ArticleBMC health services research2019
The safety attitudes questionnaire - ambulatory version: psychometric properties of the Norwegian version for nursing homes.
Article in BMC health services research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.
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14 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Review: application of the Safety Attitudes Questionnaire (SAQ) in primary care - a systematic synthesis on validity, descriptive and comparative results, and variance across organisational units.BMC primary care · 2024Pooled it
- Patient safety measurement tools used in nursing homes: a systematic literature review.BMC health services research · 2022Pooled it
- Construct Validity of the Staff Resource Adequacy Questionnaire for Healthcare Professionals (SRAQ-HP): An Exploratory and Confirmatory Factor Analysis from Latvia.Nursing reports (Pavia, Italy) · 2025Article
- A novel machine learning architecture to improve classification of intermediate cases in health: workflow and case study for public health.BMC bioinformatics · 2025Article
- Psychometric Properties for the Safety Attitudes Questionnaire in Child and Youth Health Clinics and School Health Services: A Validation Study.Nursing open · 2025Article
- Instruments for Patient Safety Assessment: A Scoping Review.Healthcare (Basel, Switzerland) · 2024Article
- Validation study of the Amharic version Safety Attitudes Questionnaire (SAQ) in public hospitals of Addis Ababa, Ethiopia: a cross-sectional study.BMC health services research · 2024Article
- Teamwork and safety climate in Polish long-term care facilities: questionnaire reliability and usability.Scientific reports · 2023Article
- Safe Medication in Nursing Home Residents Through the Development and Evaluation of an Intervention (SAME): Protocol for a Fully Integrated Mixed Methods Study With a Cocreative Approach.JMIR research protocols · 2023Article
- Healthcare Managers' Perception on Patient Safety Culture.Global journal on quality and safety in healthcare · 2023Article
- Efforts to Improve the Safety Culture of the Elderly in Nursing Homes: A Qualitative Study.Risk management and healthcare policy · 2023Article
- Exploring safety culture in the Finnish ambulance service with Emergency Medical Services Safety Attitudes Questionnaire.Scandinavian journal of trauma, resuscitation and emergency medicine · 2021Article
- Determinants of safety climate at primary care level in Ghana, Malawi and Uganda: a cross-sectional study across 138 selected primary healthcare facilities.Human resources for health · 2021Article
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Abstract
backgroundPatient safety culture involves leader and staff interaction, routines, attitudes, practices and awareness that influence risks of adverse events in patient care. The Safety Attitudes Questionnaire (SAQ) is an instrument to measure safety attitudes among health care providers. The instrument aims to identify possible weaknesses in clinical settings and motivate quality improvement interventions leading to reductions in medical errors. The Ambulatory Version of the SAQ (SAQ-A) was developed to measure safety climate in the primary care setting. The original version of the SAQ includes six major patient safety factors: Teamwork climate, Safety climate, Job satisfaction, Perceptions of management, Working conditions, and Stress recognition. Patients in nursing homes are particularly vulnerable to adverse events. We present the psychometric properties of the Norwegian translation of the SAQ-A for the nursing home setting.
methodsThe study was conducted in five nursing homes in Tønsberg, Norway, in February 2016. A total of 463 employees working more than 20% received a paper version of the translated SAQ-A adapted to the Norwegian nursing home setting and responded anonymously. Filled-in questionnaires were scanned and transferred to an SPSS file. SPSS was used to estimate Cronbach alphas, corrected item-total correlations, item-to-own and item-to-other correlations, and item-descriptive statistics. The confirmatory factor analysis was done by AMOS.
resultsOf the 463 health care providers, 288 (62.2%) responded to the questionnaire. The confirmatory factor analysis showed that the total model of the six factors Teamwork climate, Safety climate, Job satisfaction, Perceptions of management, Working conditions, and Stress recognition had acceptable goodness-of-fit values in the nursing home setting.
conclusionsThe results of our study indicate that the Norwegian translated version of the SAQ-A, with the confirmed six factor model, is an appropriate tool for measuring patient safety climate in the nursing home setting. Future research should study whether there is an association between patient safety climate in nursing homes and occurrence of adverse events among the patients.
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