Akademik Veri Yönetim Sistemi
International Emergency Nursing, cilt.86, 2026 (SCI-Expanded, SSCI, Scopus)
AbstractBackgroundPatient safety culture is a critical component of healthcare quality, particularly in emergency departments (EDs), where workload and time pressure increase the risk of adverse events. This study aimed to validate the Turkish version of the Emergency Medical Services Safety Attitudes Questionnaire (EMS-SAQ) and to assess safety culture perceptions among ED personnel in Türkiye.MethodsA cross-sectional study was conducted with 400 ED personnel, including physicians, nurses, emergency medical technicians, and patient transport personnel. Data were collected using the EMS-SAQ, which evaluates six domains of safety culture. Ethical approval was obtained from the Human Research Ethics Committee of a selected Turkish University Faculty of Medicine (Approval number: İ2-57-19), and written informed consent was obtained from all respondents. The EMS-SAQ is publicly available for academic use and does not require specific permission.ResultsThe EMS-SAQ demonstrated satisfactory reliability (overall Cronbach’s alpha = 0.880; subscales = 0.604–0.828). Confirmatory factor analysis (CFA) supported the six-factor structure (χ2/df = 3.33; RMSEA = 0.078; CFI = 0.77; GFI = 0.71; TLI = 0.73). Stress recognition scores were significantly higher among physicians, while younger personnel scored higher on teamwork climate. Male respondents reported higher perceptions of safety climate than females. Less experienced personnel rated management support more positively.ConclusionThe Turkish version of the EMS-SAQ is a valid and reliable instrument for assessing patient safety culture in EDs. Findings highlight demographic and role-based variations in safety perceptions, underscoring the need for targeted interventions such as leadership training, improved communication strategies, and strengthened reporting systems to enhance patient safety culture in Turkish emergency services.