Psychometric evaluation of the Persian version of Emergency Medical Services- Safety Attitudes Questionnaire (EMS-SAQ)

BMC Emerg Med. 2024 Feb 14;24(1):24. doi: 10.1186/s12873-024-00941-y.

Abstract

Aim: This study aimed to conduct a psychometric evaluation of the Persian adaptation of the Emergency Medical Services Safety Attitudes Questionnaire (EMS-SAQ).

Methods: In this cross-sectional study, the validity and reliability of the EMS-SAQ were assessed among 484 Iranian pre-hospital emergency department employees between February and June 2023.

Results: Five factors were extracted namely safety climate, teamwork, job satisfaction, stress management, and working conditions with explained 38.75% of the total variance. The goodness of fit indexes confirmed the model (χ2 = 409.031, DF = 196, χ2 /df = 2.087, CFI = 0.900, IFI = 0.901, PCFI = 0.763 and PNFI = 0.701, and RMSEA = 0.069 [CI90% 0.059-0.078]).

Conclusion: The Persian version of the SAQ-EMS, comprising 22 items across five factors, demonstrated good validity and reliability. It is recommended to undertake qualitative studies focusing on the concept of patient safety in pre-hospital settings, considering diverse contexts and cultural nuances to develop more robust assessment tools.

Keywords: Emergency Medical Services; Patients Safety, Attitude.

MeSH terms

  • Attitude of Health Personnel
  • Cross-Sectional Studies
  • Emergency Medical Services*
  • Humans
  • Iran
  • Psychometrics
  • Reproducibility of Results
  • Safety Management*
  • Surveys and Questionnaires