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.
