Wienand Ulrich, Cinotti Renata, Nicoli Augusta, Bisagni Miriam
Azienda Ospedaliero Universitaria di Ferrara Arcispedale S. Anna, corso Giovecca 203, Ferrara, Italy.
BMC Health Serv Res. 2007 May 22;7:73. doi: 10.1186/1472-6963-7-73.
By means of the ICONAS project, the Healthcare Agency of an Italian Region developed, and used a standardised questionnaire to quantify the organisational climate. The aims of the project were (a) to investigate whether the healthcare institutions were interested in measuring climate, (b) to estimate the range of applicability and reliability of the instrument, (c) to analyse the dimensions of climate among healthcare personnel, (d) to assess the differences among employees with different contractual positions.
The anonymous questionnaire containing 50 items, each with a scale from 1 to 10, was offered to the healthcare organisations, to be compiled during ad hoc meetings. The data were sent to the central project coordinator. The differences between highly specialised staff (mostly physicians) and other employees were assessed after descriptive statistical analysis of the single items. Both Principal Component Analysis and Factor Analysis were used.
Ten healthcare organisations agreed to participate. The questionnaire was completed by 8691 employees out of 13202. The mean value of organisational climate was 4.79 (range 1-10). There were significant differences among single items and between the 2 groups of employees. Multivariate methods showed: (a) one principal component explained > 40% of the variance, (b) 7 factors summarised the data.
Italian healthcare institutions are interested in assessing organisational phenomena, especially after the reforms of the nineties. The instrument was found to be applicable and suitable for measuring organisational climate. Administration of the questionnaire leads to an acceptable response rate. Climate can be described by means of 7 underlying dimensions.
通过ICONAS项目，意大利某地区的医疗保健机构开发并使用了一份标准化问卷来量化组织氛围。该项目的目的是：（a）调查医疗保健机构是否有兴趣衡量组织氛围；（b）评估该工具的适用范围和可靠性；（c）分析医护人员中组织氛围的维度；（d）评估不同合同职位员工之间的差异。
向医疗保健机构提供了一份包含50个项目的匿名问卷，每个项目的评分范围为1至10，要求在特别会议期间填写。数据被发送给项目中央协调员。在对单个项目进行描述性统计分析后，评估了高度专业化员工（主要是医生）和其他员工之间的差异。同时使用了主成分分析和因子分析。
十家医疗保健机构同意参与。13202名员工中有8691人完成了问卷。组织氛围的平均值为4.79（范围为1至10）。单个项目之间以及两组员工之间存在显著差异。多变量方法显示：（a）一个主成分解释了超过40%的方差；（b）7个因子总结了数据。
意大利医疗保健机构对评估组织现象感兴趣，尤其是在90年代的改革之后。该工具被发现适用于测量组织氛围。问卷的发放获得了可接受的回复率。组织氛围可以通过7个潜在维度来描述。
