期刊论文详细信息
BMC Research Notes
A dissonant scale: stress recognition in the SAQ
Ravi Pandian1  Jennifer A Taylor1 
[1] Department of Environmental and Occupational Health, Drexel University School of Public Health, Philadelphia, PA USA
关键词: Factor analysis;    Stress recognition;    Safety attitudes questionnaire;   
Others  :  1142008
DOI  :  10.1186/1756-0500-6-302
 received in 2012-11-30, accepted in 2013-07-29,  发布年份 2013
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【 摘 要 】

Background

Our previous analyses using the Stress Recognition subscale of the Safety Attitudes Questionnaire (SAQ) resulted in significant effect estimates with equally opposing explanations. We suspected construct validity issues and investigated such using our own data and correlation matrices of previous published studies.

Methods

The correlation matrices for each of the SAQ subscales from two previous studies by Speroff and Taylor were replicated and compared. The SAS Proc Factor procedure and the PRIORS = SMC option were used to perform Common Factor Analysis.

Results

The correlation matrices of both studies were very similar. Teamwork, Safety Climate, Job Satisfaction, Perceptions of Management and Working Conditions were well-correlated. The correlations ranged from 0.53 to 0.76. For Stress Recognition correlations ranged from -0.15 to 0.03. Common Factor Analysis confirmed the isolation of Stress Recognition. CFA returned a strong one-factor model that explained virtually all of the communal variance. Stress Recognition loaded poorly on this factor in both instances, and the CFA indicated that 96.4-100.0% of the variance associated with Stress Recognition was unique to that subscale, and not shared with the other 5 subscales.

Conclusions

We conclude that the Stress Recognition subscale does not fit into the overall safety climate construct the SAQ intended to reflect. We recommend that this domain be omitted from overall safety climate scale score calculations, and clearly identified as an important yet distinct organizational construct. We suggest that this subscale be investigated for its true meaning, characterized as such, and findings conveyed to SAQ end users. We make no argument against Stress Recognition as an important organizational metric, rather we suggest that as a stand-alone construct its current packaging within the SAQ may be misleading for those intent on intervention development and evaluation in healthcare settings if they interpret Stress Recognition results as emblematic of safety climate.

