Abstract
BackgroundThe objectives of this study are to test the psychometric properties of the safety attitudes and safety climate questionnaire Chinese simplified version (SAQ-CS), to test the safety attitudes of health professionals in tertiary hospitals in the Liaoning province and to explore the effects of demographic factors on safety attitudes.MethodsThe SAQ-CS was used to conduct a cross-sectional survey in nine tertiary hospitals in Liaoning province.ResultsCronbach’s alpha of each subscale of SAQ-CS were > 0.7, the values of GFI, TLI, and CFI were > 0.8, and RMSEA values ranged from 0.048–0.199. The mean of the safety attitudes of 2157 health professionals was 4.00, indicating a good safety attitude, with a positive response rate (% of items that scored ≥4) of 51.1%. The stress recognition subscale had the lowest score, with a mean of 2.73 and a positive response rate of 17.8%. A multiple linear regression equation revealed that demographic factors like gender, age, and training participation significantly affected the scores (βgender > 0.06, βage < − 0.08, βtraining < − 0.07, p < 0.05).ConclusionsThe psychometric properties of SAQ-CS are good and stable. Health professionals rate teamwork climate, safety climate, perception of management, and work conditions in Liaoning province are perceived as good; however, the stress of the health professionals is poor. To improve safety attitudes, it is necessary to not only reduce the stress of health professionals, but also to pay more attention to men, older health professionals, and health professionals who have not participated in safety training.
Highlights
The objectives of this study are to test the psychometric properties of the safety attitudes and safety climate questionnaire Chinese simplified version (SAQ-CS), to test the safety attitudes of health professionals in tertiary hospitals in the Liaoning province and to explore the effects of demographic factors on safety attitudes
We considered a good model fit when values were as follows: Root Mean Square Error of Approximation (RMSEA) ≤0.08; Comparative Fit Indices (CFI) ≥ 0.90; Tucker-Lewis Index (TLI) ≥ 0.90; and, Goodness-ofFit Index (GFI) ≥ 0.90 [31, 32]
Our study showed that the response rate was 84.75%, which was higher than that in Lee’s and Sexton’s studies (69.4 and 67.0%, respectively), this indicated the results could reflect the respondents’ safety attitudes more accurately [24, 34]
Summary
The objectives of this study are to test the psychometric properties of the safety attitudes and safety climate questionnaire Chinese simplified version (SAQ-CS), to test the safety attitudes of health professionals in tertiary hospitals in the Liaoning province and to explore the effects of demographic factors on safety attitudes. Taking the SAQ applied in Lee’s study as a reference, Xiuming and colleagues translated the SAQ Short Form into the Chinese Simplified form, utilizing five hospitals in Beijing with 1663 doctors, nurses, and technicians in 8 units. These studies validate good psychometric properties of the SAQ, but suggest that safety attitudes of health professionals need to be improved [24,25,26]
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