Results Of An Endoscopy Safety Attitudes Questionnaire (ENDO-SAQ): A Pilot Study

Aims Across healthcare, evidence has demonstrated the influence of safety culture on patient outcomes. We developed a novel tool to measure endoscopy safety culture - the Endoscopy Safety Attitudes Questionnaire (Endo-SAQ). Our aims were to assess the safety attitudes of our workforce and tool validity in a pilot study.

Methods The previously validated SAQ was adapted by the core research team to reflect endoscopy-specific content. An expert group was convened to undertake a rating exercise to assess content validity. Endo-SAQ has 6 domains: teamworking, safety climate, job satisfaction, stress recognition, perceptions of management and working conditions.

The Endo-SAQ was administered to the staff at a tertiary UK endoscopy unit. Outcome measures were mean domain scores, percentage of positive responses per domain, content validity indices (item (I-CVI) and scale (S-CVI)) and internal consistency (Cronbach’s alpha). Statistical analysis included descriptive statistics, paired samples t test, one-way ANOVA and Kruskal-Wallis tests.

Results 61 participants completed the survey (completion rate 88.4 %). All domains scores were over 60 %, indicating a positive overall response across domains. The percentage of positive responses per domain varied, with ‘perceptions of management’ and ‘working conditions’ both scoring < 40 % (Table 1). This appears to be in line with the wider literature in medicine and surgery. On subgroup analysis, nurses scored ‘job satisfaction’ (p = 0.01), ‘perceptions of management’ (p = 0.002) and ‘working conditions’ (p = 0.004) significantly lower than endoscopists.

Five independent expert raters scored the Endo-SAQ for clarity and relevance. Four items had an I-CVI < 0.78 resulting in question rewording. Overall, S-CVI was > 0.90 indicating good content validity. All Endo-SAQ domains scored ‘acceptable’ or above for internal consistency.

Domain	Mean score (SD)	% positive responses
Teamworking	74.32 (20.75)	59.70
Safety climate	76.13 (16.16)	58.70
Job satisfaction	77.68 (19.07)	66.70
Stress recognition	73.51 (26.89)	66.70
Perceptions of management	64.35 (22.44)	33.90
Working conditions	66.78 (19.77)	38.70

Conclusions Endo-SAQ can detect safety attitudes and differences between groups. A national study is due to be undertaken utilising Endo-SAQ in addressing modifiable factors to support the workforce better.

Citation Ravindran S, Healey C, Marshall S et al. eP130 RESULTS OF AN ENDOSCOPY SAFETY ATTITUDES QUESTIONNAIRE (ENDO-SAQ): A PILOT STUDY. Endoscopy 2021; 53: S139.

Publication History

Article published online:
19 March 2021