Cross-cultural adaptation of the Safety Attitudes Questionnaire - Short Form 2006 for Brazil

Abstract

The objective of this study was to perform a cross-cultural adaptation of the Safety Attitudes Questionnaire -Short Form 2006 for Brazil. The instrument was applied in six hospitals in three regions of Brazil. Content, face, and construct validity was performed. Analysis of the instrument's reliability was performed by verifying the items' internal consistency through Cronbach's alpha.The sample was composed of 1301 professionals working in clinical and surgical wards of six hospitals. Confirmatory analysis showed that the model including 41 items was satisfactory. The Portuguese version presented an alpha of 0.89. The item-total correlations among the domains were moderate to strong, except for the domain Stress Recognition. We concluded that the instrument's version adapted to Portuguese and applied in our sample is valid and reliable. Before applying any scale or questionnaire, however, researchers need to ensure the instruments' validity.Another important aspect is the cultural context in which these scales will be used. Before implementing any instruments, it is essential to culturally adapt them to the country or city where they will be applied (2) .Based on these recommendations, we aimed to MethodThis is a methodological and cross-sectional study with a quantitative approach. In this study, we performed content, face and construct validity. The instrumentThe Safety Attitudes Questionnaire -Short Local data collectionAfter the translation process of the Safety Attitudes Questionnaire, we proceeded with the application of the questionnaires to evaluate the scale's psychometric properties, reliability and validity. The instrument was administered at six public tertiary hospitals in three regions of Brazil. Team TrainingBefore initiating data collection, technical visits were conducted at each hospital in order to learn about the institutions and clarify the importance of the study to the hospital managers.A coordinator and two research assistants were appointed to each hospital. All coordinators are members of the same research group and were familiar with the studied hospitals. The project coordinators and researchers selected the research assistants. To be chosen, research assistants should be health professionals and have knowledge of the routine at the hospitals where the research would be conducted.The research coordinators were responsible for meeting with the managers and the staff, study the logistics, guide the research assistants, and distributing and collecting the questionnaires. The research assistants were responsible for applying the questionnaire to the professionals.Training was implemented at each research center and took one week. The training was aimed at familiarizing the research assistants with the instrument, address potential doubts that could arise during the completion of the scale, and train them to approach the professionals. ParticipantsThe study population consisted of all professionals working in the clinical and surgical wards of the six health facilities chosen for the s...

Ambiente de trabalho da enfermagem, segurança do paciente e qualidade do cuidado em hospital pediátrico

“…The scores can range from zero to 100 points, and means above 75 indicate the presence of attitudes favorable to patient safety. The reliability of the instrument has been satisfactory in previous studies (α = 0.65 to 0.79) (15) . The quality of the care provided in pediatric units was assessed by the following question posed to nursing professionals -"How do you assess the quality of nursing care provided to patients in your unit?…”

“…The instrument has satisfactory validity and reliability indexes (α = 0.65 to 0.91) (13)(14) . The presence of safety attitudes in the work environment was assessed using the Safety Attitudes Questionnaire -Short form 2006 (SAQ), validated to the Brazilian culture (15) . The SAQ contains 41 items and eight domains: teamwork climate, job satisfaction, safety climate, perceptions of management (unit and hospital), working conditions, stress recognition and safe behavior.…”

Ambiente da prática, satisfação e clima de segurança: percepção dos enfermeiros

“…Scores equal or superior to 75 points are considered as positive assessments of the safety climate and job satisfaction. (22) A Cronbach's alpha coefficient of 0.85 was found for the job satisfaction subscale and 0.77 for the safety climate subscale.…”

“…As highlighted, the instruments used have been adapted and validated for the Brazilian culture. (16,22) The data were organized in an electronic worksheet and the statistical software SAS® version 9.2. was used for the descriptive analysis of the sample. The absolute and percentage frequencies were assessed for the categorical variables and the position (mean, median, minimum and maximum) and dispersion measures (standard deviation) for the categorical variables.…”

The Development of the Job Satisfaction Scale for Hospital Staff in Taiwan

“…CFA results for 2012 and 2013 data both revealed that the composite reliability of the scale exceeds the recommended .70 threshold and that the AVE estimates were above .50, providing evidence of convergent validity (Hair et al, 2006). Correlations Analysis and the square of interfactor correlations are reported in Table 5 and Management support contributes significantly to high levels of job satisfaction (Abdou and Saber, 2011;de Carvalho and Cassiani, 2012;Göras et al, 2013). Consequently, we suggest that attention to management system, work achievement, and promotion and evaluation should significantly improve job satisfaction.…”