Table 1. The six patient safety climate factors and corresponding items in the validated Norwegian translation of the Safety Attitudes Questionnaire–Ambulatory Version (SAQ-A) for nursing homes.

Teamwork climate Cronbach’s alpha: 0.655

Input from personnel is well received in this nursing home ward.

In this nursing home ward, it is difficult to speak up if I perceive a problem with patient care.*

Disagreements in this nursing home ward are resolved appropriately (i.e., not who is right but what is best for the patient).

I have the support I need from other personnel to care for patients.

Safety climate Cronbach’s alpha: 0.738

I would feel safe being treated here as a patient.

Medical errors are handled appropriately in this nursing home ward.

I receive appropriate feedback about my performance.

In this nursing home ward, it is difficult to discuss errors.*

I am encouraged by my colleagues to report any patient safety concerns I may have.

The culture in this nursing home ward makes it easy to learn from the errors of others.

I know the proper channels to direct questions regarding patient safety in this nursing home ward.

Job satisfaction Cronbach’s alpha: 0.786

I like my job.

Working in this nursing home ward is like being part of a large family.

This nursing home ward is a good place to work.

I am proud to work at this nursing home ward.

Morale in this nursing home ward is high.

Working conditions Cronbach’s alpha: 0.686

This nursing home ward does a good job of training new personnel.

All the necessary information for diagnostic and therapeutic decisions is routinely available to me.

This nursing home ward deals constructively with problem personnel.

Trainees in my discipline are adequately supervised.

The levels of staffing in this nursing home ward are sufficient to handle the number of patients.

Stress recognition Cronbach’s alpha: 0.694

When my workload becomes excessive, my performance is impaired.

I am less effective at work when fatigued.

I am more likely to make errors in tense or hostile situations.

Stress from personal problems adversely affects my performance.

Perceptions of management Cronbach’s alpha: 0.713

Senior management of this nursing home ward is doing a good job.

The management of this nursing home ward supports my daily efforts.

I am provided with adequate, timely information about events in the nursing home ward that might affect my work.

Note: Respondents rate their agreement using a five-point Likert scale: 1 = disagree strongly, 2 = disagree slightly, 3 = neutral, 4 = agree slightly, 5 = agree strongly. Reverse-coded items are indicated with*.