Evaluation of a healthcare safety climate measurement tool

J Safety Res. 2008;39(6):563-8. doi: 10.1016/j.jsr.2008.09.004. Epub 2008 Nov 6.

Abstract

Problem: Psychometrically validated measurement tools are needed to evaluate an organization's safety climate. In 2000, Gershon and colleagues published a new healthcare safety climate measurement tool to determine its relationship to safe work behavior (Gershon, R., Karkashian, C., Grosch, J., Murphy, L., Escamilla-Cejudo, A., Flanagan, P., et al. (2000). Hospital safety climate and its relationship with safe work practices and workplace exposure incidents. American Journal of Infection Control, 28, 211-21). The present study evaluated the psychometric properties of the Gershon tool when modified to address respiratory rather than bloodborne pathogen exposures.

Method: Medical practitioners, nurses, and nurse aides (n=460) were surveyed using the modified Gershon tool. Data were analyzed by factor analysis and psychometric properties of the tool evaluated.

Results: Eight safety climate dimensions were extracted from 25 items (Cronbach's alpha range: 0.62 - 0.88). Factor extractions and psychometric properties were reasonably consistent with those of the Gershon tool.

Impact on industry: The Gershon safety climate tool appears to have sufficient reliability and validity for use by healthcare decision makers as an indicator of employee perceptions of safety in their institution.

Publication types

  • Evaluation Study

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Climate*
  • Cross-Sectional Studies
  • Data Collection
  • Factor Analysis, Statistical
  • Female
  • Humans
  • Male
  • Middle Aged
  • Occupational Health*
  • Organizational Culture*
  • Organizational Policy*
  • Personnel, Hospital / standards*
  • Respiratory Tract Infections / prevention & control*
  • Safety Management / standards*
  • Social Perception
  • Surveys and Questionnaires
  • Young Adult