The safety attitudes questionnaire - ambulatory version: psychometric properties of the Slovenian version for the out-of-hours primary care setting

Background Several tools have been developed to measure safety attitudes of health care providers, out of which the Safety Attitudes Questionnaire (SAQ) is regarded as one of the most appropriate ones. In 2007, it was adapted to outpatient (primary health care) settings and in 2014 it was tested in out-of-hours health care settings in Norway. The purpose of this study was to translate the English version of the SAQ-Ambulatory Version (SAQ-AV) to Slovenian language; to test its reliability; and to explore its factor structure. Methods This was a cross-sectional study that took place in Slovenian out-of-hours primary care clinics in March-May 2015 as a part of an international study entitled Patient Safety Culture in European Out-of-hours services. The questionnaire consisted of the Slovenian version of the SAQ-AV. The link to the questionnaire was emailed to health care workers in the out-of-hours clinics. A total of 438 participants were invited. We performed exploratory factor analysis. Results Out of 438 invited participants, 250 answered the questionnaire (response rate 57.1%). Exploratory factor analysis put forward five factors: 1) Perceptions of management, 2) Job satisfaction, 3) Safety climate, 4) Teamwork climate, and 5) Communication. Cronbach’s alpha of the whole SAQ-AV was 0.922. Cronbach’s alpha of the five factors ranged from 0.587 to 0.791. Mean total score of the SAQ-AV was 56.6 ± 16.0 points. The factor with the highest average score was Teamwork climate and the factor with the lowest average was Job satisfaction. Conclusions Based on the results in our study, we cannot state that the SAQ-AV is a reliable tool for measuring safety culture in the Slovenian out-of-hours care setting. Our study also showed that there might be other safety culture factors in out-of-hours care not recognised before. We therefore recommend larger studies aiming to identify an alternative factor structure

Self sacrifice or natural donation? A life course perspective on grandmothering in New Zagreb (Croatia) and East Berlin (Germany)

In this article we explore grandmaternal care and its interpretations in two European capitals of former socialist countries, Zagreb and Berlin. We describe the scope and variety of grandmaternal care practices both field sites and then contrast two grandmotherly interpretations of their intensive caring for grandchildren The different appraisal of their similar practice as self-sacrifice and natural donation respectively is embedded in different life course experiences of these two women. Both grandmothers lived in socialist states and made the experience of profound change with political and economic restructuring. But while socialist eastern Germany and Croatia had many similar traits they also differed in important aspects. While our interlocutors attributed their practice generally to post-socialist developments, they based their judgements on different aspects of state responsibility. While demographic developments might create similar opportunities for child care, national and local contexts vary and local actors attribute different meanings to their actio