Sexton John B, Helmreich Robert L, Neilands Torsten B, Rowan Kathy, Vella Keryn, Boyden James, Roberts Peter R, Thomas Eric J
The University of Texas Center of Excellence for Patient Safety Research and Practice, The University of Texas--Houston Medical School, Houston, USA.
BMC Health Serv Res. 2006 Apr 3;6:44. doi: 10.1186/1472-6963-6-44.
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.
人们广泛关注衡量医疗服务提供者对与患者安全相关问题的态度（通常称为安全氛围或安全文化）。在此，我们报告德克萨斯大学安全态度问卷的心理测量特性，建立基准数据，并讨论新兴的研究领域。
对三个国家（美国、英国、新西兰）203个临床区域（包括重症监护病房、手术室、住院部和门诊诊所）的医疗服务提供者（n = 10843）进行了六项横断面调查。多级因素分析得出了临床区域层面以及嵌套在临床区域层面内的受访者层面的结果。我们报告了量表信度、地板效应/天花板效应、项目因素负荷、因素间相关性以及同意每个项目和量表的受访者百分比。
一个六因素的提供者态度模型适用于临床区域层面和嵌套在临床区域层面内的受访者层面的数据。这些因素包括：团队合作氛围、安全氛围、对管理的认知、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。呈现结果以便进行组织间的基准比较，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。医疗保健组织可以使用该调查来衡量护理人员对六个与患者安全相关领域的态度，将自己与其他组织进行比较，促使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。
