Table 3

Safety attitudes questionnaire domain item scores (N=144 JHH Clinical Areas)

Safety culture domain or item2006 score*2008 score*Mean differenceSDSE95% CI Upper95% CI Lowertp Value
Teamwork climate64.7470.645.9016.451.378.613.194.300.000
 Nurse input is well received in this clinical area74.2279.315.0915.341.287.622.563.980.000
 In this clinical area, it is difficult to speak up if I perceive a problem with patient care§17.5314.93−2.6112.311.03−0.58−4.64−2.540.012
 Disagreements in this clinical area are resolved appropriately (ie, not who is right, but what is best for the patient)65.2271.065.8416.501.388.563.124.250.000
 I have the support I need from other personnel to care for patients76.6783.526.8515.411.289.39−4.31−5.330.000
 It is easy for personnel here to ask questions when there is something that they do not understand83.9687.423.4612.941.085.591.333.210.002
 The physicians and nurses here work together as a well-coordinated team71.6977.435.7518.001.508.712.783.830.000
Safety climate61.0169.378.3616.671.3911.115.616.020.000
 I would feel safe being treated here as a patient71.0976.125.0313.761.157.292.764.380.000
 Medical errors are handled appropriately in this clinical area77.3983.656.2515.131.268.743.764.960.000
 I know the proper channels to direct questions regarding patient safety in this clinical area86.2590.254.0010.900.915.802.214.410.000
 I receive appropriate feedback about my performance71.8174.522.7113.751.154.970.442.360.020
 In this clinical area, it is difficult to discuss errors§22.9818.79−4.1913.571.13−1.95−6.42−3.710.000
 I am encouraged by my colleagues to report any patient safety concerns I may have77.1783.155.9814.331.198.343.625.010.000
 The culture in this clinical area makes it easy to learn from the errors of others66.9171.554.6414.121.186.962.313.940.000
Job satisfaction60.8966.495.6017.641.478.512.703.810.000
 I like my job81.3683.852.4912.381.034.530.452.410.017
 Working here is like being part of a large family66.7370.804.0818.071.517.051.102.710.008
 This is a good place to work75.4381.926.5014.281.198.854.145.460.000
 I am proud to work in this clinical area80.6183.522.9113.881.165.200.622.520.013
 Morale in this clinical area is high52.5459.256.7121.451.7910.243.183.750.000
Stress recognition45.3645.840.4813.381.112.681.730.430.670
 When my workload becomes excessive, my performance is impaired61.8060.88−0.9214.381.201.45−3.29−0.770.446
 I am less effective at work when fatigued71.8270.88−0.9313.871.161.35−3.22−0.810.422
 I am more likely to make errors in tense or hostile situations62.5062.27−0.2314.651.222.18−2.64−0.190.850
 Fatigue impairs my performance during emergency situations (eg, emergency resuscitation, seisure)43.6144.120.5114.921.242.97−1.950.410.683
Hospital management quality39.2546.617.3618.291.5210.374.354.830.000
 (Hospital) management supports my daily efforts48.8954.175.2721.651.808.841.712.920.004
 (Hospital) management does not knowingly compromise the safety of patients61.7166.654.9418.051.507.911.963.280.001
 The levels of staffing in this clinical area are sufficient to handle the number of patients50.9255.894.9721.191.778.461.482.820.006
 I get adequate, timely information about events that might affect my work, from hospital management51.8359.367.5319.851.6510.804.264.550.000
Working conditions48.0154.936.9216.461.379.634.205.040.000
 All the necessary information for diagnostic and therapeutic decisions is routinely available to me67.1072.435.3417.491.468.232.443.650.000
 Problem personnel are dealt with constructively by our hospital management40.7045.684.9817.551.467.872.093.400.001
 Trainees in my discipline are adequately supervised71.2376.455.2215.611.307.792.654.010.000
 This hospital does a good job of training new personnel63.1068.375.2816.401.377.982.583.860.000
Unit management quality61.6768.136.4618.091.519.443.484.290.000
 (Unit) management supports my daily efforts71.8576.314.4715.761.317.061.873.400.001
 (Unit) management does not knowingly compromise the safety of patients74.2579.435.1715.951.337.802.553.890.000
 I get adequate, timely information about events that might affect my work, from unit management66.2473.787.5417.321.4410.404.695.230.000
  • An italicised row represents the overall domain scale score of the items listed underneath.

  • * Score is defined as the average agreement for the hospital: the percentage of respondents who agreed (slightly or strongly) with each item is calculated for each clinical area, and then the mean of these percentages is used as the average agreement for the hospital.

  • Paired-samples t tests and p values compare 2006 scores with 2008 scores.

  • Domain scale scores are calculated using the mean of the percentage agreement across the items in that domain.

  • § Items are reverse-scored due to negative wording.

  • Mean difference calculated by subtracting 2008 score from 2006 score.