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Psychometric Testing of the Iranian Version of the Teamstepps Teamwork Perception Questionnaire: A Cross-Cultural Validation Study Publisher Pubmed



Kakemam E1, 2 ; Rouzbahani M3 ; Rajabi MR4 ; Roh YS5
Authors
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Authors Affiliations
  1. 1. Department of Health Services Management, School of Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran
  2. 2. Tabriz Health Services Management Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
  3. 3. Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
  4. 4. Department Cardiology, Faculty of Medicine, Shahed University, Tehran, Iran
  5. 5. Chung-Ang University, Red Cross College of Nursing, Seoul, South Korea

Source: BMC Health Services Research Published:2021


Abstract

Background: The use of validated questionnaires to assess the perception of teamwork can be an early step in improving team training activities. Team-STEPPS® Teamwork Perception Questionnaire (T-TPQ) has been adapted and validated for hospital setting use in several countries. Due to linguistic and cultural differences, there is need to test the psychometrics of the adapted versions. However, no research have not yet assessed the psychometric properties of the Persian T-TPQ. Therefore, this study aims to assess the internal consistency reliability and construct validity of an Iranian version of the Team-STEPPS® Teamwork Perception Questionnaire (IR-T-TPQ). Methods: To conduct this study, we undertook a cross-sectional survey approach between May 2020 and January 2021. In total, 404 nurses were recruited by convenience sampling technique from 10 teaching hospitals in Tabriz, Iran. Internal consistency reliability was analyzed using Cronbach’s alpha coefficient. Confirmatory factor analysis was performed to test the construct validity of the instrument. Results: Cronbach’s alpha coefficients for each subscale were acceptable, ranging from 0.84 to 0.92, as well as for the total IR-T-TPQ (α = 0.96). The confirmatory factor analysis demonstrated a five-factor model, all of whose fit indices were acceptable, except for the goodness-of-fit index and normed fit index (χ2 (df) 1332 (550), p < 0.001, Normed chi-square (χ2/df) = 2.423, RMSEA = 0.059, TLI = 0.897, CFI = 0.904, AGFI = 0.814). Conclusions: The psychometric properties of the IR-T-TPQ resulted in acceptable levels of internal consistency reliability and construct validity, respectively, in Iranian hospital nurses. Further study is needed to compare the teamwork level of nurses in various settings or to evaluate the effectiveness of the teamwork intervention using this validated and reliable tool. © 2021, The Author(s).