'Development and psychometric evaluation of the safety feeling scale in adult patients at hospital: Exploratory sequential mixed method'.
Sahar Dabaghi, Mitra Zandi, Abbas Ebadi and 2 others
PMID 37246347WHAT IT FOUND
A 12-item questionnaire asked hospitalized adults in Iran whether care was timely, staff were trustworthy, they felt emotionally supported, and facilities were hygienic.
It took about 8 minutes, and total scores ranged from 12 to 60, with higher meaning greater safety feeling.
Key findings
01The scale has 12 items across four areas: effective care, confidence in the healthcare team, emotional enrichment, and hygienic facilities.
02The scale took about 8 minutes to complete, had a raw score range of 12 to 60, and higher scores meant greater safety feeling.
03The scale was developed from 25 qualitative studies and interviews with 31 patients, then tested in 300 and 200 patients.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The scale was developed and tested only in Iranian hospitals, so its use in other cultures is not clear. The patient samples were convenience samples, not random samples of all hospitalized patients. The hygienic facilities subscale had a Cronbach's alpha of 0.663, which was below the acceptance level. Some missing answers were replaced with the average from the same item. The study did not test whether using the scale improves patient safety or care quality. It was not intended for psychiatric wards. Two subscales have only two items.
Declared interests
No funding was reported, and the authors declared no conflict of interest.
The easy way to misread this
Do not read this as proof that measuring safety feeling improves patient care. The study tested the scale in Iranian hospitals and did not test whether using it changes patient outcomes.