衡量医疗保健中的安全氛围。
Measuring safety climate in health care.
作者信息
Flin R, Burns C, Mearns K, Yule S, Robertson E M
机构信息
Industrial Psychology Research Centre, University of Aberdeen, Aberdeen, UK.
出版信息
Qual Saf Health Care. 2006 Apr;15(2):109-15. doi: 10.1136/qshc.2005.014761.
Abstract
AIM
To review quantitative studies of safety climate in health care to examine the psychometric properties of the questionnaires designed to measure this construct.
METHOD
A systematic literature review was undertaken to study sample and questionnaire design characteristics (source, no of items, scale type), construct validity (content validity, factor structure and internal reliability, concurrent validity), within group agreement, and level of analysis.
RESULTS
Twelve studies were examined. There was a lack of explicit theoretical underpinning for most questionnaires and some instruments did not report standard psychometric criteria. Where this information was available, several questionnaires appeared to have limitations.
CONCLUSIONS
More consideration should be given to psychometric factors in the design of healthcare safety climate instruments, especially as these are beginning to be used in large scale surveys across healthcare organisations.
摘要
目的
回顾医疗保健领域安全氛围的定量研究，以检验用于测量该结构的问卷的心理测量特性。
方法
进行了一项系统的文献综述，以研究样本和问卷设计特征（来源、项目数量、量表类型）、结构效度（内容效度、因子结构和内部信度、同时效度）、组内一致性和分析水平。
结果
审查了12项研究。大多数问卷缺乏明确的理论基础，一些工具未报告标准的心理测量标准。在可获得此信息的情况下，几份问卷似乎存在局限性。
结论
在医疗保健安全氛围工具的设计中，应更多地考虑心理测量因素，尤其是在这些工具开始用于跨医疗保健组织的大规模调查时。
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