Psychometric Properties Of The Chinese Version Of The Teamstepps Teamwork Perceptions Questionnaire To Measure Teamwork Perceptions Of Chinese Residents: A Cross-Sectional Study

BMJ OPEN(2020)

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Abstract
Objectives The purpose of this research was to evaluate the psychometric properties of the TeamSTEPPS Teamwork Perception Questionnaire (T-TPQ) among the Chinese residents. Design Cross-sectional study. Setting A clinical hospital of the China Medical University in Liaoning Province, China. Participants A total of 664 residents were enrolled in this research. The valid response rate was 83.0% (664 of 800 residents). Main outcome measures Internal consistency and test-retest reliability were used to assess the reliability of the questionnaire. The construct validity of the Chinese T-TPQ was evaluated by confirmatory factor analysis. Furthermore, the concurrent, convergent and discriminant validity were analysed. Results Cronbach's alpha coefficient of the T-TPQ in Chinese language was 0.923. Except for the communication dimension (0.649), the Cronbach's alpha coefficient of all dimensions were satisfactory. The T-TPQ and its five dimensions reported a good test-retest reliability (0.740-0.881, p<0.01). Moreover, the results of the confirmatory factor analysis demonstrated that the construct validity of the Chinese T-TPQ was satisfactory. All dimensions significantly correlated with the Hospital Survey on Patient Safety Culture (HSOPSC) teamwork within units dimension and the Safety Attitudes Questionnaire (SAQ) teamwork climate dimension (p<0.01), and the questionnaire showed satisfactory convergent and discriminant validity. Conclusions The T-TPQ in Chinese language demonstrated good psychometric characteristics and was a reliable and valid questionnaire to measure the Chinese health professionals' perception of teamwork. Thus, the Chinese version of the T-TPQ could be applied in teamwork training programmes and medical education research.
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Key words
teamwork, questionnaire, cross-cultural validation, healthcare quality, patient safety
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