Reliability and Validity Adaptation of the Hospital Safety Climate Scale

Abstract

Healthcare organisations take many precautions to ensure the safety of patients, the workplace and hospital staff, both because of health and safety legislation and to provide a quality service. Therefore, hospital safety climate scales are used to obtain important information. Aim: The aim of this study is based on Gershon, Karkashian, Grosch et al. (2000), and Smith, Zhao, Wang, Ho (2013) to adapt the reliability and validity of the 20-statement hospital safety climate scale. Method: The survey method was used in the research, and 401 students studying in health departments of 3 different foundation universities in Istanbul-Turkey were reached. SPSS for Windows 22.00 and AMOS 22.0 programs were used to analyse the data, confirmatory factor analysis of the scale was performed in AMOS program and Cronbach’s alpha values were calculated. In addition, AVE and CR values were calculated based on the size after confirmatory factor analysis. Results: In this study, four-stage CFA was applied to adjust the reliability and validity of the hospital safety climate scale. According to the statistical analyses applied, the fit values of the confirmatory factor analysis model found with the modifications in the fourth stage of the scale were within the limits of agreement, and finally 7 items of the 20-item scale were eliminated and a new structure consisting of four dimensions and 13 items was obtained. Results: It is considered that the hospital safety climate scale can be used in hospitals in Turkey, as its original dimensions are preserved in its structure consisting of 13 items obtained in the fourth stage.

Keywords

• factor analysis
• validity
• reliability
• safety climate scale