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Brief CommunicationBrief Communication
Open Access

Developing, translating, and validating a survey instrument for assessing hospital food service staff’s food safety knowledge, perceptions, and practices during the COVID-19 pandemic

Nisreen M. Abdulsalam and Hajar B. Alnomani
Saudi Medical Journal January 2024, 45 (1) 98-103; DOI: https://doi.org/10.15537/smj.2024.45.1.20230272
Nisreen M. Abdulsalam
From the Department of Food and Nutrition (Abdulsalam, Alnomani), Faculty of Human Science and Design, King Abdul-Aziz University, and from the Department of Food Services (Alnomani), Saudi Arabia Ministry of Health, Jeddah, Kingdom of Saudi Arabia.
MS, PhD
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  • For correspondence: [email protected]
Hajar B. Alnomani
From the Department of Food and Nutrition (Abdulsalam, Alnomani), Faculty of Human Science and Design, King Abdul-Aziz University, and from the Department of Food Services (Alnomani), Saudi Arabia Ministry of Health, Jeddah, Kingdom of Saudi Arabia.
BS, MS
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    Figure 1

    - Flow chart of the process adopted when developing the survey instrument. FDA: Food and Drug Administration, USDA: United States Department of Agriculture, CDC: Centers for Disease Control and Prevention, COVID-19: coronavirus disease-2019, CVR: content validity ratio, SLQ: source language questionnaire

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    Table 1

    - Correlation coefficients of items that evaluate the food safety perceptions and practices of food service staff.

    StatementsCorrelation coefficientP-values
    Correlation coefficients of items that evaluate the food safety perceptions of food service staff
    - Food safety is an important public health issue.0.507**0.00
    - The health status of workers should be evaluated before employment.0.697**0.00
    - There is no problem with allowing my fingernails to grow because wearing gloves prevents germ transmission.0.444**0.00
    - Washing fruits and vegetables reduces the amount of contaminants that lead to food poisoning.0.446**0.00
    - Cleaning and sanitizing all food contact surfaces is important to reduce food poisoning.0.520**0.00
    - Preparing food in advance and holding it without temperature control (namely, between 5-60°C) contributes to food poisoning.0.476**0.00
    - Freezing food kills harmful microbes or germs.0.1530.347
    - Foods stored at incorrect temperature are considered damaged and must be discarded.0.608**0.00
    - It is unsafe to leave food inside the temperature danger zone (between 5-60°C) for more than 2 hours.0.401*0.00
    - Encoding the colors of cutting boards, equipment, and utensils, reduces cross-contamination.†0.738**0.00
    - Defrosted foods can be refrozen.0.408**0.00
    - Multi-use dishtowels can be a source of food contamination.0.564**0.00
    - Knives and cutting boards should be properly sanitized to prevent cross-contamination.0.812**0.00
    - Food handlers such as chefs and food preparation area workers generally can be a source of foodborne diseases.0.595**0.00
    - Raw and ready-to-eat foods should be stored separately to reduce the risk of cross-contamination.0.765**0.00
    - Wearing masks, gloves, and hair restraints is an important practice to reduce the risk of food contamination.0.801**0.00
    - Practicing good personal hygiene prevents foodborne diseases.0.764**0.00
    - Hand washing prevents foodborne diseases.0.787**0.00
    Correlation coefficients of items that evaluate the perceptions of food safety among food service staff during COVID-19
    - There is a high risk of transmitting COVID-19 virus through food.0.361*0.022
    - It is necessary to use antibacterial soap when washing hands to prevent COVID-19 virus transmission.0.2360.143
    - Regular cleaning throughout meal preparation is only needed when there are COVID-19 cases.0.714**0.000
    - During the COVID-19 pandemic, using hand sanitizer should replace washing hands with soap and water.0.475**0.002
    - COVID-19 virus can be transmitted once food containing the virus is touched, even without touching the nose, eyes, and mouth.0.854**0.000
    - Improving hygiene practices is important during the COVID-19 pandemic only.0.854**0.000
    Correlation coefficients of the items that evaluate the food safety practices of food service staff
    - Do you clean your workplace before and after each stage of food preparation?0.483**0.002
    - Do you use the same cutting board to prepare raw and cooked food?0.703**0.000
    - Do you wash your hands before and after using gloves?0.2700.092
    - Do you wash your hands after coming back from breaks?0.342*0.031
    - Do you wash your hands after handling raw meat, fish, or chicken?0.435**0.005
    - Do you prepare food during lunchtime and leave it until dinnertime?0.725**0.000
    - Do you wear personal protective equipment (PPE), such as an apron, mask, and head covering, when preparing or distributing food?0.756**0.000
    - Do you wear gloves when preparing ready-to-eat food, such as salads and sandwiches?0.687**0.000
    - Do you allow your fingernails to grow long as you use gloves to protect food from the transmission of germs?0.490**0.001
    - Do you measure and record the temperature of refrigerators/freezers at least 3 times per day?0.512**0.001
    - Do you check the internal temperature of food while cooking using a food thermometer?0.636**0.000
    - Do you thaw frozen food by leaving it in the kitchen or submerging it in hot water?0.562**0.000
    - When you finish cooking, do you serve the food immediately?0.496**0.001
    - When you finish cooking, do you cool the food within 6 hours to reach 5°C or less?-0.2780.083
    - When you finish cooking, do you keep the food at the kitchen temperature for more than 2 hours?0.600**0.000
    - When you finish cooking, do you keep hot food in hot boxes (63°C or higher) until serving?0.648**0.000
    - Do you check whether meat is cooked properly by visually inspecting it or touching it?0.325*0.040
    Correlation coefficients of the items that evaluate the food safety practices related to COVID-19 among food service staff
    - If you suspect COVID-19 symptoms, do you report your symptoms to your supervisor?0.550**0.000
    - During the COVID-19 pandemic, do you use an alcohol sanitizer with a 70-80% concentration to clean your hands?0.573**0.000
    - During the COVID-19 pandemic, do you use an alcohol sanitizer with a 70-80% concentration to clean all food contact surfaces?0.543**0.000
    - During the COVID-19 pandemic, do you wash your hands for at least 20 seconds using warm water and soap before touching food?0.507**0.001
    - If you suspect COVID-19 symptoms, do you take medicine and complete your work?0.502**0.001
    - During the COVID-19 pandemic, do you sanitize your hands before touching food?0.761**0.000
    - During the COVID-19 pandemic, do you check if there is any damage to food packaging upon receipt?0.644**0.000
    - During the COVID-19 pandemic, do you check if there is any damage to food packaging before preparing the food?0.688**0.000

