scholarly journals Safety climate in the operating room: Translation, validation and application of the Safety Attitudes Questionnaire

2016 ◽  
Vol 34 (2) ◽  
pp. 107-116 ◽  
Author(s):  
João Pedro Alexandre Pinheiro ◽  
António de Sousa Uva
Keyword(s):  
Operating Room ◽  
Safety Climate ◽  
Safety Attitudes ◽  
Safety Attitudes Questionnaire ◽  
Translation Validation

scholarly journals Safety Climate Assessment in Operating Room Nurses Through Safety Attitudes Questionnaire (SAQ)

2018 ◽  
Vol 2 (1) ◽  
pp. 1
Author(s):  
Rubén Jesús Tejera Quintana ◽  
Pilar Marqués-Sánchez ◽  
C. Patricia Arencibia-Sánchez ◽  
Elba Mauriz
Keyword(s):  
Operating Room ◽  
Safety Climate ◽  
Study Data ◽  
Health Concern ◽  
Cross Sectional ◽  
Convenience Sample ◽  
Safety Attitudes ◽  
Surgical Safety ◽  
Safety Attitudes Questionnaire ◽  
Operating Room Nurses

Introduction: Surgical safety is a public health concern worldwide. The attitudes and perceptions of the surgical team regarding to the safety of the patient are associated to the safety climate and the prevalence of adverse events. Objective: To evaluate the safety climate perceived by operating room nurses from several Hospitals. Method: This works presents a multicentre cross-sectional study. Data collection was obtained by means of The Safety Attitudes Questionnaire (SAQ), a self-completed questionnaire translated to the Spanish. A convenience sample with voluntary participation was selected. The safety climate was determined through six factors: Teamwork climate, Safety climate, Job satisfaction, Perception of the Unit and Hospital Management, Working conditions and Stress recognition. Results: safety climate perceived by surgical nurses shows mixed values in relation to patient safety. Perception of the management (p = 0.001)and Working condition domain (p = 0.003) are the domains worst valued. The size of the hospitals and Years of professional experience showed statistical differences in several domains. Conclusions: The variation of the safety climate perceived by nurses suggests that there are needs and opportunities for improvement in all its dimensions.

scholarly journals Segurança do paciente no ambiente cirúrgico: tradução e adaptação cultural de instrumento validado

2016 ◽  
Vol 29 (1) ◽  
pp. 1-8 ◽  
Author(s):  
Daniela Campos de Andrade Lourenção ◽  
Daisy Maria Rizatto Tronchin
Keyword(s):  
Operating Room ◽  
Safety Attitudes ◽  
Safety Attitudes Questionnaire

Resumo Objetivo Traduzir e adaptar o Safety Attitudes Questionnaire/Operating Room Version para a língua portuguesa. Métodos Pesquisa metodológica de adaptação transcultural que empregou as etapas: tradução, síntese, retrotradução, avaliação por comitê de juízes, pré-teste, submissão e avaliação dos relatórios pelos autores do instrumento original. A validação de conteúdo foi realizada mediante as equivalências semântica, idiomática, conceitual, experiencial e de conteúdo. Participaram 12 juízes e o índice de concordância correspondeu a ≥ 80%. Resultados As etapas de tradução e retrotradução foram consideradas adequadas e na avaliação da síntese pelos juízes foi indicada alteração em 41 itens, do total de 137. Em relação ao processo de validação das equivalencias realizado pelos juízes, o consenso geral do instrumento obteve 84,1% de equivalência, 9,3% de não equivalência e 6,6% de indecisos. No pré-teste, o tempo médio de preenchimento correspondeu a 16,5 minutos. Conclusão O processo de tradução e adaptação apresentou adequação quanto à validade de conteúdo mediante os índices obtidos nas equivalências e compreensão pelos sujeitos, e foi aprovado pelos autores.

scholarly journals Confirmatory factor analysis of the safety attitudes questionnaire/operating room

2019 ◽  
Vol 18 (3) ◽  
pp. 195-245
Author(s):  
Daniela Campos de Andrade Lourenção ◽  
Daisy Maria Rizatto Tronchin
Keyword(s):  
Factor Analysis ◽  
Confirmatory Factor Analysis ◽  
Operating Room ◽  
Factor Structure ◽  
Validity And Reliability ◽  
Cronbach’S Alpha ◽  
Safety Attitudes ◽  
Safety Attitudes Questionnaire ◽  
Cronbach's Alpha ◽  
Confirmatory Factor

