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The Swedish Safety Attitudes Questionnaire - Operating Room Version: Psychometric Properties in the Surgical Team
Örebro University, School of Health Sciences. (Centre for Perioperative Nursing (CPoN))ORCID iD: 0000-0001-5403-4183
Örebro University, School of Health Sciences. Anesthesia and Intensive Care Unit, Falun Hospital, Falun, Sweden. (Centre for Perioperative Nursing (CPoN))
Department of Statistics, Uppsala university , Uppsala, Sweden.
School of Health Sciences, Faculty of Medicine and Health, Örebro University, Örebro, Sweden; School of Education, Health and Social Studies, Dalarna University, Falun, Sweden. (Centre for Perioperative Nursing (CPoN))
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2018 (English)In: Journal of Perianesthesia Nursing, ISSN 1089-9472, E-ISSN 1532-8473, Vol. 33, no 6, p. 935-945Article in journal (Refereed) Published
Abstract [en]

Purpose: To validate the Swedish Safety Attitudes Questionnaire–operating room (SAQ-OR) version by re-evaluating its psychometric properties for the surgical team.

Design: Cross-sectional questionnaire study.

Methods: 541 surgical team members including perioperative nurses, physicians, and licensed practical nurses at three Swedish hospitals were included.

Findings: For the total sample, the Cronbach’s a for the six factors ranged from 0.51 to 0.76. Goodness-of-fit analyses indicated that the six-factor model was acceptable and the factor loadings were statistically significant. The test of the hypothesized relationships among the factors showed a correlation from 0.936 to 0.042.

Conclusions: The refined Swedish version of the SAQ-OR is a reasonably reliable and acceptably valid instrument for the measurement of patient safety climate in the surgical team. However, the results related to the different analyses varied among the different professionals and further research, using larger samples, is needed to explore these differences, especially among the physicians.

Place, publisher, year, edition, pages
Maryland Heights, MO, United States: Elsevier, 2018. Vol. 33, no 6, p. 935-945
Keywords [en]
Safety Attitudes Questionnaire, safety climate, operating room, patient safety, psychometrics, surgical team
National Category
Nursing
Research subject
Caring Sciences w. Medical Focus
Identifiers
URN: urn:nbn:se:oru:diva-64024DOI: 10.1016/j.jopan.2017.09.009ISI: 000450368000017PubMedID: 30449442Scopus ID: 2-s2.0-85040001880OAI: oai:DiVA.org:oru-64024DiVA, id: diva2:1172795
Available from: 2018-01-10 Created: 2018-01-10 Last updated: 2019-04-30Bibliographically approved
In thesis
1. Open the door to complexity: Safety climate and work processes in the operating room
Open this publication in new window or tab >>Open the door to complexity: Safety climate and work processes in the operating room
2019 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

A complex adaptive system such as the operating room (OR), consists of different safety cultures, sub-cultures and ways of working. When measuring, a strong safety climate has been associated with lower rates of surgical complications. Teamwork is an important factor of safety climate. Discrepancies among professionals’ perceptions of teamwork climate exists. Hence it seems crucial to explore if diversity exists in the perception of factors related to safety climate and between managers and front-line staff in the OR. Complex work processes including multitasking and interruptions are other challenges with potential effect on patient safety. However, multitasking and interruptions may have positive impact on patient safety, but are not well understood in clinical work. Despite challenges a lot of things go well in the OR. Thus, the overall aim of this thesis was to evaluate an instrument for assessing safety climate, to describe and compare perceptions of safety climate, and to explore the complexity of work processes in the OR.

To evaluate the Safety Attitudes Questionnaire-operating room (SAQ-OR) version and elicit estimations of the surgical team a cross-sectional study design was used. How work was done was studied by observations using the Work Observation Method by Activity Timing and by group interviews with OR professionals.

The results show that the SAQ-OR is a relatively acceptable instrument to assess perceptions of safety climate within Swedish ORs. OR professionals´ perceptions of safety climate showed variations and some weak areas which cohered fairly well with managers' estimations. Work in the OR was found to be complex and consisting of multiple tasks where communication was most frequent. Multitasking and interruptions, mostly followed by communication, were common. This reflects interactions and adaptations common for a complex adaptive system. Managing complexity and creating safe care in the OR was described as a process of planning and preparing for the expected and preparedness to be able to adapt to the unexpected.

Place, publisher, year, edition, pages
Örebro: Örebro University, 2019. p. 100
Series
Örebro Studies in Medicine, ISSN 1652-4063 ; 193
Keywords
Patient safety, operating room, complexity, safety climate, psychometrics, cross-sectional, observations and qualitative
National Category
Other Health Sciences
Identifiers
urn:nbn:se:oru:diva-73093 (URN)978-91-7529-285-4 (ISBN)
Public defence
2019-05-24, Föreläsningssalen Falu Lasarett, Lasarettsvägen 10, Falun, 09:00 (Swedish)
Opponent
Supervisors
Available from: 2019-03-11 Created: 2019-03-11 Last updated: 2019-05-06Bibliographically approved

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Nilsson, UlricaGöras, Camilla

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