China Medical University, Shenyang, China.
Shengjing Hospital of China Medical University, Shenyang, China.
BMC Health Serv Res. 2019 Nov 14;19(1):836. doi: 10.1186/s12913-019-4682-0.
The objectives of this study are to test the psychometric properties of the safety attitudes and safety climate questionnaire Chinese simplified version (SAQ-CS), to test the safety attitudes of health professionals in tertiary hospitals in the Liaoning province and to explore the effects of demographic factors on safety attitudes.
The SAQ-CS was used to conduct a cross-sectional survey in nine tertiary hospitals in Liaoning province.
Cronbach's alpha of each subscale of SAQ-CS were > 0.7, the values of GFI, TLI, and CFI were > 0.8, and RMSEA values ranged from 0.048-0.199. The mean of the safety attitudes of 2157 health professionals was 4.00, indicating a good safety attitude, with a positive response rate (% of items that scored ≥4) of 51.1%. The stress recognition subscale had the lowest score, with a mean of 2.73 and a positive response rate of 17.8%. A multiple linear regression equation revealed that demographic factors like gender, age, and training participation significantly affected the scores (β > 0.06, β < - 0.08, β < - 0.07, p < 0.05).
The psychometric properties of SAQ-CS are good and stable. Health professionals rate teamwork climate, safety climate, perception of management, and work conditions in Liaoning province are perceived as good; however, the stress of the health professionals is poor. To improve safety attitudes, it is necessary to not only reduce the stress of health professionals, but also to pay more attention to men, older health professionals, and health professionals who have not participated in safety training.
本研究旨在检验安全态度与安全氛围问卷简体中文版（SAQ-CS）的心理测量学特性，测试辽宁省三级医院卫生专业人员的安全态度，并探讨人口统计学因素对安全态度的影响。
采用 SAQ-CS 对辽宁省 9 家三级医院进行横断面调查。
SAQ-CS 各分量表的克朗巴赫α系数均>0.7，GFI、TLI 和 CFI 值均>0.8，RMSEA 值范围为 0.048-0.199。2157 名卫生专业人员安全态度的平均得分为 4.00，表明安全态度良好，≥4 分的项目阳性反应率（%）为 51.1%。应激识别分量表得分最低，平均得分为 2.73，阳性反应率为 17.8%。多元线性回归方程显示，性别、年龄和培训参与等人口统计学因素显著影响得分（β>0.06，β<-0.08，β<-0.07，p<0.05）。
SAQ-CS 的心理测量学特性良好且稳定。辽宁省卫生专业人员对团队合作氛围、安全氛围、管理层感知和工作条件的评价较好，但压力较差。要改善安全态度，不仅要降低卫生专业人员的压力，还要更加关注男性、年龄较大的卫生专业人员和未参加安全培训的卫生专业人员。