    COVID-19: coronavirus disease-2019

    • ↵* The correlation is significant at the 0.05 level.

    • ↵** Correlation is significant at the 0.01 level.

    • ↵† Such as red color use for red meat and green color for vegetables.

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    Table 2

    - Reliability of the perceptions and practices scales (N=40).

    ScalesNumber of itemsCronbach’s alpha
    Evaluation of food safety perceptions among food service staff17 (37.0)0.875
    Evaluation of food safety perceptions among food service staff during COVID-195 (11.0)0.712
    Evaluation of food safety practices among food service staff15 (33.0)0.830
    Evaluation of food safety practices related to COVID-19 among food service staff8 (17.0)0.727
    Overall reliability of the scales45 (100)0.914

    Values are presented as numbers and precentages (%). COVID-19: coronavirus disease-2019

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    Developing, translating, and validating a survey instrument for assessing hospital food service staff’s food safety knowledge, perceptions, and practices during the COVID-19 pandemic
    Nisreen M. Abdulsalam, Hajar B. Alnomani
    Saudi Medical Journal Jan 2024, 45 (1) 98-103; DOI: 10.15537/smj.2024.45.1.20230272

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    Developing, translating, and validating a survey instrument for assessing hospital food service staff’s food safety knowledge, perceptions, and practices during the COVID-19 pandemic
    Nisreen M. Abdulsalam, Hajar B. Alnomani
    Saudi Medical Journal Jan 2024, 45 (1) 98-103; DOI: 10.15537/smj.2024.45.1.20230272
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    Keywords

    • COVID-19 pandemic
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    • SARS-CoV-2
    • foodborne diseases
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