Reliability and structural validity of the Norwegian version of the TeamSTEPPS Teamwork Attitudes Questionnaire: A cross-sectional study among Bachelor of Nursing students.

Tore Karlsen,Sigrid Wangensteen,Randi Ballangrud,Marie Louise Hall-Lord

doi:10.1002/nop2.671

Abstract

AimTo test the reliability and structural validity of the Norwegian version of the TeamSTEPPS® Teamwork Attitudes Questionnaire (T‐TAQ) among Bachelor of Nursing students.DesignCross‐sectional study.MethodsBachelor of Nursing students (N = 1,624) at three campuses in different regions of Norway were invited to complete the survey. The data were analysed with descriptive statistics, Cronbach's alpha and confirmatory factor analysis (CFA). Three models were tested. Model 3 was a post hoc modification with a correlation between four negatively worded items. The data was collected in September 2018 and May‐June 2019.ResultsA total of 509 students were included in the study. Cronbach's alpha ranged from 0.44–0.70 for the dimensions and was 0.79 for the total questionnaire. The fit indexes of model 3 were as follows: RMSEA = 0.043, chi‐square = 724.3 (p < .000), normed chi‐square = 1.862, TLI = 0.812 and CFI = 0.832. The questionnaire shows some potential to display attitudes towards teamwork in health care among Bachelor of Nursing students. Low Cronbach's alpha in the dimensions might indicate that the questionnaire should be considered used as a unidimensional questionnaire.

Highlights

There is a consensus that teamwork constitutes one of the critical elements in today's highly complex system of delivering safe and effective patient care (Neuhaus et al, 2019; Rosen et al, 2018; Schmutz & Manser, 2013)
We examined the data for missing item responses before the confirmatory factor analysis (CFA) analysis
This study shows that the negatively worded items are troublesome for factor loading and affect the reliability of the dimensions

Summary

Introduction

There is a consensus that teamwork constitutes one of the critical elements in today's highly complex system of delivering safe and effective patient care (Neuhaus et al, 2019; Rosen et al, 2018; Schmutz & Manser, 2013). Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS®) is a team training programme based on more than 20 years of research examining elements that are essential for providing effective and safe care in health care, including the principles of sustainable implementation (King et al, 2008; Salas et al, 2018). Learning outcomes show a positive change among students (Maguire et al, 2015; Sweigart et al, 2016) and among healthcare professionals' (Vertino, 2014; Wadsworth, 2019) attitudes towards teamwork after the implementation of TeamSTEPPS®. Participants seem to enjoy attending the team training programme (Thomas & Galla, 2013; Welsch et al, 2018) These outcomes motivated the research team to design a study to implement TeamSTEPPS® in Bachelor of Nursing education. No Bachelor of Nursing programme in Europe has implemented the TeamSTEPPS® team training programme

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