Objetivo: Analizar la estructura factorial de la versión traducida y adaptada culturalmente del Safety Attitudes Questionnaire / Operating Room Version para el contexto brasileño. Método: Fue desarrollado un estudio metodológico acerca del cuestionario. El cuestionario fue aplicado a 412 profesionales de salud trabajadores en centros quirúrgicos. La evaluación del cuestionario fue realizada con base en Análisis Factorial Confirmatorio (AFC) y en el alfa de Cronbach. Resultados: El valor total del alfa de Cronbach fue 0,912; en los dominios los valores variaron de 0,56 a 0,85. El peor dominio fue Comunicación en el Ambiente Quirúrgico. Los hallazgos de la AFC mostraron que el valor de SRMR fue de 0,052; el RMSEA de 0,031 y el de CFI de 0,95. Estos valores demuestran la confiabilidad y un ajuste de modelo aceptable de la versión brasileña del SAQ / OR. Conclusión: la estructura factorial mostró que la versión brasileña del cuestionario es válida y confiable para medir el clima de seguridad del paciente en la percepción de los profesionales de salud que trabajan en el ambiente quirúrgico. Objective: To analyze the factor structure of the version of the Safety Attitudes Questionnaire/Operating Room Version that has been translated and culturally adapted to the Brazilian context. Method: This was a methodological study about a questionnaire. The questionnaire was administered to 412 health professionals who worked in operating rooms. The factor structure was tested with confirmatory factor analysis (CFA) and Cronbach's alpha. Results: The total score for Cronbach's alpha was 0.912; and the scores for the domains ranged from 0.56 and 0.85. The domain with the worst performance was communication in the surgical setting. The results of CFA showed that the score for SRMR was 0.052, RMSEA, 0.031, and CFI, 0.95. These scores indicate the reliability and acceptability of the Brazilian adaptation of the questionnaire. Conclusion: The factor structure demonstrated the validity and reliability of the Brazilian version of the questionnaire for measuring the patient safety climate as perceived by healthcare professionals who worked in surgical settings Objetivo: Analisar a estrutura fatorial da versão traduzida e adaptada culturalmente do Safety Attitudes Questionnaire/Operating Room Version para o contexto brasileiro. Método: Trata-se de um estudo metodológico sobre o questionário. O questionário foi aplicado a 412 profissionais de saúde atuantes em centros cirúrgicos. A avaliação do questionário foi realizada com base na Análise Fatorial Confirmatória (AFC) e no alpha de Cronbach. Resultados: O valor total do alpha de Cronbach foi 0,912; nos domínios os valores variaram de 0,56 a 0,85. O pior domínio foi Comunicação no Ambiente Cirúrgico. Os achados da AFC demonstraram que o valor de SRMR foi de 0,052; o RMSEA de 0,031 e o de CFI de 0,95. Esses valores demonstram a confiabilidade e um ajuste de modelo aceitável da versão brasileira do SAQ/OR. Conclusão: A estrutura fatorial demonstrou que a versão brasileira do questionário é válida e confiável para mensurar o clima de segurança do paciente na percepção dos profissionais de saúde que atuam no ambiente cirúrgico.

scholarly journals Adjusting to duty hour reforms: residents’ perception of the safety climate in interdisciplinary night-float rotations

2018 ◽  
Vol 9 (4) ◽  
pp. e111-119 ◽  
Author(s):  
Alexandre Lafleur ◽  
Adrien Harvey ◽  
Caroline Simard
Keyword(s):  
Patient Safety ◽  
Nous Avons ◽  
Safety Climate ◽  
Safety Attitudes ◽  
Residency Programs ◽  
Safety Attitudes Questionnaire ◽  
Night Float ◽  
Patient Safety Climate ◽  
Hospitalised Patients ◽  
Sécurité Des Patients

