Thesis Questionnaire

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SAFETY CULTURE QUESTIONNAIRE
(Health Care Personnel)
I work in the (clinical area or patient care area where you typically spend your time): This is the Department of:| * Encircle the number which corresponds to your answer.|

Please answer the following items with respect to your specific unit or clinical area. Choose your responses using the scale below.
5| 4| 3| 2| 1|
Agree Strongly| Agree Slightly| Neutral| Disagree Strongly| Disagree Slightly|

I. Safety Climate|
1. I would feel safe being treated here as a patient.| 5| 4| 3| 2| 1| | 2. The health personnel implement rules and guidelines (e.g. hand washing, treatment protocols, clean area, etc) sincerely and religiously| 5| 4| 3| 2| 1| | 3. The health personnel take responsibility for patient safety by administering medications and treatments accurately.| 5| 4| 3| 2| 1| | 4. Jewelry such as earrings, necklaces or bracelets is worn while on duty.| 5| 4| 3| 2| 1| | 5. This institution respect for patients’ rights when rendering care such as cultural and religious beliefs, privacy and confidentiality of information.| 5| 4| 3| 2| 1| | 6. This institution ensure that patients’ records are available only to those who are professionally directly involved in their case.| 5| 4| 3| 2| 1| | 7. The health personnel acquire the necessary competence (knowledge, attitudes & skills) to effectively render proper services to patients.| 5| 4| 3| 2| 1| | 8. When conflict arises regarding management of patient care, patients’ rights are upheld.| 5| 4| 3| 2| 1| | II. Teamwork|

1. In this clinical area, it is difficult to speak up if I perceive a problem with patient care.| 5| 4| 3| 2| 1| | 2. It is easy for personnel here to ask questions when there is something that they do not understand.| 5| 4| 3| 2| 1| | 3. The physicians and nurses here work together as a well-coordinated team.|...
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