Li Dan, Wang Ai-Li, Gu Yan-Fen, Liu Qin, Chen Xiao-Min, Wang Zi-Ying, Zhuang Hui-Ren, Du Miao, Chen Chi, Yu Hai-Ping
Department of Nursing, Shanghai East Hospital, Tongji University School of Medicine, Shanghai, People's Republic of China.
Department of Pediatric Clinics, Shanghai United Family Hospital, Tongji University School of Medicine, Shanghai, People's Republic of China.
J Multidiscip Healthc. 2021 Apr 28;14:951-959. doi: 10.2147/JMDH.S305768. eCollection 2021.
Effective teamwork can provide safe and effective care in various medical systems. Thus, there is increasing recognition of the value of interprofessional collaborative practice. The Attitudes Toward Interprofessional Health Care Teams Scale (ATIHCTS) has been applied to a wide variety of health professions for evaluating attitudes toward health care teams. The ATIHCTS has been widely used internationally, but no Chinese version has been developed. The aim of this study was to adapt a Chinese version of the ATIHCTS among Chinese health care professionals and to test its validity.
The English version of the ATIHCTS was translated into Chinese, back-translated, and modified for cultural adaptation according to Brislin's guideline. A total of 306 health professionals in a Shanghai tertiary hospital were investigated using the Chinese version of the ATIHCTS to test its validity.
The Chinese version of the ATIHCTS was adjusted based on expert review and pilot testing. According to expert opinions, the text that did not conform to the Chinese language habits and the Chinese medical environment was adjusted. A total of five adjustments were made. After the pilot testing, minor corrections were made to improve the sentence structure of the scale instructions to make it easier to understand. Factor analysis was subsequently conducted with 306 respondents. The Chinese version of the ATIHCTS had 14 items. Exploratory factor analysis extracted two common factors, quality of care and time constraints, with the cumulative variance contribution rate reaching 70.011% and the load value of each entry on its common factor > 0.4. In addition, for scale confirmatory factor analysis (CFA), the chi-square/degrees of freedom ratio (X/df) was 1.46, the normed fit index (NFI) was 0.97, the Tucker-Lewis index (TLI) was 0.99, the incremental fit index (IFI) was 0.99, the comparative fit index (CFI) was 0.99, and the root mean square error of approximation (RMSEA) was 0.04. The fitting values all met the judgment criteria, and the scale had good structural validity. Cronbach's α of the Chinese version of the ATIHCTS was 0.861, and the Cronbach's α values of each factor were 0.949 and 0.838, respectively. The split-half reliability was 0.644, and the Guttman split-half coefficients of each factor were 0.904 and 0.779, respectively.
The Chinese version of the ATIHCTS has good validity. It is a valuable tool for evaluating attitudes toward interprofessional health care teams among the health care professionals in China.
有效的团队合作能够在各种医疗系统中提供安全有效的护理。因此，跨专业协作实践的价值得到了越来越多的认可。跨专业医疗团队态度量表（ATIHCTS）已被应用于多种健康职业，用于评估对医疗团队的态度。ATIHCTS在国际上已被广泛使用，但尚未开发中文版。本研究的目的是在中国医疗专业人员中改编ATIHCTS的中文版并测试其有效性。
根据Brislin指南，将ATIHCTS英文版翻译成中文，进行回译，并针对文化适应性进行修改。使用ATIHCTS中文版对上海一家三级医院的306名医疗专业人员进行调查，以测试其有效性。
基于专家评审和预试验对ATIHCTS中文版进行了调整。根据专家意见，对不符合中文语言习惯和中国医疗环境的文本进行了调整。共进行了五次调整。预试验后，进行了细微修改以改善量表说明的句子结构，使其更易于理解。随后对306名受访者进行了因子分析。ATIHCTS中文版有14个条目。探索性因子分析提取了两个共同因子，即护理质量和时间限制，累积方差贡献率达到70.011%，每个条目的载荷值在其共同因子上>0.4。此外，对于量表验证性因子分析（CFA），卡方/自由度比（X/df）为1.46，规范拟合指数（NFI）为0.97，塔克-刘易斯指数（TLI）为0.99，增量拟合指数（IFI）为0.99，比较拟合指数（CFI）为0.99，近似误差均方根（RMSEA）为0.04。拟合值均符合判断标准，量表具有良好的结构效度。ATIHCTS中文版的Cronbach's α为0.861，各因子的Cronbach's α值分别为0.949和0.838。分半信度为0.644，各因子的古特曼分半系数分别为0.904和0.779。
ATIHCTS中文版具有良好的有效性。它是评估中国医疗专业人员对跨专业医疗团队态度的一个有价值的工具。