Background: New scheduling models were needed to adjust to residents’ duty hour reforms while maintaining safe patient care. In interdisciplinary night-float rotations, four to six residents from most residency programs collaborated for after-hours cross-coverage of most adult hospitalised patients as part of a Faculty-led rotation. Residents worked sixteen 12-hour night shifts over a month.                                                                                Methods: We measured residents’ perception of the patient safety climate during implementation of night-float rotations in five tertiary hospitals. We surveyed 267 residents who had completed the rotation in 2015-2016 with an online version of the Safety Attitudes Questionnaire. First year residents came from most residency programs, second- and third-year residents came from internal medicine.Results: One-hundred-and-thirty residents completed the questionnaire. Scores did not differ across hospitals and residents’ years of training for all six safety-related climate factors: teamwork climate, job satisfaction, perceptions of management, safety climate, working conditions, and stress recognition.Conclusion: Simultaneous implementation in five hospitals of a Faculty-led interdisciplinary night-float rotation for most junior residents proved to be logistically feasible and showed similar and reassuring patient safety climate scores._____Contexte: De nouveaux horaires de garde en établissements hospitaliers étaient nécessaires pour s’adapter aux réformes des heures de travail des résidents tout en maintenant des soins sécuritaires pour les patients. Dans les stages cliniques de nuit interdisciplinaires, quatre à six résidents de la plupart des programmes de résidence ont collaboré pour assurer une couverture croisée, après les heures normales de travail, de la plupart des patients adultes hospitalisés. Les résidents ont travaillé seize nuits de 12 heures durant un mois.Méthodes: Nous avons mesuré la perception des résidents du climat de travail lié à la sécurité des patients lors de la mise en place de stages de nuit dans cinq hôpitaux universitaires. Nous avons interrogé 267 résidents ayant terminé le stage en 2015-2016 avec une version numérique du Safety Attitudes Questionnaire. Les résidents de première année provenaient de la plupart des programmes de résidence, les résidents de deuxième et troisième années provenaient du programme de médecine interne.Résultats: 130 résidents ont complété le questionnaire. Les scores ne différaient pas entre les hôpitaux et les années de formation des résidents pour les six facteurs liés à la sécurité des patients: climat de travail en équipe, satisfaction au travail, perceptions des supérieurs, climat de sécurité, conditions de travail et reconnaissance du stress.Conclusions: La mise en place simultanée, dans cinq hôpitaux, de stages cliniques de nuit réunissant des résidents juniors de la majorité des programmes de résidence fut logistiquement possible et a montré des résultats similaires et rassurants sur le climat de travail lié à la sécurité des patients.

scholarly journals Application of Safety Attitudes Questionnaire (SAQ) in Adult Intensive Care Units: a cross-sectional study

2020 ◽  
Author(s):  
Abdullah S. Alqahtani ◽  
Rachel Evley
Keyword(s):  
Safety Culture ◽  
Safety Climate ◽  
Cross Sectional Study ◽  
Self Report ◽  
Sectional Study ◽  
Cross Sectional ◽  
Safety Attitudes ◽  
Safety Attitudes Questionnaire ◽  
Significant Difference ◽  
The Mean

AbstractPurposeTo achieve a positive safety culture, staff perception of safety must be frequently measured. There are several active and reactive methods to use to measure safety cultures such as near-miss occurrence, accidental data collection, measuring behavior, self-report method, and safety questionnaires. The safety attitudes questionnaire (SAQ) tool was used to measure safety culture. This tool is widely used in literature and among researchers and has been used and validated in middle eastern cultures. In addition, it has a validated Arabic version.MethodsA cross-sectional study was conducted using anonymous and random sampling. I surveyed all ICU staff working in all the adult ICUs in two of the major hospitals in the eastern province of Saudi Arabia. The short version of the Safety Attitudes Questionnaire was used to assess participants’ attitudes towards safety culture. The study involved all healthcare providers working in Adult ICU.ResultsThe study occurred over a three-week period in March 2019. A total of 82 completed questionnaires were returned which represented a response rate of 82%. On average, the domain that scored the highest number of positive responses was Job satisfaction with 68.5%, followed by teamwork climate 67.8%, then working conditions 60.1%, 57.1% safety climate, then preparation of management with 53.4%, and finally 46% in Stress recognition. A statistically significant difference was found between the mean SAQ score and the educational level of the participants. Participants with bachelor’s degrees scored a mean of 50.17 compared to participants hold diploma degrees who scored a mean of 68.81 (P=0.02). Moreover, a significant difference was found between the mean SAQ score and participants’ specialties. Attending/Staff Physician mean score was 36.40, Nurse Manager/Charge Nurse scored 39.78, and Respiratory therapist mean score was 47.88, compared to mean score of 62.27 for Registered Nurse, and Respiratory supervisor 67.0 (P=0.04). In addition, 79.2% of the respondents did not report any incidents in the last 12 months.ConclusionsThe result of the study shows an unsatisfying level of safety culture among healthcare staff in ICUs. The importance of this study is to establish a baseline for safety climate in these hospitals and specifically ICUs. In addition, by exposing the system weaknesses it helps the administration to strengthen and improve patient care. By decreasing workload and job stress, studies show they have a positive association with increasing job performance.

