Validation of the Dutch language version of the Safety Attitudes Questionnaire (SAQ-NL).

dc.contributor.author

Haerkens, Marck Htm

dc.contributor.author

van Leeuwen, Wouter

dc.contributor.author

Sexton, J Bryan

dc.contributor.author

Pickkers, Peter

dc.contributor.author

van der Hoeven, Johannes G

dc.date.accessioned

2019-11-01T14:12:52Z

dc.date.available

2019-11-01T14:12:52Z

dc.date.issued

2016-08-15

dc.date.updated

2019-11-01T14:12:45Z

dc.description.abstract

As the first objective of caring for patients is to do no harm, patient safety is a priority in delivering clinical care. An essential component of safe care in a clinical department is its safety climate. Safety climate correlates with safety-specific behaviour, injury rates, and accidents. Safety climate in healthcare can be assessed by the Safety Attitudes Questionnaire (SAQ), which provides insight by scoring six dimensions: Teamwork Climate, Job Satisfaction, Safety Climate, Stress Recognition, Working Conditions and Perceptions of Management. The objective of this study was to assess the psychometric properties of the Dutch language version of the SAQ in a variety of clinical departments in Dutch hospitals.The Dutch version (SAQ-NL) of the SAQ was back translated, and analyzed for semantic characteristics and content. From October 2010 to November 2015 SAQ-NL surveys were carried out in 17 departments in two university and seven large non-university teaching hospitals in the Netherlands, prior to a Crew Resource Management human factors intervention. Statistical analyses were used to examine response patterns, mean scores, correlations, internal consistency reliability and model fit. Cronbach's α's and inter-item correlations were calculated to examine internal consistency reliability.One thousand three hundred fourteen completed questionnaires were returned from 2113 administered to health care workers, resulting in a response rate of 62 %. Confirmatory Factor Analysis revealed the 6-factor structure fit the data adequately. Response patterns were similar for professional positions, departments, physicians and nurses, and university and non-university teaching hospitals. The SAQ-NL showed strong internal consistency (α = .87). Exploratory analysis revealed differences in scores on the SAQ dimensions when comparing different professional positions, when comparing physicians to nurses and when comparing university to non-university hospitals.The SAQ-NL demonstrated good psychometric properties and is therefore a useful instrument to measure patient safety climate in Dutch clinical work settings. As removal of one item resulted in an increased reliability of the Working Conditions dimension, revision or deletion of this item should be considered. The results from this study provide researchers and practitioners with insight into safety climate in a variety of departments and functional positions in Dutch hospitals.

dc.identifier

10.1186/s12913-016-1648-3

dc.identifier.issn

1472-6963

dc.identifier.issn

1472-6963

dc.identifier.uri

https://hdl.handle.net/10161/19459

dc.language

eng

dc.publisher

Springer Science and Business Media LLC

dc.relation.ispartof

BMC health services research

dc.relation.isversionof

10.1186/s12913-016-1648-3

dc.subject

Humans

dc.subject

Factor Analysis, Statistical

dc.subject

Cross-Sectional Studies

dc.subject

Reproducibility of Results

dc.subject

Attitude of Health Personnel

dc.subject

Language

dc.subject

Psychometrics

dc.subject

Safety Management

dc.subject

Translations

dc.subject

Adult

dc.subject

Medical Staff, Hospital

dc.subject

Netherlands

dc.subject

Female

dc.subject

Male

dc.subject

Patient Safety

dc.subject

Surveys and Questionnaires

dc.title

Validation of the Dutch language version of the Safety Attitudes Questionnaire (SAQ-NL).

dc.type

Journal article

pubs.begin-page

385

pubs.issue

a

pubs.organisational-group

School of Medicine

pubs.organisational-group

Duke

pubs.organisational-group

Psychiatry & Behavioral Sciences, General Psychiatry

pubs.organisational-group

Psychiatry & Behavioral Sciences

pubs.organisational-group

Clinical Science Departments

pubs.publication-status

Published

pubs.volume

16

Files

Original bundle

Now showing 1 - 1 of 1
Loading...
Thumbnail Image
Name:
Validation of the Dutch language version of the Safety Attitudes Questionnaire (SAQ-NL).pdf
Size:
619.64 KB
Format:
Adobe Portable Document Format