Psycometric Validation of an Instrument to Measure Person-Centred Teamwork in Hospital Settings.

Abstract

Aim: To validate an instrument for measuring healthcare workers' perceptions of person-centred teamwork in hospital units. Design: Quantitative cross-sectional descriptive design. This approach collected numerical data to explore and describe the characteristics of the instrument items, with the goal of generating insights as to the validity and reliability of the items. Methods: The target population included healthcare workers who worked in hospital settings. Total sampling was used to identify healthcare workers. Convenience sampling was used to select the participants. The participants completed the instrument. The data were captured and analysed using the software IBM SPSS Statistics Version 28 and RStudio 2023.06. Results: A 38-item instrument measuring the perceptions of healthcare workers of person-centred teamwork was tested psychometrically. A total of 388 healthcare workers working in private (n = 160) and public (n = 228) hospitals completed the instrument. Confirmatory factor analysis was used, indicating that the items were significant and that the constructs were well measured. Factor loading was present, and bifactor analysis confirmed the multidimensionality of each construct. The Cronbach's α confirmed the reliability of each of the 38 items. Conclusion: The person-centred teamwork instrument was reliable and validated as a multidimensional scale comprising 38 items. The instrument is psychometrically suitable for measuring person-centred teamwork in hospital settings. Implications: The person-centred teamwork instrument provides the ability to measure person-centred teamwork efforts to improve practice. As a measurable concept, person-centred teamwork can be improved by distinguishing areas for improvement. Link to Practice: The 38 item person-centred teamwork instrument indicated good fit for measuring the constructs, and the instrument was validated. Each of the items was reliable for measuring person-centred teamwork. The instrument can be applied internationally to assist in the measurement of person-centred teamwork practices to improve clinical outcomes.