scholarly journals Teamwork and Safety Attitudes in Complex Aortic Surgery at a Dutch Hospital: Cross-Sectional Survey Study (Preprint)

2019 ◽  
Author(s):  
Alexander D Hilt ◽  
Ad A Kaptein ◽  
Martin J Schalij ◽  
Jan van Schaik
Keyword(s):  
Job Satisfaction ◽  
Operating Room ◽  
Working Conditions ◽  
Safety Climate ◽  
Assessment Tool ◽  
Aortic Surgery ◽  
Survey Study ◽  
Treatment Team ◽  
Perceived Safety ◽  
Safety Attitudes

BACKGROUND Improving teamwork in surgery is a complex goal and difficult to achieve. Human factors questionnaires, such as the Safety Attitudes Questionnaire (SAQ), can help us understand medical teamwork and may assist in achieving this goal. OBJECTIVE This paper aimed to assess local team and safety culture in a cardiovascular surgery setting to understand how purposeful teamwork improvements can be reached. METHODS Two cardiovascular surgical teams performing complex aortic treatments were assessed: an endovascular-treatment team (ETT) and an open-treatment team (OTT). Both teams answered an online version of the SAQ Dutch Edition (SAQ-NL) consisting of 30 questions related to six different domains of safety: teamwork climate, safety climate, job satisfaction, stress recognition, perceptions of management, and working conditions. In addition, one open-ended question was posed to gain more insight into the completed questionnaires. RESULTS The SAQ-NL was completed by all 23 ETT members and all 13 OTT members. Team composition was comparable for both teams: 57% and 62% males, respectively, and 48% and 54% physicians, respectively. All participants worked for 10 years or more in health care. SAQ-NL mean scores were comparable between both teams, with important differences found between the physicians and nonphysicians of the ETT. Nonphysicians were less positive about the safety climate, job satisfaction, and working climate domains than were the physicians (<i>P</i>&lt;.05). Additional education on performed procedures, more conjoined team training, as well as a hybrid operating room were suggested by participants as important areas of improvement. CONCLUSIONS Nonphysicians of a local team performing complex endovascular aortic aneurysm surgery perceived safety climate, job satisfaction, and working conditions less positively than did physicians from the same team. Open-ended questions suggested that this is related to a lack of adequate conjoined training, lack of adequate education, and lack of an adequate operating room. With added open-ended questions, the SAQ-NL appears to be an assessment tool that allows for developing strategies that are instrumental in improving quality of care.

scholarly journals Cultura de segurança em centro cirúrgico universitário

2020 ◽  
Vol 9 (8) ◽  
pp. e119985164
Author(s):  
Cintia Silva Fassarella ◽  
Letícia Fonseca Gaspar Fernandes ◽  
Rafaela da Silva Cavalcanti ◽  
Flavia Giron Camerini ◽  
Ricardo de Oliveira Meneses ◽  
...  
Keyword(s):  
Operating Room ◽  
Safety Attitudes ◽  
Safety Attitudes Questionnaire

