Institute of Nursing and Midwifery, Faculty of Health Sciences, Jagiellonian University-Medical College, Krakow, Poland.
Dziupla Statistical Analysis, Warsaw, Poland.
PLoS One. 2021 Feb 5;16(2):e0246340. doi: 10.1371/journal.pone.0246340. eCollection 2021.
It is essential to provide safe healthcare in complex, difficult, and quickly changing conditions. The quality of healthcare services directly influences the safety of both the patients and staff. Understanding healthcare staff attitudes toward safety in the healthcare delivery context is foundational for building a culture of safety.
To adapt, via a structured translation methodology, the Safety Attitudes Questionnaire-Short Form (SAQ-SF), which assesses how employees of the health care sector perceive the safety climate in their workplace, to the Polish context.
Using a content validation approach to structure the translation process, we tested and psychometrically analysed the translated SAQ-SF. The sample comprised 322 employees of a district hospital (second referral level, which ensures 24/7 emergency care services) in Poland.
The reliability of the sub-scales of the Polish version of the SAQ-SF ranged from 0.66 to 0.95. The discriminatory power of particular SAQ items ranged between 0.02 and 0.90. For 6 out of the 8 scale dimensions, the questions with the highest factor loadings were those measuring the same dimensions of the safety climate, according to the original scale.
The Polish version of the SAQ-SF (SAQ-SF-PL) meets the criteria of psychometric and functional validation as well as demonstrates good reliability as a measure of patient safety culture in the Polish context. The SAQ-SF-PL is an instrument that enable a valid and reliable assessment of patient safety climate in the Polish healthcare facilities and identify opportunities for improvement. International comparisons will also become easier.
在复杂、困难和快速变化的情况下，提供安全的医疗保健至关重要。医疗服务的质量直接影响患者和员工的安全。了解医疗保健人员在医疗服务提供背景下对安全的态度，是建立安全文化的基础。
通过结构化的翻译方法，对评估医疗保健部门员工如何感知其工作场所安全氛围的短式安全态度问卷（SAQ-SF）进行改编，使其适用于波兰环境。
我们采用内容验证方法来构建翻译过程，对翻译后的 SAQ-SF 进行了测试和心理测量分析。样本包括波兰一家地区医院（二级转诊医院，提供 24/7 紧急护理服务）的 322 名员工。
波兰版 SAQ-SF 的子量表的可靠性在 0.66 到 0.95 之间。特定 SAQ 项目的区分能力在 0.02 到 0.90 之间。对于 8 个量表维度中的 6 个维度，根据原始量表，具有最高因子负荷的问题是那些测量相同安全氛围维度的问题。
波兰版的 SAQ-SF（SAQ-SF-PL）符合心理测量和功能验证的标准，并且在波兰背景下作为患者安全文化的测量工具具有良好的可靠性。SAQ-SF-PL 是一种能够在波兰医疗机构中对患者安全氛围进行有效和可靠评估的工具，并确定了改进的机会。国际比较也将变得更加容易。
