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Unveiling Critical Awareness: Development and Validation of a Situation Awareness Questionnaire for Emergency Rooms
Made Indra Wijaya1, Luh Gede Pradnyawati1, Dewa Ayu Putu Ratna Juwita1
1Universitas Warmadewa, Fakultas Kedokteran dan Ilmu Kesehatan, Denpasar, Bali, Indonesia.
Hospital Topics
|May 3, 2025
Summary
This study created a reliable questionnaire to measure situation awareness in emergency rooms. This tool aids clinical assessments and improves patient care quality.
Area of Science:
- Emergency Medicine
- Healthcare Quality Improvement
- Psychometrics
Background:
- Effective decision-making in emergency rooms is critical.
- Situation awareness is a key component of clinical performance.
- Existing tools may not adequately capture emergency room specific challenges.
Purpose of the Study:
- To develop and validate a questionnaire to measure situation awareness in the emergency room.
- To provide a reliable instrument for assessing clinical performance.
- To support quality improvement initiatives in emergency departments.
Main Methods:
- A 6-month mixed-methods approach was employed.
- Qualitative phase involved interviews and focus groups to identify key components.
- Quantitative phase included confirmatory factor analysis with 569 respondents from 77 hospitals.
Main Results:
- Confirmatory factor analysis showed excellent model fit (RMSEA=0.045, CFI=0.96, TLI=0.95).
- The questionnaire demonstrated strong factor loadings (>0.60).
- The instrument reliably measures General Awareness, Perception of Environment, Understanding of Situation, and Projection of Events.
Conclusions:
- The "Situation Awareness in the Emergency Room" questionnaire is a validated and reliable tool.
- This instrument can be used for clinical assessments and quality improvement in emergency settings.
- Enhanced situation awareness can lead to better decision-making and patient outcomes.
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