Safety culture in the primary health care settings based on workers with a leadership role: the psychometric properties of the Slovenian-language version of the safety attitudes questionnaire - short form.

Publisher: BioMed Central Country of Publication: England NLM ID: 101088677 Publication Model: Electronic Cited Medium: Internet ISSN: 1472-6963 (Electronic) Linking ISSN: 14726963 NLM ISO Abbreviation: BMC Health Serv Res Subsets: MEDLINE

Original Publication: London : BioMed Central, [2001-

Administrative Personnel* ; Attitude of Health Personnel* ; Health Personnel* ; Safety Management* ; Surveys and Questionnaires*; Primary Health Care/*organization & administration; Adult ; Cross-Sectional Studies ; Factor Analysis, Statistical ; Female ; Humans ; Leadership ; Male ; Middle Aged ; Organizational Culture ; Reproducibility of Results ; Slovenia ; Translations

Background: Safety culture describes leader and staff interactions, attitudes, routines, awareness, and practices within an organisation. With this study, we aimed to determine the psychometric properties of the Slovenian-language version of the Safety Attitudes Questionnaire (SAQ) - Short Form in primary health care settings.
Methods: This was a cross-sectional study in the largest primary health care in Slovenia. We invited all employees with a leadership role to participate in the study (N = 211). We used the Slovenian-language version of the SAQ - Short Form.
Results: There were 154 participants in the final sample (73.0% response rate), of which 136 (88.3%) were women. The mean age of the sample was 46.2 ± 10.0 years. Exploratory factor analysis put forward six factors: 1) Perceptions of Management; 2) Stress recognition; 3) Teamwork Climate; 4) Communication; 5) Safety Climate; 6) Working Conditions and Satisfaction. This model explained 61.7% of the variance of the safety culture in the primary health care setting. The reliability of the whole scale and of the six factors, assessed using Cronbach's alpha, was all above 0.78.
Conclusion: The results of our study suggests that the Slovenian-language version of the SAQ - Short Form with six factors could be a reliable and valid tool for measuring the safety culture in the primary health care workers with leadership role In Slovenia. The Slovenian version differed from the original SAQ - Short Form and the majority of other translated versions. Also, the data was from one health centre only and therefore we cannot draw strong conclusions on its external validity.

BMC Health Serv Res. 2010 Aug 10;10:234. (PMID: 20698965)
Qual Saf Health Care. 2007 Aug;16(4):313-20. (PMID: 17693682)
Healthc Q. 2010;13 Spec No:121-7. (PMID: 20959741)
Zdr Varst. 2016 May 10;55(3):179-184. (PMID: 27703537)
Fam Pract. 2007 Sep;24(4):323-9. (PMID: 17591607)
J Patient Saf. 2018 Jun;14(2):e9-e18. (PMID: 28708671)
Zdr Varst. 2017 Oct 9;56(4):211-219. (PMID: 29062395)
BMC Health Serv Res. 2006 Apr 03;6:44. (PMID: 16584553)
J Gen Intern Med. 2007 Jan;22(1):1-5. (PMID: 17351834)
BMC Health Serv Res. 2008 Sep 22;8:191. (PMID: 18808693)
BMC Fam Pract. 2015 Dec 02;16:172. (PMID: 26631138)
Eur J Gen Pract. 2015 Sep;21 Suppl:26-30. (PMID: 26339832)
PLoS One. 2017 Feb 16;12(2):e0172390. (PMID: 28207909)
BMC Health Serv Res. 2017 Jan 13;17(1):36. (PMID: 28086919)
J Multidiscip Healthc. 2017 Nov 09;10:417-423. (PMID: 29184416)
Restor Dent Endod. 2013 Feb;38(1):52-4. (PMID: 23495371)
BMC Health Serv Res. 2014 Mar 29;14:139. (PMID: 24678764)
BMC Health Serv Res. 2015 Jul 24;15:284. (PMID: 26204957)
Stat Methods Med Res. 2007 Apr;16(2):77-102. (PMID: 17484294)
BMC Clin Pharmacol. 2010 Apr 11;10:8. (PMID: 20380741)
BMC Health Serv Res. 2013 Sep 10;13:347. (PMID: 24016183)
BMC Health Serv Res. 2013 Mar 19;13:104. (PMID: 23506044)
Zdr Varst. 2017 Oct 9;56(4):203-210. (PMID: 29062394)
Public Health. 2018 Mar;156:147-151. (PMID: 29453093)
J Grad Med Educ. 2011 Mar;3(1):49-58. (PMID: 22379523)

Keywords: Patient safety; Questionnaires; Validation studies

Date Created: 20181012 Date Completed: 20181231 Latest Revision: 20181231

20231215

PMC6180368

10.1186/s12913-018-3594-8

30305161