. 2018 Jun;47(6):852–860.

Table 1:

The Chinese safety attitude questionnaire

TC
1) Nurse input is well received in this clinical area 2) In this clinical area, it is difficult to speak up if I perceive a problem with patient care^(r) 3) Disagreements in this clinical area are resolved appropriately (i.e. not who is right, but what is best for the patient) 4) I have the support I need from other personnel to care for patients 5) It is easy for personnel here to ask questions when there is something that they do not understand 6) The physicians and nurses here work together as a well-coordinated team SC 7) I would feel safe being treated here as a patient 8) Medical errors are handled appropriately in this clinical area 9) I know the proper channels to direct questions regarding patient safety in this clinical area 10) I receive appropriate feedback about my performance 11) In this clinical area, it is difficult to discuss errors^(r) 12) I am encouraged by my colleagues to report any patient safety concerns I may have 13) The culture in this clinical area makes it easy to learn from the errors of others JS 14) I like my job (15) Working here is like being part of a large family 16) This is a good place to work 17) I am proud to work in this clinical area 18) Morale in this clinical area is high Stress Recognition 19) When my workload becomes excessive, my performance is impaired 20) I am less effective at work when fatigued 21) I am more likely to make errors in tense or hostile situations (e.g. emergency resuscitation, seizure) 22) Fatigue impairs my performance during emergency situations PM 23) Managers supports my daily efforts 24) Managers do not knowingly compromise patient safety 25) I get adequate, timely information about events that might affect my work 26) The levels of staffing in this clinical area are sufficient to handle the number of patients WC 27) Problem personnel are dealt with constructively 28) This hospital does a good job of training new personnel 29) All the necessary information for diagnostic and therapeutic decisions is routinely available to me 30) Trainees in my discipline are adequately supervised BUR 31) I feel like I’m at the end of my rope^(r) 32) I feel burned out from my work^(r) 33) I feel frustrated by my job^(r) 34) I feel I’m working too hard on my job^(r) 35) I feel emotionally drained from my work^(r) 36) I feel used up at the end of the workday^(r) 37) I feel fatigued when I get up in the morning and have to face another day on the job^(r) 38) Working with people all day is really a strain for me^(r) 39) Working with people directly puts too much stress on me^(r) WB 40) Missed meals 41) A hasty meal 42) All-day work without any rest 43) Individual or family plan change due to work factors 44) Poor sleep 45) Less than five-hour sleep at night 46) Late work

1) Nurse input is well received in this clinical area
2) In this clinical area, it is difficult to speak up if I perceive a problem with patient care^(r)
3) Disagreements in this clinical area are resolved appropriately (i.e. not who is right, but what is best for the patient)
4) I have the support I need from other personnel to care for patients
5) It is easy for personnel here to ask questions when there is something that they do not understand
6) The physicians and nurses here work together as a well-coordinated team
SC
7) I would feel safe being treated here as a patient
8) Medical errors are handled appropriately in this clinical area
9) I know the proper channels to direct questions regarding patient safety in this clinical area
10) I receive appropriate feedback about my performance
11) In this clinical area, it is difficult to discuss errors^(r)
12) I am encouraged by my colleagues to report any patient safety concerns I may have
13) The culture in this clinical area makes it easy to learn from the errors of others
JS
14) I like my job
(15) Working here is like being part of a large family
16) This is a good place to work
17) I am proud to work in this clinical area
18) Morale in this clinical area is high
Stress Recognition
19) When my workload becomes excessive, my performance is impaired
20) I am less effective at work when fatigued
21) I am more likely to make errors in tense or hostile situations (e.g. emergency resuscitation, seizure)
22) Fatigue impairs my performance during emergency situations
PM
23) Managers supports my daily efforts
24) Managers do not knowingly compromise patient safety
25) I get adequate, timely information about events that might affect my work
26) The levels of staffing in this clinical area are sufficient to handle the number of patients
WC
27) Problem personnel are dealt with constructively
28) This hospital does a good job of training new personnel
29) All the necessary information for diagnostic and therapeutic decisions is routinely available to me
30) Trainees in my discipline are adequately supervised
BUR
31) I feel like I’m at the end of my rope^(r)
32) I feel burned out from my work^(r)
33) I feel frustrated by my job^(r)
34) I feel I’m working too hard on my job^(r)
35) I feel emotionally drained from my work^(r)
36) I feel used up at the end of the workday^(r)
37) I feel fatigued when I get up in the morning and have to face another day on the job^(r)
38) Working with people all day is really a strain for me^(r)
39) Working with people directly puts too much stress on me^(r)
WB
40) Missed meals
41) A hasty meal
42) All-day work without any rest
43) Individual or family plan change due to work factors
44) Poor sleep
45) Less than five-hour sleep at night
46) Late work

Note: TC: teamwork climate; SC: safety climate; JS: job satisfaction; SR: stress recognition; PM: perception of management; WC: working conditions; BUR: burnout; WB: work-life balance; r: reversed question