《安全气候调查的改编：对改善患者安全的贡献》
Adaptation of the Safety Climate Survey: A Contribution to Improving Patient Safety.
作者信息
Dirik Hasan Fehmi, Seren Intepeler Seyda, Hewison Alistair
机构信息
Faculty of Nursing, Dokuz Eylul University, Izmir, Turkey.
Institute of Clinical Sciences, University of Birmingham, B15 2TT, Birmingham, UK.
出版信息
J Nurs Manag. 2023 Apr 11;2023:3715960. doi: 10.1155/2023/3715960. eCollection 2023.
AIMS
The aim of this study was to adapt the Safety Climate Survey and examine its validity and reliability for use in the Turkish healthcare context.
BACKGROUND
Maintaining patient safety is a challenge for healthcare systems world-wide, and healthcare professionals need valid and reliable tools to measure improvements in safety.
METHODS
The Safety Climate Survey is unidimensional and contains 19 items, which are all five-point Likert-type scales as follows: 1 (totally disagree), 2 (disagree), 3 (neither agree nor disagree), 4 (agree), and 5 (totally agree). Language adaptation of the Safety Climate Survey conducted in accordance with the International Society for Pharma economics and Outcome Research (ISPOR) and expert assessments to calculate the content validity indices was undertaken in the first phase of the study. In phase two, a survey of 434 nurses employed in three hospitals in İzmir (Turkey) was conducted to test the construct validity with confirmatory factor analysis and internal consistency with Cronbach's alpha, split-half reliability, and item-total correlation. The intraclass correlation coefficient was also checked via test-retest reliability for stability.
RESULTS
The content validity index score was 0.97 for the scale and above 0.90 for the items, confirming excellent validity. The confirmatory factor analysis showed an adequate fit, and all the factor loadings were positive and greater than 0.30. Cronbach's alpha was 0.90, and Spearman̶-Brown coefficient 0.83, indicating good internal consistency. The item-total correlation coefficients were between 0.33 and 0.70, exceeding the acceptable level. The intraclass correlation coefficient value obtained was 0.84, reflecting a good level for time stability.
CONCLUSION
The Turkish version of the Safety Climate Survey is a valid, reliable, and practical tool which can provide essential data on safety issues for healthcare professionals and administrators. . The instrument can be used in hospital settings to measure the safety climate among nurses, and the results obtained can be used to inform the development of safety improvement strategies.
目的
本研究旨在改编安全氛围调查问卷，并检验其在土耳其医疗环境中使用的有效性和可靠性。
背景
维护患者安全是全球医疗系统面临的一项挑战，医疗专业人员需要有效且可靠的工具来衡量安全方面的改进。
方法
安全氛围调查问卷是单维度的，包含19个项目，均为五点李克特量表，如下：1（完全不同意）、2（不同意）、3（既不同意也不反对）、4（同意）和5（完全同意）。在研究的第一阶段，根据国际药物经济学和成果研究协会（ISPOR）的要求对安全氛围调查问卷进行了语言改编，并通过专家评估来计算内容效度指数。在第二阶段，对土耳其伊兹密尔三家医院的434名护士进行了调查，以通过验证性因素分析检验结构效度，并通过克朗巴哈系数、分半信度和项目与总分相关性检验内部一致性。还通过重测信度检查组内相关系数以检验稳定性。
结果
该量表的内容效度指数得分为0.97，各项目得分均高于0.90，证实效度极佳。验证性因素分析显示拟合良好，所有因素载荷均为正且大于0.30。克朗巴哈系数为0.90，斯皮尔曼-布朗系数为0.83，表明内部一致性良好。项目与总分相关系数在0.33至0.70之间，超过了可接受水平。获得的组内相关系数值为0.84，反映出时间稳定性良好。
结论
土耳其版安全氛围调查问卷是一个有效、可靠且实用的工具，可为医疗专业人员和管理人员提供有关安全问题的重要数据。该工具可用于医院环境中测量护士群体的安全氛围，所得结果可用于为安全改进策略的制定提供参考。
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