目的:建立跨文化适应的安全性,Communication,运行可靠性,和参与(SCORE)调查,并使用该工具评估安全干预的影响。
方法:跨文化适应及前后评价研究。
方法:5ICU。
方法:医疗居民,主治医生,还有ICU的护士.
方法:SCORE调查适应西班牙文化。在实施安全工具之前和之后的一年中,经过调整的调查用于评估所有与安全文化相关的领域,实时随机安全审计(西班牙语:AnálisisAleatoriosdeSeguridadenTiempoReal,AASTRE)。
方法:在ICU环境中对西班牙语版SCORE调查的适应性,并评估AASTRE对其领域的影响。
结果:跨文化适应是足够的。AASTRE后调查分数[平均值(标准差,SD)]在领域学习环境中明显更好[50.55(SD20.62)vs60.76(SD23.66),p<.0001],对地方领导的感知[47.98(标准差23.57)vs62.82(标准差27.46),p<.0001],团队合作氛围[51.19(SD18.55)vs55.89(SD20.25),p=.031],安全气候[45.07(SD17.60)vs50.36(SD19.65),p=.01],参与决策[3(SD0.82)对3.65(SD0.87),p<.0001]和组织的进步[3.21(SD0.77)vs4.04(SD0.77),p<.0001]。然而,AASTRE后的评分在领域工作量和倦怠气候方面明显更差。
结论:SCORE调查对西班牙语的跨文化适应是ICU的有用工具。AASTRE的应用与六个SCORE域的改进有关,包括安全气候。
OBJECTIVE: To establish a cross-cultural adaptation of the Safety, Communication, Operational Reliability, and Engagement (SCORE) survey and to use this instrument to evaluate the impact of a safety intervention.
METHODS: Cross-cultural adaptation and before-and-after evaluation study.
METHODS: 5 ICU.
METHODS: Medical residents, attending physicians, and nurses at those ICU.
METHODS: Adaptation of the SCORE survey to Spanish culture. The adapted survey was used to assess all safety-culture-related domains before and one-year after implementing the use of a safety tool, Real-Time Random Safety Audits (in Spanish: Análisis Aleatorios de Seguridad en Tiempo Real, AASTRE).
METHODS: Adaptabiliy of the Spanish version of SCORE survey in the ICU setting and evaluation of the effect of AASTRE on their domains.
RESULTS: The cross-cultural adaptation was adequate. Post-AASTRE survey scores [mean (standard deviation, SD)] were significantly better in the domains learning environment [50.55 (SD 20.62) vs 60.76 (SD 23.66), p<.0001], perception of local leadership [47.98 (SD 23.57) vs 62.82 (SD 27.46), p<.0001], teamwork climate [51.19 (SD 18.55) vs 55.89 (SD 20.25), p=.031], safety climate [45.07 (SD 17.60) vs 50.36 (SD 19.65), p=.01], participation decision making [3 (SD 0.82) vs 3.65 (SD 0.87), p<.0001] and advancement in the organization [3.21 (SD 0.77) vs 4.04 (SD 0.77), p<.0001]. However, post-AASTRE scores were significantly worse in the domains workload and burnout climate.
CONCLUSIONS: The cross-cultural adaptation of the SCORE survey into Spanish is a useful tool for ICUs. The application of the AASTRE is associated with improvements in six SCORE domains, including the safety climate.