Uysal Dilek, Altsoy Semra, Cinibulak Mehmet, Demirsoy Nilufer
Eskisehir Osmangazi University Vocational School of Health Services, Eskisehir, Turkey.
Ankara Hacı Bayram Veli University Graduate Education Institute Health Management, Ankara, Turkey.
BMC Psychol. 2025 Sep 26;13(1):1038. doi: 10.1186/s40359-025-03399-0.
The healthcare sector is a labor-intensive service domain that operates on the basis of multidisciplinary collaboration. Effective service delivery in this field is not solely dependent on individual expertise, but also closely linked to the cooperation and cohesion established among team members. Team cohesion plays a critical role in various aspects, including patient safety, quality of care, team performance, and the prevention of medical errors. Particularly in healthcare services, where human life is directly at stake, the importance of team cohesion becomes even more evident in ensuring effective and safe care delivery. In this context, the present study aimed to validate the Turkish version of the Erlangen Team Cohesion at Work Scale and to assess the level of team cohesion among paramedics.
This methodological study was conducted between June 15 and July 15, 2024, with 219 paramedics who are members of the Association of Paramedics and Prehospital Emergency Medicine. To validate the Turkish version of the Erlangen Team Cohesion at Work Scale, the following procedures were carried out: For content validity: cultural adaptation, linguistic and content validation, and a pilot study. For construct validity: Exploratory Factor Analysis (EFA) and Confirmatory Factor Analysis (CFA). For reliability: Cronbach's alpha, item-total correlations, split-half reliability, and test-retest reliability analyses.
The Turkish version of the scale, consisting of 12 items under a single factor, demonstrated excellent psychometric properties: Cronbach's alpha = 0.93; KMO = 0.94; explained variance = 59.76%. The fit indices from CFA were: χ²/df = 2.5, RMSEA = 0.08, SRMR = 0.04, GFI = 0.90, NFI = 0.93, RFI = 0.90, IFI = 0.95, TLI = 0.94, and CFI = 0.95. These findings confirmed that the Turkish version of the Erlangen Team Cohesion at Work Scale has high content and construct validity as well as strong reliability. Additionally, the paramedics who participated in the study were found to have a high level of team cohesion, with a mean score of 2.86 ± 0.63.
The Turkish version of the Erlangen Team Cohesion at Work Scale demonstrated robust validity and reliability, supporting its applicability among healthcare professionals in Turkey. Furthermore, the high cohesion levels observed among paramedics highlight the presence of effective collaborative dynamics in prehospital emergency medical services.
医疗保健部门是一个劳动密集型服务领域，基于多学科协作开展工作。该领域有效的服务提供不仅取决于个人专业知识，还与团队成员之间建立的合作与凝聚力密切相关。团队凝聚力在多个方面发挥着关键作用，包括患者安全、护理质量、团队绩效以及医疗差错的预防。特别是在医疗服务中，人的生命直接受到威胁，团队凝聚力在确保有效和安全的护理提供方面的重要性更加明显。在此背景下，本研究旨在验证工作场所埃尔朗根团队凝聚力量表的土耳其语版本，并评估护理人员的团队凝聚力水平。
本方法学研究于2024年6月15日至7月15日进行，研究对象为219名护理人员，他们均为护理人员与院前急救医学协会的成员。为了验证工作场所埃尔朗根团队凝聚力量表的土耳其语版本，进行了以下程序：对于内容效度：文化适应、语言和内容验证以及预试验。对于结构效度：探索性因素分析（EFA）和验证性因素分析（CFA）。对于信度：Cronbach's alpha、项目-总分相关性、分半信度和重测信度分析。
该量表的土耳其语版本由单因素下的12个项目组成，显示出优异的心理测量学特性：Cronbach's alpha = 0.93；KMO = 0.94；解释方差 = 59.76%。CFA的拟合指数为：χ²/df = 2.5，RMSEA = 0.08，SRMR = 0.04，GFI = 0.90，NFI = 0.93，RFI = 0.90，IFI = 0.95，TLI = 0.94，CFI = 0.95。这些结果证实，工作场所埃尔朗根团队凝聚力量表的土耳其语版本具有较高的内容效度和结构效度以及较强的信度。此外，参与研究的护理人员被发现具有较高的团队凝聚力水平，平均得分为2.86 ± 0.63。
工作场所埃尔朗根团队凝聚力量表的土耳其语版本显示出强大的效度和信度，支持其在土耳其医疗保健专业人员中的适用性。此外，护理人员中观察到的高凝聚力水平突出了院前急救医疗服务中有效协作动态的存在。
