using Cronbach's Alpha. Results: The instrument presented content validity regarding clarity and relevance, evidenced by an agreement level greater than 70%. The internal consistency presented high reliability, with a Cronbach's alpha of 0.857 for the general instrument, 0.825 for the domain Structure, and 0.809 for the domain Process. Conclusion: The instrument presented evidence of content validity and reliability for self-assessment, implementation and evaluation of the PSC in health institutions.

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Section: Discussionmentioning

confidence: 99%

Validation of self-assessment instrument for the Patient Safety Center

Macedo

Bohomol

2019

Rev. Bras. Enferm.

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“…These study results revealed that the SAQ is robust enough that the measurement equivalence among varied characteristic groups of health care workers can be achieved, at least for Chinese and Korean versions. The original SAQ has been translated to Germany, Italian, Norwegian, Arabic, and Nigerian since its development. The survey respondent's interpretation of certain terminology or sentence might be significantly different given the varied demographic, cultural, and professional backgrounds.…”

Section: Discussionmentioning

confidence: 99%

“…The original SAQ has been translated to Germany, 24 Italian, 25 Norwegian, 26,27 Arabic, 28 and Nigerian 29 since its influenced by DIF, the measurement results would be questioned by different groups of health care workers. As a result, any safety initiatives would be hard to sustain.…”

Section: T a B L Ementioning

confidence: 99%

Ensuring Taiwan patient safety culture survey is free from differential item functioning

Lee

Han

Jeong³

2019

Health Planning & Management

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Summary Background Differential item functioning (DIF) means the interference of some demographic characteristic or grouping of the tight relationship between trait levels. DIF threatens precise interpretations of survey results and makes them unreliable. The aim of this study was to examine whether the succinct version of Taiwan Patient Safety Culture (TPSC‐S) survey is free from DIF and to mitigate its impact if needed. Methods The TPSC‐S survey results of 2964 respondents in a public hospital in Taiwan were analyzed. The existence, type, and effect size of DIF were examined for each TPSC‐S item using a proportional‐odds logistic regression method between characteristic groups, including gender, work experience, job types, management roles, employment status, and safety reporting experiences. Results The study results revealed that several items of TPSC‐S showed statistically significant DIF between characteristic groups. Nevertheless, the magnitude of these DIF was small, and their influence to TPSC‐S survey was not significant. The domain‐level DIF impact was completely insignificant for all characteristic groups. Conclusion This study revealed that the 24‐item TPSC‐S survey was free from DIF in six characteristic groups. The difference in survey scores between groups stems from the real difference that hospital safety managers want to measure.

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“…Its significance is evident and generally perceived in international writing, as it is demonstrated by the consideration of achieving safer care for patients in the main accreditation standards. [4,23,24] Moreover, the appraisal of safety climate from the perspective of nursing professionals can draw the attention of nursing directors and managers in recognizing the constraints and weaknesses that exist in the health organization, and in the implementation of strategies that energize the construction of a safety culture. [7,25]…”

Section: Significancementioning

confidence: 99%

Nurses’ perception about patient safety culture in neonatal intensive care units: A comparative study

El-Sayed

2018

JNEP

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Objectives: This study aimed to (1) verify whether the translated short form of the Safety Attitude Questionnaire gives consistent results when used to evaluate safety culture in the neonatal intensive care units; and (2) describe nurses’ perception about patient safety culture, comparing between both governmental and private neonatal intensive care units’ nurses.Methods: Research design: An exploratory, descriptive, comparative. Subjects: A purposive sample of 190 neonatal nurses. Setting: Six, level IV neonatal intensive care units (three private and three governmental) of hospitals affiliated to Mansoura City, and Mansoura University and Ministry of Health and Population, Egypt. Data collection tools were consisted of the demographic characteristics questionnaire sheet and the self-administered 4-type Likert scale Safety Attitude Questionnaire sheet with its six dimensions after it was translated into Arabic language.Results: The respondents' nurses differed in their rating on the Safety Attitude Questionnaire items; as well the percentages of positive and negative responses were showed significant differences among the Safety Attitude Questionnaire dimensions, within and between nurses of the governmental and private neonatal intensive care units. In addition, Cronbach’s total coefficient alpha of the six dimensions is considered strong, with Alpha coefficients were 0.86.Conclusions: The study findings affirmed the psychometric properties of the Arabic form of Safety Attitude Questionnaire and it turned out to be a successful tool to assess safety culture perceptions among neonatal intensive care units' nurses. Moreover, linked with their workplaces, significant variations in the neonatal nurses' responses toward safety culture related dimensions were detected.

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Assessing safety culture in NICU: psychometric properties of the Italian version of Safety Attitude Questionnaire and result implications

Cited by 17 publications

References 34 publications

Validation of self-assessment instrument for the Patient Safety Center

Validation of self-assessment instrument for the Patient Safety Center

Ensuring Taiwan patient safety culture survey is free from differential item functioning

Nurses’ perception about patient safety culture in neonatal intensive care units: A comparative study

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