Table 7 The description of each item in Beijing hospitals
Item | Mean (SD) | Positive response rate (%) |
|---|---|---|
Items belong to six dimensions | ||
 Teamwork climate | ||
  1. Nurse input is well received in this clinical area. | 68.99(27.12) | 65.70 |
  2. In this clinical area, it is difficult to speak up if I perceive a problem with patient care. (R) | 67.68(29.78) | 63.89 |
  3. Disagreements in this clinical area are resolved appropriately (i.e., not who is right, but what is best for the patient). | 75.21(25.43) | 74.50 |
  4. I have the support I need from other personnel to care for patients. | 74.49(26.79) | 75.77 |
  5. It is easy for personnel here to ask questions when there is something that they do not understand. | 81.20(23.45) | 83.29a |
  6. The physicians and nurses here work together as a well-coordinated team. | 81.15(24.07) | 82.91a |
 Safety climate | ||
  7. I would feel safe being treated here as a patient. | 80.24(22.87) | 82.30a |
  8. Medical errors are handled appropriately in this clinical area. | 81.32(21.86) | 84.42a |
  9. I know the proper channels to direct questions regarding patient safety in this clinical area. | 73.60(25.76) | 70.51 |
  10. I receive appropriate feedback about my performance. | 66.48(28.23) | 62.89 |
  11. In this clinical area, it is difficult to discuss errors. (R) | 68.69(28.15) | 66.21 |
  12. I am encouraged by my colleagues to report any patient safety concerns I may have. | 69.45(25.35) | 64.42 |
  13. The culture in this clinical area makes it easy to learn from the errors of others. | 76.66(22.95) | 77.74 |
Job satisfaction | ||
  15. I like my job. | 68.13(26.97) | 61.02 |
  16. Working here is like being part of a large family. | 77.41(24.57) | 78.82 |
  17. This is a good place to work. | 72.80(27.74) | 71.06 |
  18. I am proud to work in this clinical area. | 71.97(26.79) | 66.51 |
  19. Morale in this clinical area is high. | 71.88(27.11) | 67.49 |
Stress recognition | ||
  20. When my workload becomes excessive, my performance is impaired. (R) | 44.49(33.45) | 32.97b |
  21. I am less effective at work when fatigued. (R) | 41.97(32.74) | 30.24b |
  22. I am more likely to make errors in tense or hostile situations. (R) | 45.64(33.54) | 35.93b |
  23. Fatigue impairs my performance during emergency situations (e.g. emergency resuscitation, seizure). (R) | 46.00(33.86) | 35.66b |
 Recognition of management | ||
  24. Management supports my daily efforts. | 69.16(23.79) | 57.27b |
  25. Management doesn’t knowingly compromise patient safety. | 76.43(24.6) | 72.40 |
  26. Management is doing a good job. | 69.34(23.52) | 57.09b |
  27. Problem personnel are dealt with constructively by our management. | 66.63(23.83) | 54.55b |
  28. I get adequate, timely information about events that might affect my work from Management. | 65.96(23.94) | 51.36b |
Working condition | ||
  29. The levels of staffing in this clinical area are sufficient to handle the number of patients. | 56.94(32.27) | 48.40b |
  30. This hospital does a good job of training new personnel. | 72.41(24.77) | 70.52 |
  31. All the necessary information for diagnostic and therapeutic decisions is routinely available to me. | 70.62(23.15) | 69.13 |
  32. Trainees in my discipline are adequately supervised. | 74.40(21.55) | 76.07 |
 Items not belong to six dimensions | ||
  14. My suggestions about safety would be acted upon if I expressed them to management. | 61.81(28.48) | 53.13b |
  33. I experience good collaboration with nurses in this clinical area. | 82.33(19.74) | 87.05a |
  34. I experience good collaboration with staff physicians in this clinical area. | 80.46(20.6) | 84.54a |
  35. I experience good collaboration with pharmacists in this clinical area. | 75.82(22.75) | 74.08 |
  36. Communication breakdowns that lead to delays in delivery of care are common.(R) | 65.22(31.67) | 60.22 |