SEDA GİRGİN TEZCAN, ŞENAY SARMASOĞLU KILIKÇIER, LEYLA DİNÇ
Hacettepe Üniversitesi Hemşirelik Fakültesi Dergisi - 2025;12(2):122-131
Aim: This study aims to adapt the Speaking Up About Patient Safety Questionnaire into Turkish and conduct a validity and reliability study. Material and Methods: This study, which has a methodological design, was conducted from March to April 2022 with 333 healthcare professionals working in a university hospital in Ankara. Demographic Data Form and the Speaking Up About Patient Safety Questionnaire were used to collect data. Language, content, construct validity, and reliability coefficients were applied for data analysis. Results: The content validity rate and total content validity index for all sub-dimensions of the Turkish Speaking Up About Patient Safety Questionnaire were calculated as 1.00. The Kaiser-Meyer-Olkin value was good enough for both subscales (0,834 and 0,881, respectively). Bartlett’s test of sphericity was significant. All factor loadings were above 0.3. The total variance explained was found to be 77. 856% for the Speak Up–Related Behavior Scale, and 76,009% for the Speak Up Related Climate Scale. Cronbach’s alpha (α) values for all sub-scales ranged from 0.77 to 0.92. Test-retest reliability results (r=0.987 and r=0.991) were statistically significant (p<0.05). Based on the statistical analysis, none of the items were removed from the questionnaire. Conclusion: Turkish Speaking Up About Patient Safety Questionnaire adapted into Turkish, is a valid and reliable tool for measuring speak-up-related behaviors in the context of health services. Implication for nursing practice/management or policy: By using the scale, speak up-related behaviors of healthcare professionals toward patient safety and the factors that affect the speak up-related climate can be determined and plans can be made to increase patient safety.
