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Table 4 Median and mean scores for the 62 items in the Safety Attitudes Questionnaire – Ambulatory Version (SAQ-A) among 288 health care providers in five nursing homes in Tønsberg, Norway, 2016

From: The safety attitudes questionnaire – ambulatory version: psychometric properties of the Norwegian version for nursing homes

Statement Missing/NAa n (%) Median scoreb (range) Mean scoreb (SDc)
1. High levels of workload are common in this nursing home ward. 13 (4.5) 5 (1–5) 4.5 (0.9)
2. I like my job. 3 (1.0) 5 (1–5) 4.7 (0.7)
3. Input from personnel is well received in this nursing home ward. 11 (3.8) 4 (1–5) 3.9 (1.0)
4. I would feel safe being treated here as a patient. 9 (3.1) 4 (1–5) 4.1 (1.0)
5. Medical errors are handled appropriately in this nursing home ward. 30 (10.4) 4 (1–5) 4.0 (1.1)
6. This nursing home ward does a good job of training new personnel. 11 (3.8) 4 (1–5) 3.9 (1.1)
7. All the necessary information for diagnostic and therapeutic decisions is routinely available to me. 26 (9.1) 4 (1–5) 3.8 (1.1)
8. Working in this nursing home ward is like being part of a large family. 16 (5.5) 4 (1–5) 3.7 (1.3)
9. Senior management of this nursing home ward is doing a good job. 16 (5.6) 4 (1–5) 3.8 (1.1)
10. The management of this nursing home ward supports my daily efforts. 14 (4.8) 4 (1–5) 3.9 (1.1)
11. I receive appropriate feedback about my performance. 7 (2.4) 4 (1–5) 3.7 (1.2)
12 d . In this nursing home ward, it is difficult to discuss errors. 15 (5.2) 3 (1–5) 3.2 (1.3)
13. Briefing other personnel before a procedure (e.g., wound care) is important for patient safety. 18 (6.3) 5 (1–5) 4.6 (0.8)
14. Briefings are common in this nursing home ward. 18 (6.2) 4 (1–5) 3.7 (1.1)
15. This nursing home ward is a good place to work. 11 (3.8) 5 (1–5) 4.3 (0.9)
16. Communication breakdowns which lead to delays in delivery of care are common. 32 (11.2) 3 (1–5) 2.8 (1.3)
17. The nursing home ward management does not knowingly compromise the safety of patients. 40 (13.9) 4 (1–5) 3.7 (1.3)
18. The levels of staffing in this nursing home ward are sufficient to handle the number of patients. 20 (6.9) 4 (1–5) 2.6 (1.3)
19. Decision making in this nursing home ward utilizes input from relevant personnel. 25 (8.7) 4 (1–5) 3.8 (1.0)
20. I am encouraged by my colleagues to report any patient safety concerns I may have. 29 (10.1) 4 (1–5) 4.0 (1.1)
21. The culture in this nursing home ward makes it easy to learn from the errors of others. 15 (5.2) 4 (1–5) 3.8 (1.1)
22. This nursing home ward deals constructively with problem personnel. 16 (5.6) 4 (1–5) 3.5 (1.2)
23. The medical equipment in this nursing home ward is adequate. 26 (9.0) 4 (1–5) 3.4 (1.1)
24 d . In this nursing home ward, it is difficult to speak up if I perceive a problem with patient care. 23 (8.0) 4 (1–5) 3.4 (1.3)
25. When my workload becomes excessive, my performance is impaired. 10 (3.4) 4 (1–5) 4.0 (1.2)
26. I am provided with adequate, timely information about events in the nursing home ward that might affect my work. 17 (5.9) 4 (1–5) 3.8 (1.1)
27. I have seen others make errors that had the potential to harm patients. 23 (8.0) 3 (1–5) 2.7 (1.5)
28. I know the proper channels to direct questions regarding patient safety in this nursing home ward. 19 (6.6) 5 (1–5) 4.1 (1.2)
29. I am proud to work at this nursing home ward. 8 (2.8) 5 (1–5) 4.3 (0.9)
30. Disagreements in this nursing home ward are resolved appropriately (i.e., not who is right but what is best for the patient). 16 (5.6) 4 (1–5) 4.0 (1.1)
31. I am less effective at work when fatigued. 10 (3.5) 4 (1–5) 4.0 (1.2)
