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Table 3 Dimensions/items with corresponding mean and standard deviation (SD), response rate (n %), responses to “Does not apply, Do not know” category, and missing values

From: Psychometric properties of the Nursing Home Survey on Patient Safety Culture in Norwegian nursing homes

Dimensions/Items

Mean (SD)

Response rate n (%)

Does not apply or don’t know

Missing

1. Teamwork

 A1. Staff in this nursing home treat each other with respect

4.31 (0.79)

463 (69 %)

0

3

 A2. Staff support one another in this nursing home

4.18 (0.79)

459 (68 %)

0

7

 A5. Staff feel like they are part of a team

4.10 (0.82)

463 (69 %)

0

3

 A9. When someone gets really busy in this nursing home, other staff help out

3.71 (0.85)

459 (68 %)

1

6

2. Staffing

 A3. We have enough staff to handle the workload

2.97 (0.89)

456 (68 %)

3

7

 A8 (R). Staff have to hurry because they have too much work to do

2.55 (0.92)

458 (68 %)

2

6

 A16. Patients need are met during shift changes

3.80 (0.81)

450 (67 %)

9

7

 A17 (R). It is hard to keep patients safe because so many staff quit their jobs

4.11 (0.85)

427 (64 %)

30

9

3. Compliance with procedures

 A4. Staff follow standard procedures to care for patients

4.00 (0.79)

455 (68 %)

6

5

 A6 (R). Staff use shortcuts to get their work done faster

3.38 (0.92)

450 (67 %)

11

5

 A14 (R). To make work easier, staff often ignore procedures

3.82 (0.81)

444 (66 %)

17

5

4. Training and skills

 A7. Staff get the training they need in this nursing home

3.63 (0.86)

460 (69 %)

3

3

 A11. Staff have enough training on how to handle difficult patients

3.21 (0.86)

450 (67 %)

8

8

 A13. Staff understand the training they get in this nursing home

3.89 (0.73)

437 (65 %)

20

9

5. Nonpunitive response to mistakes

 A10 (R). Staff are blamed when a patient is harmed

4.13 (0.77)

427 (63 %)

30

9

 A12 (R). Staff are afraid to report their mistakes

3.76 (0.83)

435 (65 %)

26

5

 A15. Staff are treated fairly when they make mistakes

3.95 (0.79)

417 (62 %)

40

9

 A18. Staff feel safe reporting their mistakes

3.97 (0.74)

447 (67 %)

14

5

6. Handoffs

 B1. Staff are told what they need to know before taking care of a patient for the first time

4.01 (0.72)

458 (68 %)

4

4

 B2. Staff are told when there is a change in a patients’ care plan

3.79 (0.78)

447 (67 %)

13

6

 B3a. We have all the information we need when patients are transferred from the hospital (medical information)

4.09 (0.80)

386 (58 %)

44

36

 B3b. We have all the information we need when patients are transferred from the hospital (nursing report)

4.24 (0.74)

381 (57 %)

55

30

 B10. Staff are given all the information they need to take care of patients

4.24 (0.63)

458 (68 %)

1

7

7. Feedback and communication about incidents

 B4. When staff report something that could harm a patient, someone takes care of it

4.25 (0.69)

434 (65 %)

27

5

 B5. In this nursing home, we talk about ways to keep patients from happening again

3.98 (0.78)

453 (68 %)

3

10

 B6. Staff tell someone if they see something that might harm a patient

4.42 (0.58)

454 (68 %)

6

6

 B8. In this nursing home, we discuss ways to keep patients safe from harm

4.07 (0.69)

450 (67 %)

6

10

8. Communication openness

 B7. Staff ideas and suggestions are valued in this nursing home

3.85 (0.74)

457 (68 %)

1

8

 B9 (R). Staff opinions are ignored in this nursing home

3.82 (0.83)

448 (67 %)

8

10

 B11. It is easy for staff to speak up about problems in this nursing home

3.90 (0.85)

446 (66 %)

12

8

9. Supervisor expectations and actions promoting patient safety

 C1. My supervisor listen to staff ideas and suggestions about patient safety

4.22 (0.76)

453 (68 %)

6

7

 C2. My supervisor says a good word to staff who follow the right procedures

4.19 (0.78)

452 (67 %)

6

8

 C3. My supervisor pays attention to patient safety problems in this nursing home

4.38 (0.66)

450 (67 %)

9

7

10. Overall perceptions of patient safety

 D1. Patients are well cared for in this nursing home

4.33 (0.73)

462 (69 %)

1

3

 D6. This nursing home does a good job keeping patients safe

3.97 (0.64)

449 (67 %)

11

6

 D8. This nursing home is a safe place for patients

4.30 (0.64)

461 (69 %)

1

4

11. Management support for patient safety

 D2. Management asks staff how the nursing home can improve patient safety

3.58 (0.96)

423 (63 %)

33

10

 D7. Management listen to staff ideas and suggestions to improve patient safety

3.80 (0.83)

443 (66 %)

19

4

 D9. Management often walks around the nursing home to check on patients care

2.96 (1.14)

412 (61 %)

45

9

12. Organizational learning

 D3 (R). This nursing home lets the same mistakes happen again and again

3.70 (0.85)

433 (65 %)

27

6

 D4. It is easy to changes to improve patient safety in this nursing home

3.59 (0.79)

439 (65 %)

18

9

 D5. This nursing home is always doing things to improve patient safety

3.79 (0.74)

444 (66 %)

18

4

 D10. When this nursing home makes changes to improve patient safety, it checks to see if the changes worked

3.61 (0.84)

365 (54 %)

88

13

  1. Item-response categories: Items A1–A18, items C1–C3, and items D1–D10: 1 = strongly disagree; 2 = disagree; 3 = neither agree nor disagree; 4 = agree; 5 = strongly agree; item B1–B11: 1 = never; 2 = rarely; 3 = sometimes; 4 = most of the time; and 5 = always
  2. R reverse coded