Construction and Reliability and Validity Testing of the Operating Room Nursing Safety Culture Assessment Scale
ZHANG Yuxia
YAN Dengke
WANG Bingzhang
WANG Shaowei
YANG Qiannan
FAN Xinghua
LI Jia
ZHANG Hongming
Abstract：Objective To construct the assessment scale of nursing safety culture in operating room and test its reliability and validity,so as to provide a standardized tool for dynamically monitoring the safety culture in operating room.Methods Based on James Reason's accident-causing theory,the assessment scale of nursing safety culture in operating room was constructed through literature review,group discussion and two rounds of Delphi expert letters.A total of 360 operating room nurses in five tertiary grade A hospitals in Shanxi Province were investigated by convenient sampling method,and the items were screened by item analysis,and the reliability and validity of the scale were tested.Results The final scale comprised 32 items across six dimensions:leadership commitment,team collaboration,learning and improvement,psychological safety,load management,and system support.Cronbach's α coefficient of total scale was 0.923,and test-retest reliability ICC was 0.931.Exploratory factor analysis cumulative variance contribution rate was 78.15%,with factor loadings ranging from 0.692 to 0.865.Confirmatory factor analysis showed good model fit.The content validity S-CVI/Ave reached 0.908.Conclusion The operating room nursing safety culture assessment scale demonstrates good psychometric properties and is easy to administer.It has practical value for the dynamic monitoring of operating room safety culture and can provide evidence-based support for safety management and resource optimization.
Keywords：operating roomnursingsafetysafety culturescale developmentreliability and validity testingJames Reason's theoryDelphi method
Publication Date：2026-01-10
Online Publishing Date：2026-02-04(First online date of this platform, not the publication date of the document)
Pages：7( 12-18 )