Turnberg Wayne, Daniell William
University of Washington, USA.
J Safety Res. 2008;39(6):563-8. doi: 10.1016/j.jsr.2008.09.004. Epub 2008 Nov 6.
Psychometrically validated measurement tools are needed to evaluate an organization's safety climate. In 2000, Gershon and colleagues published a new healthcare safety climate measurement tool to determine its relationship to safe work behavior (Gershon, R., Karkashian, C., Grosch, J., Murphy, L., Escamilla-Cejudo, A., Flanagan, P., et al. (2000). Hospital safety climate and its relationship with safe work practices and workplace exposure incidents. American Journal of Infection Control, 28, 211-21). The present study evaluated the psychometric properties of the Gershon tool when modified to address respiratory rather than bloodborne pathogen exposures.
Medical practitioners, nurses, and nurse aides (n=460) were surveyed using the modified Gershon tool. Data were analyzed by factor analysis and psychometric properties of the tool evaluated.
Eight safety climate dimensions were extracted from 25 items (Cronbach's alpha range: 0.62 - 0.88). Factor extractions and psychometric properties were reasonably consistent with those of the Gershon tool.
The Gershon safety climate tool appears to have sufficient reliability and validity for use by healthcare decision makers as an indicator of employee perceptions of safety in their institution.
需要经过心理测量学验证的测量工具来评估组织的安全氛围。2000年，格申及其同事发表了一种新的医疗安全氛围测量工具，以确定其与安全工作行为的关系（格申，R.，卡尔卡申，C.，格罗施，J.，墨菲，L.，埃斯卡米拉 - 塞胡多，A.，弗拉纳根，P.等（2000年）。医院安全氛围及其与安全工作实践和工作场所暴露事件的关系。《美国感染控制杂志》，28，211 - 21）。本研究评估了经修改以针对呼吸道暴露而非血源性病原体暴露的格申工具的心理测量特性。
使用经修改的格申工具对医生、护士和护士助理（n = 460）进行调查。通过因子分析对数据进行分析，并评估该工具的心理测量特性。
从25个项目中提取了8个安全氛围维度（克朗巴哈系数范围：0.62 - 0.88）。因子提取和心理测量特性与格申工具的相当一致。
格申安全氛围工具似乎具有足够的可靠性和有效性，可供医疗保健决策者用作员工对其机构安全认知的指标。
