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Table 1 Comparison of questions in the SAQ by subscale

From: A dissonant scale: stress recognition in the SAQ

SAQ SubScale

Survey questions

Stress recognition

When my workload becomes excessive, my performance is impaired

I am less effective at work when fatigued

I am more likely to make errors in tense or hostile situations

Fatigue impairs my performance during emergency situations (e.g. emergency resuscitation, seizure)


Nurse input is well received in this clinical area

In this clinical area, it is difficult to speak up if I perceive a problem with patient care

Disagreements in this clinical area are resolved appropriately (i.e., not who is right, but what is best for the patient)

I have the support I need from other personnel to care for patients

It is easy for personnel here to ask questions when there is something that they do not understand

The physicians and nurses here work together as a well-coordinated team

Safety climate

I would feel safe being treated here as a patient

Medical errors are handled appropriately in this clinical area

I know the proper channels to direct questions regarding patient safety in this clinical area

I receive appropriate feedback about my performance

In this clinical area, it is difficult to discuss errors

I am encouraged by my colleagues to report any patient safety concerns I may have

The culture in this clinical area makes it easy to learn from the errors of others

Morale or job satisfaction

I like my job

Working here is like being part of a large family

This is a good place to work

I am proud to work in this clinical area

Morale in this clinical area is high

Perceptions of hospital management

Hospital management supports my daily efforts

Hospital management doesn't knowingly compromise the patient safety

Hospital management is doing a good job

Problem personnel are dealt with constructively by our hospital management

I get adequate, timely information about events that might affect my work from hospital management

Working conditions

The levels of staffing in this clinical area are sufficient to handle the number of patients

This hospital does a good job of training new personnel

All the necessary information for diagnostic and therapeutic decisions is routinely available to me


Trainees in my discipline are adequately supervised