Table 3 SAQ item characteristics
Dimensions and survey questions, numbered | % Missing data (i.e.,% answered not applicable) | Mean (SD) | Agree (%) | Disagree (%) | CVI-Index* | CFA: Standardised model* | |
|---|---|---|---|---|---|---|---|
Factor loading | S.E. | ||||||
Teamwork climate | |||||||
1. Nurse input is well received in this clinical area. | 0 (0) | 4.40 (.737) | 88.4 | 1.3 | 0.81 | 0.660** | 0.047 |
2. In this clinical area, it is difficult to speak up if I perceive a problem with patient care***. | 0 (0.3) | 4.33 (.984) | 7.5 | 84.6 | 0.90 | 0.550** | 0.056 |
3. Disagreements in this clinical area are resolved appropriately (i.e., not who is right, but what is best for the patient) | 0.6 (1.3) | 4.07 (.856) | 77 | 4.2 | 0.78 | 0.626** | 0.051 |
4. I have the support I need from other personnel to care for patients. | 0.3 (0) | 4.08 (.825) | 80.5 | 3.5 | 0.88 | 0.572** | 0.055 |
5. It is easy for personnel in this clinical area to ask questions when there is something that they do not understand. | 0 (0) | 4.50 (.726) | 93.1 | 2.5 | 0.95 | 0.633** | 0.052 |
6. The physicians and nurses here work together as a well-coordinated team. | 0.3 (0) | 3.65 (.786) | 58.2 | 5.7 | 0.86 | 0.402** | 0.062 |
Safety climate | |||||||
7. I would feel safe being treated here as a patient. | 0 (0.6) | 3.92 (.759) | 72.2 | 2.5 | 0.95 | 0.610** | 0.046 |
8. Medical errors are handled appropriately in this clinical area. | 0 (2.8) | 4.09 (.779) | 81.6 | 3.9 | 0.88 | 0.707** | 0.038 |
9. I know the proper channels to direct questions regarding patient safety in this clinical area. | 0.9 (2.8) | 4.42 (.725) | 90.9 | 2.0 | 0.76 | 0.577** | 0.055 |
10. I receive appropriate feedback about my performance. | 0 (0) | 3.77 (.990) | 63.0 | 9.1 | 0.79 | 0.625** | 0.043 |
11. In this clinical area, it is difficult to discuss errors***. | 0 (0.3) | 4.05 (.933) | 7.2 | 79.2 | 0.95 | 0.609** | 0.045 |
12. I am encouraged by my colleagues to report any patient safety concerns I may have | 0 (2.5) | 3.88 (.986) | 70.4 | 10.0 | 0.86 | 0.550** | 0.048 |
13. The culture in this clinical area makes it easy to learn from the errors of others. | 0.3 (2.2) | 3.93 (.973) | 72.3 | 8.7 | 0.75 | 0.670** | 0.041 |
Job satisfaction | |||||||
14. I like my job. | 0 (0.3) | 4.61 (.640) | 94.3 | 0.9 | 0.75 | 0.602** | 0.055 |
15. Working in this hospital is like being part of a large family. | 0.6 (2.2) | 3.62 (.954) | 60.3 | 12.6 | 0.69 | 0.706** | 0.047 |
16. This hospital is a good place to work. | 0.3 (0.6) | 4.28 (.745) | 87.0 | 1.9 | 0.81 | 0.797** | 0.033 |
17. I am proud to work at this hospital. | 0.9 (1.6) | 4.16 (.840) | 83.0 | 4.2 | 0.73 | 0.790** | 0.035 |
18. Moral in this clinical area is high. | 0.3 (0.6) | 4.05 (.781) | 78.8 | 2.8 | 0.88 | 0.754** | 0.038 |
Stress recognition | |||||||
19. When my workload becomes excessive, my performance is impaired. | 0 (0.3) | 3.47 (1.138) | 53.0 | 21.8 | 0.88 | 0.757** | 0.040 |
20. I am less effective at work when fatigued. | 0.3 (0.3) | 3.65 (1.108) | 59.3 | 16.4 | 0.92 | 0.862** | 0.032 |
21. I am more likely to make errors in tense or hostile situations. | 0.3 (0.6) | 3.62 (1.141) | 59.2 | 20.3 | 0.86 | 0.793** | 0.038 |
22. Fatigue impairs my performance during emergency situations (e.g., emergency resuscitation, seizure). | 0.6 (9.7) | 2.88 (1.327) | 37.5 | 47.7 | 0.45 | 0.768** | 0.048 |
Perceptions of management | |||||||
23. Management supports my daily efforts: | |||||||
Unit levels: | 0.3 (0) | 3.90 (.973) | 67.5 | 7.5 | 0.81 | 0.556** | 0.057 |
Hospital level: | 0.6 (25.1) | 2.80 (1.146) | 31.6 | 39.7 | Excluded from analysis | ||
24. Management does not knowingly compromise the safety of patients. | |||||||
Unit level: | 0.9 (13.2) | 3.42 (1.660) | 59.1 | 34.7 | 0.35 | Excluded from analysis | |
Hospital level: | 1.3 (33.5) | 3.30 (1.448) | 51.9 | 33.0 | Excluded from analysis | ||
26. I am provided with adequate, timely information about events in the hospital that might affect my work. | |||||||
Unit level: | 0.6 (2.6) | 4.06 (.840) | 77.6 | 4.9 | 0.78 | 0.676** | 0.054 |
Hospital: | 1.9 (26.0) | 3.69 (.987) | 66.5 | 13.0 | Excluded from analysis | ||
27. The levels of staffing in this clinical area are sufficient to handle the number of patients. | 0.3 (0) | 3.45 (1.070) | 49.1 | 15.7 | 0.82 | 0.345** | 0.065 |
Working conditions | |||||||
25. Problem personnel are dealt constructively in hospital. | |||||||
Unit level: | 0.9 (10.7) | 3.71 (.995) | 61.3 | 11.0 | 0.76 | 0.725** | 0.064 |
Hospital level: | 1.6 (53.7) | 3.32 (.942) | 39.9 | 16.2 | Excluded from analysis | ||
28. This hospital does a good job of training new personnel. | 0.6 (1.6) | 4.03 (.969) | 73.4 | 6.1 | 0.96 | 0.635** | 0.049 |
29. All the necessary information for diagnostic and therapeutic decisions is routinely available to me. | 0.6 (1.6) | 4.14 (.719) | 82.1 | 2.6 | 0.92 | 0.462** | 0.062 |
30. Trainees in my discipline are adequately supervised. | 0.3 (5.3) | 4.24 (.830) | 83.3 | 3.3 | 0.90 | 0.711** | 0.049 |