Cross-cultural adaptation of the SCORE survey and evaluation of the impact of Real-Time Random Safety Audits in organizational culture: A multicenter study.
Med Intensiva (Engl Ed)
; 46(10): 568-576, 2022 10.
Article
em En
| MEDLINE
| ID: mdl-36155679
ABSTRACT
OBJECTIVE:
To establish a cross-cultural adaptation of the Safety, Communication, Operational Reliability, and Engagement (SCORE) survey and to use this instrument to evaluate the impact of a safety intervention.DESIGN:
Cross-cultural adaptation and before-and-after evaluation study.SETTING:
5 ICU.PARTICIPANTS:
Medical residents, attending physicians, and nurses at those ICU.INTERVENTIONS:
Adaptation of the SCORE survey to Spanish culture. The adapted survey was used to assess all safety-culture-related domains before and one-year after implementing the use of a safety tool, Real-Time Random Safety Audits (in Spanish Análisis Aleatorios de Seguridad en Tiempo Real, AASTRE). MAIN OUTCOMEMEASURE:
Adaptabiliy of the Spanish version of SCORE survey in the ICU setting and evaluation of the effect of AASTRE on their domains.RESULTS:
The cross-cultural adaptation was adequate. Post-AASTRE survey scores [mean (standard deviation, SD)] were significantly better in the domains learning environment [50.55 (SD 20.62) vs 60.76 (SD 23.66), p<.0001], perception of local leadership [47.98 (SD 23.57) vs 62.82 (SD 27.46), p<.0001], teamwork climate [51.19 (SD 18.55) vs 55.89 (SD 20.25), p=.031], safety climate [45.07 (SD 17.60) vs 50.36 (SD 19.65), p=.01], participation decision making [3 (SD 0.82) vs 3.65 (SD 0.87), p<.0001] and advancement in the organization [3.21 (SD 0.77) vs 4.04 (SD 0.77), p<.0001]. However, post-AASTRE scores were significantly worse in the domains workload and burnout climate.CONCLUSIONS:
The cross-cultural adaptation of the SCORE survey into Spanish is a useful tool for ICUs. The application of the AASTRE is associated with improvements in six SCORE domains, including the safety climate.Palavras-chave
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Base de dados:
MEDLINE
Assunto principal:
Comparação Transcultural
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Inquéritos e Questionários
Idioma:
En
Ano de publicação:
2022
Tipo de documento:
Article