Menárguez Puche J F, Saturno Hernández P J
Centro de Salud Molina-La Ribera, Facultad de Medicina, Murcia.
Aten Primaria. 1999 Mar 31;23(5):280-4.
To describe the organisational atmosphere (OA) in primary care teams (PCTs) in an autonomous community.
Crossover and observational.
PCTs.
A questionnaire on OA was administered after prior validation to all the doctors, nurses and social workers at 29 PCTs.
The OA in the different teams was described, comprehensively and by dimensions: team-work, cohesion and commitment. Multiple regression was used to find the relationship between OA (dependent variable) and the independent variables: age of the professionals, years of functioning of the PCT, teaching status, type, location (rural or urban) and profession (coordinators, doctors, nurses, clerical staff). Overall reply rate was 77.5% (402 professionals): it was higher for coordinators. Average score on the questionnaire was 3.53 (SD = 0.56): it was higher for nurses. Results by dimensions were: team-work 3.67 (SD = 0.59), cohesion 3.54 (SD = 0.71) and commitment 3.37 (SD = 0.72). OA was seen as better by teaching teams (p < 0.02), both overall and for the teamwork and cohesion dimensions. Coordinators had better self-perception of the OA, both overall and by dimensions (p < 0.01). Teams who had worked together for a long time thought the atmosphere was worse. The type of job and the number of years doing it did not affect the perception of OA.
描述某自治区基层医疗团队（PCT）的组织氛围（OA）。
交叉观察性研究。
基层医疗团队。
在29个基层医疗团队中，对所有医生、护士和社会工作者进行了一份经过预先验证的关于组织氛围的问卷调查。
从整体和维度方面描述了不同团队的组织氛围，包括团队合作、凝聚力和敬业度。采用多元回归分析来找出组织氛围（因变量）与自变量之间的关系，自变量包括专业人员年龄、基层医疗团队运作年限、教学状况、类型、地点（农村或城市）以及职业（协调员、医生、护士、文职人员）。总体回复率为77.5%（402名专业人员），协调员的回复率更高。问卷平均得分为3.53（标准差 = 0.56），护士得分更高。各维度结果为：团队合作3.67（标准差 = 0.59），凝聚力3.54（标准差 = 0.71），敬业度3.37（标准差 = 0.72）。教学团队认为组织氛围在整体以及团队合作和凝聚力维度上更好（p < 0.02）。协调员对组织氛围的自我认知在整体和各维度上都更好（p < 0.01）。长期合作的团队认为氛围更差。工作类型和工作年限不影响对组织氛围的认知。
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