【 授权许可】

   
2013 Taylor and Pandian; licensee BioMed Central Ltd.

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【 参考文献 】
  • [1]Taylor JA, Dominici F, Agnew J, Gerwin D, Morlock L, Miller MR: Do nurse and patient injuries share common antecedents? An analysis of associations with safety climate and working conditions. BMJ Qual Saf 2012, 21(2):101-111.
  • [2]Taylor JA: Utility of patient safety case finding methods and associations among organizational safety climate, nurse injuries, and errors, Dissertation. The Johns Hopkins University; 2008.
  • [3]Colla JB, Bracken AC, Kinney LM, Weeks WB: Measuring patient safety climate: a review of surveys. Qual Saf Health Care 2005, 14(5):364-366.
  • [4]Haller G, Garnerin P, Morales MA, Pfister R, Berner M, Irion O, Clergue F, Kern C: Effect of crew resource management training in a multidisciplinary obstetrical setting. Int J Qual Health C 2008, 20(4):254-263.
  • [5]France DJ, Greevy RA Jr, Liu X, Burgess H, Dittus RS, Weinger MB, Speroff T: Measuring and comparing safety climate in intensive care units. Med Care 2010, 48(3):279-284.
  • [6]Sexton JB, Berenholtz SM, Goeschel CA, Watson SR, Holzmueller CG, Thompson DA, Hyzy RC, Marsteller JA, Schumacher K, Pronovost PJ: Assessing and improving safety climate in a large cohort of intensive care units. Crit Care Med 2011, 39(5):934-939.
  • [7]Huang DT, Clermont G, Sexton JB, Karlo CA, Miller RG, Weissfeld LA, Rowan KM, Angus DC: Perceptions of safety culture vary across the intensive care units of a single institution. Crit Care Med 2007, 35(1):165-176.
  • [8]Deilkas E, Hofoss D: Patient safety culture lives in departments and wards: multilevel partitioning of variance in patient safety culture. BMC Health Serv Res 2010, 10(85):85.
  • [9]Paine LA, Rosenstein BJ, Sexton JB, Kent P, Holzmueller CG, Pronovost PJ: Assessing and improving safety culture throughout an academic medical centre: a prospective cohort study. Qual Saf Health Care 2010, 19(6):547-554.
  • [10]Pronovost PJ, Berenholtz SM, Goeschel C, Thom I, Watson SR, Holzmueller CG, Lyon JS, Lubomski LH, Thompson DA, Needham D, et al.: Improving patient safety in intensive care units in Michigan. J Crit Care 2008, 23(2):207-221.
  • [11]Huang DT, Clermont G, Kong L, Weissfeld LA, Sexton JB, Rowan KM, Angus DC: Intensive care unit safety culture and outcomes: a US multicenter study. Int J Qual Health C 2010, 22(3):151-161.
  • [12]Speroff T, Nwosu S, Greevy R, Weinger MB, Talbot TR, Wall RJ, Deshpande JK, France DJ, Ely EW, Burgess H, et al.: Organisational culture: variation across hospitals and connection to patient safety climate. Qual Saf Health Care 2010, 19(6):592-596.
  • [13]Grant MJ, Donaldson AE, Larsen GY: The safety culture in a children's hospital. J Nurs Care Quality 2006, 21(3):223-229.
  • [14]Watts BV, Percarpio K, West P, Mills PD: Use of the safety attitudes questionnaire as a measure in patient safety improvement. J Patient Saf 2010, 6:206-2099.
  • [15]Devriendt E, Van den Heede K, Coussement J, Dejaeger E, Surmont K, Heylen D, Schwendimann R, Sexton B, Wellens NI, Boonen S, et al.: Content validity and internal consistency of the Dutch translation of the Safety Attitudes Questionnaire: an observational study. Int J Nurs Stud 2012, 49(3):327-337.
  • [16]Sexton JB, Thomas EJ, Helmreich RL: Error, stress, and teamwork in medicine and aviation: cross sectional surveys. BMJ 2000, 320(7237):745-749.
  • [17]Sexton JB: A mater of life or death: social psychological and organizational factors related to patient outcomes in the intensive care unit, Disertation. University of Texas at Austin; 2002.
  • [18]Sexton JB, Helmreich RL, Neilands TB, Rowan K, Vella K, Boyden J, Roberts PR, Thomas EJ: The Safety Attitudes Questionnaire: psychometric properties, benchmarking data, and emerging research. BMC Health Serv Res 2006, 6:44. BioMed Central Full Text
  • [19]Gallego B, Westbrook MT, Dunn AG, Braithwaite J: Investigating patient safety culture across a health system: multilevel modelling of differences associated with service types and staff demographics. Int J Qual Health Care 2012, 24(4):311-320.
  • [20]Pettker CM, Thung SF, Raab CA, Donohue KP, Copel JA, Lockwood CJ, Funai EF: A comprehensive obstetrics patient safety program improves safety climate and culture. Am j Obstet Gynecology 2011, 204(3):e211-e216.
  • [21]Sexton JB, Helmreich RL, Wilhelm JA, Merritt AC, Klinect JR: The Flight Management Attitudes Safety Survey (FMASS). The University of Texas Human Factors Research Project Technical Report 01–01. Austin, TX: The University of Texas at Austin; 2001:8.
  • [22]Helmreich RL: ACM: Culture at Work in Aviation and Medicine: National, Organizational and Professional Influences. 2nd edition. UK: Ashgate; 2001:28.
  • [23]Raftopoulos V, Charalambous A, Talias M: The factors associated with the burnout syndrome and fatigue in Cypriot nurses: a census report. BMC Public Health 2012, 12:457. BioMed Central Full Text
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