Florence Nightingale School of Nursing and Midwifery, King's College London, London, England.
Ann Surg Oncol. 2012 Dec;19(13):4019-27. doi: 10.1245/s10434-012-2493-1. Epub 2012 Jul 21.
Cancer multidisciplinary teams (MDTs) are well established worldwide and are an expensive resource yet no standardised tools exist to measure performance. We aimed to develop and test an MDT self-assessment tool underpinned by literature review and consensus from over 2000 UK MDT members about the "characteristics of an effective MDT."
Questionnaire items relating to all characteristics of MDTs (particularly Leadership and Chairing; Teamworking and Culture; Patient-centred care; Clinical decision-making process; and Organisation and administration during meetings) were developed by an expert panel. Acceptability, feasibility and psychometric properties were tested by online completion of the questionnaire by 23 MDTs from 4 UK NHS Trusts followed by interviews with 74 team members including members from all teams and nonresponders. 10 of the MDTs also completed questionnaires that directly translated each characteristic to an item (for the five domains above) to test content validity.
A total of 47 items were created, each rated for agreement on a 5-point scale. A total of 329 (52 %) of 637 team members completed the questionnaire, including representation from medical, nursing and clerical MDT members. Responses correlated well with domain-specific questionnaires (r > 0.67, p = 0.01), most domain-scales had acceptable internal consistency (Cronbach alpha > 0.60), and good item discrimination (majority of items r < 0.20). Team members were positive about its value.
Self-assessment of team performance using this tool may support MDT development.
癌症多学科团队（MDT）在全球范围内已经建立，并成为一种昂贵的资源，但目前尚不存在衡量其绩效的标准化工具。我们旨在开发和测试一种 MDT 自我评估工具，该工具的基础是对 2000 多名英国 MDT 成员关于“有效 MDT 的特征”的文献回顾和共识。
由专家小组制定与 MDT 的所有特征相关的问卷项目（特别是领导力和主席职能；团队合作和文化；以患者为中心的护理；临床决策过程；以及会议期间的组织和管理）。通过来自英国 4 家 NHS 信托基金的 23 个 MDT 在线完成问卷，并对 74 名团队成员进行访谈（包括所有团队成员和未回复者），对可接受性、可行性和心理测量学特性进行了测试。其中 10 个 MDT 还完成了将每个特征直接翻译成一个项目的问卷（针对上述五个领域），以测试内容有效性。
共创建了 47 个项目，每个项目的同意程度均按 5 分制进行评分。共有 637 名团队成员中的 329 名（52%）完成了问卷，包括来自医学、护理和文员 MDT 成员的代表。响应与特定于域的问卷相关性良好（r > 0.67，p = 0.01），大多数域量表的内部一致性可接受（Cronbach alpha > 0.60），并且具有良好的项目区分度（大多数项目 r < 0.20）。团队成员对其价值持积极态度。
使用此工具对团队绩效进行自我评估可能有助于 MDT 的发展。