32. I am more likely to make errors in tense or hostile situations. 15 (5.2) 4 (1–5) 3.8 (1.3)
33. Stress from personal problems adversely affects my performance. 24 (8.3) 4 (1–5) 3.3 (1.4)
34. I have the support I need from other personnel to care for patients. 16 (5.6) 5 (1–5) 4.3 (1.0)
35. It is easy for personnel in this nursing home ward to ask questions when there is something that they do not understand. 23 (8.0) 5 (1–5) 4.3 (1.0)
36. Disruptions in the continuity of care can be detrimental to patient safety. 27 (9.4) 5 (1–5) 4.3 (1.0)
37. During emergencies, I can predict what other personnel are going to do next. 27 (9.4) 4 (1–5) 3.7 (1.0)
38. The physicians and nurses here work together as a well-coordinated team. 42 (14.6) 4 (1–5) 4.0 (1.0)
39. I am frequently unable to express disagreement with staff physicians in this nursing home ward. 92 (31.9) 3 (1–5) 2.5 (1.3)
40. Truly professional personnel can leave personal problems behind when working. 23 (8.0) 5 (1–5) 4.2 (1.1)
41. Morale in this nursing home ward is high. 10 (3.5) 5 (1–5) 4.3 (1.0)
42. Trainees in my discipline are adequately supervised. 25 (8.7) 4 (1–5) 4.1 (1.0)
43. I know the first and last names of all the personnel I worked with during my last shift. 19 (6.6) 4 (1–5) 3.9 (1.4)
44. I have made errors that had the potential to harm patients. 28 (9.7) 1 (1–5) 1.9 (1.3)
45. Attending health care providers in this nursing home ward are doing a good job. 23 (8.0) 5 (1–5) 4.5 (0.9)
46. All the personnel in this nursing home ward take responsibility for patient safety. 23 (8.0) 5 (1–5) 4.2 (1.0)
47. I feel fatigued when I have to get up in the morning and face another day on the job. 28 (9.7) 2 (1–5) 2.3 (1.4)
48. Patient safety is constantly reinforced as the priority in this nursing home ward. 22 (7.7) 4 (1–5) 4.0 (1.0)
49. I feel burned out from my work. 26 (9.1) 1 (1–5) 2.0 (1.3)
50. Important issues are well communicated at shift changes. 20 (6.9) 4 (1–5) 3.9 (1.2)
51. There is widespread adherence to clinical guidelines and evidence-based criteria in this nursing home ward. 35 (12.1) 4 (1–5) 4.1 (0.9)
52. I feel frustrated by my job. 23 (8.0) 2 (1–5) 2.4 (1.4)
53. I feel I am working too hard on my job. 23 (8.0) 3 (1–5) 2.9 (1.4)
54. Information obtained through incident reports is used to make patient care safer in this nursing home ward. 31 (10.8) 4 (1–5) 3.5 (1.3)
55. Personnel frequently disregard rules or guidelines (e.g., handwashing, wound care, etc.) that are established for this nursing home ward. 19 (6.6) 2 (1–5) 2.2 (1.4)
56. Fatigue impairs my performance during emergency situations. 31 (10.8) 2 (1–5) 2.5 (1.5)
57. Fatigue impairs my performance during routine care. 36 (12.6) 2 (1–5) 2.5 (1.5)
58. I am satisfied with the current referral process in this nursing home ward. 51 (17.7) 4 (2–5) 3.8 (1.0)
59. There is adequate and timely transfer of patient information between the nursing home physician and the general practitioner. 127 (44.1) 3 (1–5) 3.5 (1.1)
60. Medications are refilled in a timely manner. 78 (27.1) 4 (1–5) 4.1 (1.1)
61. Medications are refilled correctly. 88 (30.6) 4 (1–5) 4.1 (1.1)
62. Abnormal test results are frequently lost or overlooked. 80 (27.8) 1 (1–5) 1.9 (1.1)
  1. aNA = Not applicable. Not included in calculations of mean scores
  2. bScoring: 1 = disagree strongly, 2 = disagree slightly, 3 = neutral, 4 = agree slightly, 5 = agree strongly.
  3. cStandard deviation.
  4. dReverse-scored items.
  5. Results based on answers from 288 health care providers working in five nursing homes in Tønsberg, Norway
  6. Items included in confirmatory factor analyses in italics (n = 28)