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The safety attitudes questionnaire - ambulatory version: psychometric properties of the Slovenian version for the out-of-hours primary care setting.
Klemenc-Ketis, Zalika; Maletic, Matjaz; Stropnik, Vesna; Deilkås, Ellen Tveter; Hofoss, Dag; Bondevik, Gunnar Tschudi.
Afiliación
  • Klemenc-Ketis Z; Department of Family Medicine, Medical Faculty, University of Maribor, Taborska 8, 2000, Maribor, Slovenia. zalika.klemenc@um.si.
  • Maletic M; Department of Family Medicine, Medical Faculty, University of Ljubljana, Poljanski nasip 58, 1000, Ljubljana, Slovenia. zalika.klemenc@um.si.
  • Stropnik V; Community Health Centre Ljubljana, Metelkova 9, 1000, Ljubljana, Slovenia. zalika.klemenc@um.si.
  • Deilkås ET; Faculty of Organisational Sciences, University of Maribor, Kidriceva cesta 55a, 4000, Kranj, Slovenia.
  • Hofoss D; Health Centre Ravne na Koroskem, Ob Suhi 11, 2390, Ravne na Koroskem, Slovenia.
  • Bondevik GT; Health Services Research Unit, Akershus University Hospital, Lørenskog, Norway.
BMC Health Serv Res ; 17(1): 36, 2017 01 13.
Article en En | MEDLINE | ID: mdl-28086919
ABSTRACT

BACKGROUND:

Several tools have been developed to measure safety attitudes of health care providers, out of which the Safety Attitudes Questionnaire (SAQ) is regarded as one of the most appropriate ones. In 2007, it was adapted to outpatient (primary health care) settings and in 2014 it was tested in out-of-hours health care settings in Norway. The purpose of this study was to translate the English version of the SAQ-Ambulatory Version (SAQ-AV) to Slovenian language; to test its reliability; and to explore its factor structure.

METHODS:

This was a cross-sectional study that took place in Slovenian out-of-hours primary care clinics in March-May 2015 as a part of an international study entitled Patient Safety Culture in European Out-of-hours services. The questionnaire consisted of the Slovenian version of the SAQ-AV. The link to the questionnaire was emailed to health care workers in the out-of-hours clinics. A total of 438 participants were invited. We performed exploratory factor analysis.

RESULTS:

Out of 438 invited participants, 250 answered the questionnaire (response rate 57.1%). Exploratory factor analysis put forward five factors 1) Perceptions of management, 2) Job satisfaction, 3) Safety climate, 4) Teamwork climate, and 5) Communication. Cronbach's alpha of the whole SAQ-AV was 0.922. Cronbach's alpha of the five factors ranged from 0.587 to 0.791. Mean total score of the SAQ-AV was 56.6 ± 16.0 points. The factor with the highest average score was Teamwork climate and the factor with the lowest average was Job satisfaction.

CONCLUSIONS:

Based on the results in our study, we cannot state that the SAQ-AV is a reliable tool for measuring safety culture in the Slovenian out-of-hours care setting. Our study also showed that there might be other safety culture factors in out-of-hours care not recognised before. We therefore recommend larger studies aiming to identify an alternative factor structure.
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Texto completo: 1 Bases de datos: MEDLINE Asunto principal: Atención Primaria de Salud / Actitud del Personal de Salud / Atención Posterior Tipo de estudio: Clinical_trials / Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Límite: Adult / Aged / Female / Humans / Male / Middle aged País/Región como asunto: Europa Idioma: En Revista: BMC Health Serv Res Asunto de la revista: PESQUISA EM SERVICOS DE SAUDE Año: 2017 Tipo del documento: Article País de afiliación: Eslovenia

Texto completo: 1 Bases de datos: MEDLINE Asunto principal: Atención Primaria de Salud / Actitud del Personal de Salud / Atención Posterior Tipo de estudio: Clinical_trials / Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Límite: Adult / Aged / Female / Humans / Male / Middle aged País/Región como asunto: Europa Idioma: En Revista: BMC Health Serv Res Asunto de la revista: PESQUISA EM SERVICOS DE SAUDE Año: 2017 Tipo del documento: Article País de afiliación: Eslovenia