Social Determinants of Health Research Center, Alborz University of Medical Sciences, Karaj, Iran.
School of Nursing, Alborz University of Medical Sciences, Karaj, Iran.
BMC Emerg Med. 2024 Feb 14;24(1):24. doi: 10.1186/s12873-024-00941-y.
This study aimed to conduct a psychometric evaluation of the Persian adaptation of the Emergency Medical Services Safety Attitudes Questionnaire (EMS-SAQ).
In this cross-sectional study, the validity and reliability of the EMS-SAQ were assessed among 484 Iranian pre-hospital emergency department employees between February and June 2023.
Five factors were extracted namely safety climate, teamwork, job satisfaction, stress management, and working conditions with explained 38.75% of the total variance. The goodness of fit indexes confirmed the model (χ2 = 409.031, DF = 196, χ2 /df = 2.087, CFI = 0.900, IFI = 0.901, PCFI = 0.763 and PNFI = 0.701, and RMSEA = 0.069 [CI90% 0.059-0.078]).
The Persian version of the SAQ-EMS, comprising 22 items across five factors, demonstrated good validity and reliability. It is recommended to undertake qualitative studies focusing on the concept of patient safety in pre-hospital settings, considering diverse contexts and cultural nuances to develop more robust assessment tools.
本研究旨在对波斯语版紧急医疗服务安全态度问卷（EMS-SAQ）进行心理计量学评估。
在这项横断面研究中，2023 年 2 月至 6 月，对 484 名伊朗院前急救部门员工进行了 EMS-SAQ 的有效性和可靠性评估。
提取了五个因素，分别为安全氛围、团队合作、工作满意度、压力管理和工作条件，解释了总方差的 38.75%。拟合优度指数证实了该模型（χ2=409.031，DF=196，χ2/df=2.087，CFI=0.900，IFI=0.901，PCFI=0.763 和 PNFI=0.701，RMSEA=0.069 [CI90% 0.059-0.078]）。
包含五个因素、22 个条目的波斯语版 SAQ-EMS 具有良好的有效性和可靠性。建议进行定性研究，重点关注院前环境中的患者安全概念，考虑不同的背景和文化细微差别，以开发更强大的评估工具。