Objetivo: avaliar a cultura de segurança de um centro cirúrgico universitário, verificando se há diferença de avaliação entre as equipes de apoio, enfermagem e médica. Metodologia: estudo transversal, descritivo, quantitativo, realizado em um centro cirúrgico de um hospital universitário, com os profissionais de saúde entre março e junho de 2019, utilizando como instrumento o Safety Attitudes Questionnaire/Operating Room. Realizou-se análise estatística descritiva e inferencial. Resultados: o escore global foi de 59,45%, a equipe de apoio apresentou três domínios positivos, percepção do estresse 78,88%, condição do trabalho 77,86% e clima de segurança 76,06%, seguida da equipe de enfermagem no domínio comunicação 75,11% e a equipe médica não apresentou nenhum domínio positivo. As equipes do centro cirúrgico apresentaram três diferenças significativas entre os domínios de cultura de segurança. Conclusão: os resultados permitiram avaliar a cultura de segurança do centro cirúrgico universitário e as diferenças entre as equipes, contribuindo para melhoria da qualidade da assistência cirúrgica.

scholarly journals Could low Safety Attitudes Questionnaire scores be indicative of an environment where it may be difficult to get new training practices established?

2017 ◽  
Vol 3 (2) ◽  
pp. 54-59
Author(s):  
Sarah Channing ◽  
Neil Ryan ◽  
Sophie Barnes ◽  
Kate Collins ◽  
Helen van der Nelson ◽  
...  
Keyword(s):  
Safety Culture ◽  
Safety Climate ◽  
Training Session ◽  
Interrupted Time Series ◽  
Team Training ◽  
Multiprofessional Team ◽  
Safety Attitudes ◽  
Safety Attitudes Questionnaire ◽  
Significant Difference ◽  
The Impact

IntroductionSimulation-based, multiprofessional team training (SBMPTT) is used widely in healthcare, with evidence that it can improve clinical outcomes and be associated with a positive safety culture. Our aim was to explore the impact of introducing this type of training to a gynaecological team.MethodsIn this interrupted time-series study, ‘Safety Attitudes Questionnaire’ (SAQ) data was collected both before and after SBMPTT was introduced to a gynaecological team.ResultsLow baseline SAQ scores coincided with difficulty in establishing the training, meaning that at the end of our study period only a small proportion of staff had actually attended a training session. Despite trends towards improvement in scores for safety climate, teamwork climate and job satisfaction, no statistically significant difference was observed. There was however an improved perception of the level of collaboration between nursing staff and doctors after the introduction of training.Conclusions and DiscussionIn this paper we explore a hypothesis that low baseline SAQ scores may highlight that the multiprofessional teams most in need of training work in environments where it is more challenging to implement. There is evidence from other specialties that multiprofessional team training works, now we need to understand how to address the barriers to getting it started. In this paper we suggest how the SAQ could be used as a directive tool for improvement; using the detailed analysis of the local safety culture it provides to both inform future training design and also provide management with an objective marker of progress.

scholarly journals Safety culture in the operating room of a public hospital in the perception of healthcare professionals

2015 ◽  
Vol 23 (6) ◽  
pp. 1041-1048 ◽  
Author(s):  
Paloma Aparecida Carvalho ◽  
Leila Bernarda Donato Göttems ◽  
Maria Raquel Gomes Maia Pires ◽  
Maria Liz Cunha de Oliveira
Keyword(s):  
Operating Room ◽  
Safety Culture ◽  
Quantitative Research ◽  
Public Hospital ◽  
Healthcare Professionals ◽  
Stress Perception ◽  
Cross Sectional ◽  
Safety Attitudes ◽  
Safety Attitudes Questionnaire ◽  
Analysis Instrument

Objective: to evaluate the perception of healthcare professionals about the safety culture in the operating room of a public hospital, large-sized, according to the domains of the Safety Attitudes Questionnaire (SAQ). Method: descriptive, cross-sectional and quantitative research, with the application of the SAQ to 226 professionals. Descriptive data analysis, instrument consistency and exploratory factor analysis. Results: participants were distributed homogeneously between females (49.6%) and males (50.4%); mean age of 39.6 (SD±9.9) years and length of professional experience of 9.9 (SD±9.2) years. And Cronbach's ( of 0.84. It was identified six domains proposed in the questionnaire: stress perception (74.5) and job satisfaction (70.7) showed satisfactory results; teamwork environment (59.1) and climate of security (48.9) presented scores below the minimum recommended (75); unit's management perceptions (44.5), hospital management perceptions (34.9) and working conditions (41.9) presented the lowest averages. Conclusions: the results showed that, from the perspective of the professionals, there is weakness in the values, attitudes, skills and behaviors that determine the safety culture in a healthcare organization.

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