TY - JOUR
T1 - Variation in caregiver perceptions of teamwork climate in labor and delivery units
AU - Sexton, J. B.
AU - Holzmueller, C. G.
AU - Pronovost, P. J.
AU - Thomas, E. J.
AU - McFerran, S.
AU - Nunes, J.
AU - Thompson, D. A.
AU - Knight, A. P.
AU - Penning, D. H.
AU - Fox, H. E.
N1 - Funding Information:
This work was funded in part by Agency for Healthcare Research and Quality Grant # 1PO1HS1154401
PY - 2006/8
Y1 - 2006/8
N2 - Objective: To test the psychometric soundness of a teamwork climate survey in labor and delivery, examine differences in perceptions of teamwork, and provide benchmarking data. Design: Cross-sectional survey of labor and delivery caregivers in 44 hospitals in diverse regions of the US, using the Safety Attitudes Questionnaire teamwork climate scale. Results: The response rate was 72% (3382 of 4700). The teamwork climate scale had good internal reliability (overall α0.78). Teamwork climate scale factor structure was confirmed using multilevel confirmatory factor analyses (CFI=0.95, TLI=0.92, RMSEA=0.12, SRMRwithin=0.04, SRMRbetween=0.09). Aggregation of individual-level responses to the L&D unit-level was supported by ICC (1)=0.06 (P<0.001), ICC (2)=0.83 and mean rwg(j)=0.83. ANOVA demonstrated differences between caregivers F (7, 3013)=10.30, P<0.001 and labor and delivery units, F (43, 1022)=3.49, P<0.001. Convergent validity of the scale scores was measured by correlations with external teamwork-related items: collaborative decision making (r=0.780, P<0.001), use of briefings (r=0.496, P<0.001) and perceived adequacy of staffing levels (r=0.593, P<0.001). Conclusion: We demonstrate a psychometrically sound teamwork climate scale, correlate it to external teamwork-related items, and provide labor and delivery teamwork benchmarks. Further teamwork climate research should explore the links to clinical and operational outcomes.
AB - Objective: To test the psychometric soundness of a teamwork climate survey in labor and delivery, examine differences in perceptions of teamwork, and provide benchmarking data. Design: Cross-sectional survey of labor and delivery caregivers in 44 hospitals in diverse regions of the US, using the Safety Attitudes Questionnaire teamwork climate scale. Results: The response rate was 72% (3382 of 4700). The teamwork climate scale had good internal reliability (overall α0.78). Teamwork climate scale factor structure was confirmed using multilevel confirmatory factor analyses (CFI=0.95, TLI=0.92, RMSEA=0.12, SRMRwithin=0.04, SRMRbetween=0.09). Aggregation of individual-level responses to the L&D unit-level was supported by ICC (1)=0.06 (P<0.001), ICC (2)=0.83 and mean rwg(j)=0.83. ANOVA demonstrated differences between caregivers F (7, 3013)=10.30, P<0.001 and labor and delivery units, F (43, 1022)=3.49, P<0.001. Convergent validity of the scale scores was measured by correlations with external teamwork-related items: collaborative decision making (r=0.780, P<0.001), use of briefings (r=0.496, P<0.001) and perceived adequacy of staffing levels (r=0.593, P<0.001). Conclusion: We demonstrate a psychometrically sound teamwork climate scale, correlate it to external teamwork-related items, and provide labor and delivery teamwork benchmarks. Further teamwork climate research should explore the links to clinical and operational outcomes.
KW - Climate collaboration
KW - Culture
KW - Psychometrics
KW - Scale
KW - Teamwork
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U2 - 10.1038/sj.jp.7211556
DO - 10.1038/sj.jp.7211556
M3 - Article
C2 - 16775621
AN - SCOPUS:33746575067
SN - 0743-8346
VL - 26
SP - 463
EP - 470
JO - Journal of Perinatology
JF - Journal of Perinatology
IS - 8
ER -