Bohmann Ferdinand O, Guenther Joachim, Gruber Katharina, Manser Tanja, Steinmetz Helmuth, Pfeilschifter Waltraud
Department of Neurology, University Hospital Frankfurt, Goethe University, Frankfurt am Main, Germany.
FHNW School of Applied Psychology, University of Applied Sciences and Arts Northwestern Switzerland (FHNW), Olten, Switzerland.
Front Neurol. 2021 Oct 1;12:686649. doi: 10.3389/fneur.2021.686649. eCollection 2021.
Treatment of acute stroke is highly time-dependent and performed by a multiprofessional, interdisciplinary team. Interface problems are expectable and issues relevant to patient safety are omnipresent. The Safety Attitudes Questionnaire (SAQ) is a validated and widely used instrument to measure patient safety climate. The objective of this study was to evaluate the SAQ for the first time in the context of acute stroke care. A survey was carried out during the STREAM trial (NCT00032282) at seven university hospitals in Germany from October 2017 to October 2018. The anonymous survey included 33 questions (5-point Likert scale, 1 = disagree to 5 = agree) and addressed the entire multiprofessional stroke team. Statistical analyses were used to examine psychometric properties as well as descriptive findings. 164 questionnaires were completed yielding a response rate of 66.4%. 67.7% of respondents were physicians and 25.0% were nurses. Confirmatory Factor Analysis revealed that the original 6-factor structure fits the data adequately. The SAQ for acute stroke care showed strong internal consistency (α = 0.88). Exploratory analysis revealed differences in scores on the SAQ dimensions when comparing physicians to nurses and when comparing physicians according to their duration of professional experience. The SAQ is a helpful and well-applicable tool to measure patient safety in acute stroke care. In comparison to other high-risk fields in medicine, patient safety climate in acute stroke care seems to be on a similar level with the potential for further improvements. www.ClinicalTrials.gov Identifier: NCT032282.
急性中风的治疗对时间要求极高，需由多专业、跨学科团队进行。接口问题在所难免，与患者安全相关的问题也普遍存在。安全态度问卷（SAQ）是一种经过验证且广泛使用的衡量患者安全氛围的工具。本研究的目的是首次在急性中风护理背景下评估SAQ。2017年10月至2018年10月期间，在德国七所大学医院的STREAM试验（NCT00032282）中开展了一项调查。这项匿名调查包含33个问题（采用5点李克特量表，1 = 不同意至5 = 同意），面向整个多专业中风团队。采用统计分析来检验心理测量特性以及描述性结果。共完成164份问卷，回复率为66.4%。67.7%的受访者为医生，25.0%为护士。验证性因素分析表明，最初的6因素结构与数据拟合良好。急性中风护理的SAQ显示出很强的内部一致性（α = 0.88）。探索性分析揭示，在比较医生与护士以及根据医生的专业经验时长比较医生时，SAQ各维度得分存在差异。SAQ是衡量急性中风护理中患者安全的一种有用且适用的工具。与医学中的其他高风险领域相比，急性中风护理中的患者安全氛围似乎处于类似水平，仍有进一步改善的潜力。ClinicalTrials.gov标识符：NCT032282。
