1Center for Health Quality, Outcomes and Economic Research, A VA Center of Excellence, Bedford, MA 01730, USA.
Med Care Res Rev. 2013 Aug;70(4):400-17. doi: 10.1177/1077558712474349. Epub 2013 Feb 11.
Improvements in nursing home safety climate could lead to enhanced resident safety. Yet safety climate has been little studied in the nursing home setting, and existing safety climate instruments have significant limitations. To investigate safety climate in Veterans Health Affairs nursing homes (Community Living Centers [CLCs]), this study had two objectives: (a) to develop a resident safety climate instrument for use in CLCs and (b) to assess this instrument's psychometric properties by administering it in a sample of CLCs. Using a standard conceptual framework, the CLC Employee Survey of Attitudes about Resident Safety was developed with the aid of an expert panel and multiple rounds of cognitive interviews. It was subsequently pilot tested in a sample of CLC employees. After refinement based on the pilot results, it was administered in a sample of five CLCs, where it was found to have adequate reliability and validity.
养老院安全氛围的改善可以提高居民的安全性。然而，安全氛围在养老院环境中研究甚少，现有的安全氛围工具存在重大局限性。为了调查退伍军人事务部养老院（社区生活中心 [CLC]）的安全氛围，本研究有两个目标：（a）为 CLC 开发居民安全氛围工具，（b）通过在 CLC 样本中使用该工具评估其心理测量特性。使用标准概念框架，在专家小组的协助下并通过多轮认知访谈，制定了《CLC 员工关于居民安全态度调查》，随后在 CLC 员工样本中进行了试点测试。根据试点结果进行改进后，在五个 CLC 样本中进行了测试，结果发现该工具具有足够的信度和效度。
