RT Journal Article
SR Electronic
T1 Measuring safety climate in health care
JF Quality and Safety in Health Care
JO Qual Saf Health Care
FD BMJ Publishing Group Ltd
SP 109
OP 115
DO 10.1136/qshc.2005.014761
VO 15
IS 2
A1 R Flin
A1 C Burns
A1 K Mearns
A1 S Yule
A1 E M Robertson
YR 2006
UL http://qualitysafety.bmj.com/content/15/2/109.abstract
AB Aim: To review quantitative studies of safety climate in health care to examine the psychometric properties of the questionnaires designed to measure this construct. Method: A systematic literature review was undertaken to study sample and questionnaire design characteristics (source, no of items, scale type), construct validity (content validity, factor structure and internal reliability, concurrent validity), within group agreement, and level of analysis. Results: Twelve studies were examined. There was a lack of explicit theoretical underpinning for most questionnaires and some instruments did not report standard psychometric criteria. Where this information was available, several questionnaires appeared to have limitations. Conclusions: More consideration should be given to psychometric factors in the design of healthcare safety climate instruments, especially as these are beginning to be used in large scale surveys across healthcare organisations.