《团队 STEPPS® 工作态度问卷（T-TAQ）的瑞典语版本：一项验证研究》。
The Swedish version of the TeamSTEPPS® teamwork attitudes questionnaire (T-TAQ): A validation study.
机构信息
Department of Health Science, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology, Gjøvik, Norway.
Department of Health Sciences, Faculty of Health, Science and Technology, Karlstad University, Karlstad, Sweden.
出版信息
BMC Health Serv Res. 2021 Jan 30;21(1):105. doi: 10.1186/s12913-021-06111-1.
BACKGROUND
Effective teamwork is essential for delivering safe health care. It is important to increase patient safety in healthcare by conducting interprofessional team training with both healthcare professionals and undergraduate students. Validated questionnaires that evaluate team training activities contribute to valuable knowledge regarding changes in attitudes toward teamwork. The aim of the study was to test the reliability and structural validity of the Swedish version of the TeamSTEPPS® Teamwork Attitudes Questionnaire (T-TAQ).
METHODS
The study had a cross-sectional design. Four hospitals in three health care regions in Sweden participated in the study. In total, 458 healthcare professionals, response rate 39.4%, completed the questionnaire. The T-TAQ, which consists of 30 items and covers five dimensions (Team Structure, Leadership, Situation Monitoring, Mutual Support and Communication), was translated to Swedish. A paper version of the T-TAQ was distributed to healthcare professionals (physicians, registered nurses, midwives, nursing assistants and allied health professionals) from the hospitals. Reliability and validity were tested using Cronbach's alpha and confirmatory factor analysis.
RESULTS
Cronbach's alpha was 0.70 for the total T-TAQ and ranged from 0.41 to 0.87 for the individual dimensions. The goodness-of-fit indexes in the confirmatory factor analysis (Model 2) revealed a normed chi-square of 2.96, a root mean square error of approximation of 0.068, a Tucker-Lewis index of 0.785 and a comparative fit index of 0.808.
CONCLUSIONS
The Swedish version of the T-TAQ has some potential to measure healthcare professionals' general attitudes toward the core components of teamwork in hospital settings. Further validation studies of the Swedish version of the T-TAQ are required, with samples representing both healthcare professionals and students from various healthcare disciplines and educational levels.
背景
有效的团队合作对于提供安全的医疗保健至关重要。通过对医疗保健专业人员和本科学生进行跨专业团队培训，提高医疗保健中的患者安全性非常重要。验证团队培训活动的有效问卷有助于提供关于团队合作态度变化的宝贵知识。本研究的目的是测试瑞典版 TeamSTEPPS®团队态度问卷（T-TAQ）的信度和结构效度。
方法
该研究采用横断面设计。瑞典三个卫生保健区域的四家医院参与了这项研究。共有 458 名医疗保健专业人员，应答率为 39.4%，完成了问卷。T-TAQ 由 30 个项目组成，涵盖五个维度（团队结构、领导力、情况监测、相互支持和沟通），并被翻译成瑞典语。医院的医疗保健专业人员（医生、注册护士、助产士、护理助理和辅助卫生专业人员）收到了 T-TAQ 的纸质版本。使用 Cronbach's alpha 和验证性因素分析来测试信度和效度。
结果
T-TAQ 的总 Cronbach's alpha 为 0.70，个别维度的范围为 0.41 至 0.87。验证性因素分析（模型 2）中的拟合优度指数显示归一化卡方为 2.96，近似均方根误差为 0.068，Tucker-Lewis 指数为 0.785，比较拟合指数为 0.808。
结论
瑞典版 T-TAQ 具有一定的潜力来衡量医疗保健专业人员在医院环境中对团队合作核心要素的一般态度。需要进一步验证瑞典版 T-TAQ 的有效性，样本应包括来自不同医疗保健学科和教育水平的医疗保健专业人员和学生。
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