Psychometric properties of the Chinese version of the TeamSTEPPS teamwork perceptions questionnaire to measure teamwork perceptions of Chinese residents: a cross-sectional study

Abstract

ObjectivesThe purpose of this research was to evaluate the psychometric properties of the TeamSTEPPS Teamwork Perception Questionnaire (T-TPQ) among the Chinese residents.DesignCross-sectional study.SettingA clinical hospital of the China Medical University in Liaoning Province, China.ParticipantsA total of 664 residents were enrolled in this research. The valid response rate was 83.0% (664 of 800 residents).Main outcome measuresInternal 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.ResultsCronbach’s α coefficient of the T-TPQ in Chinese language was 0.923. Except for the communication dimension (0.649), the Cronbach’s α 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.ConclusionsThe 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.

Psychometric testing of the Iranian version of the TeamSTEPPS teamwork perception questionnaire: a cross-cultural validation study

“…The five-factor IR-T-TPQ showed satisfactory internal consistency, with a total Cronbach's alpha of 0.96, above the recognized threshold of 0.70. The result of reliability was in line with the prior validation studies of the T-TPQ in other countries, such as Korea [9], Norway [10,11], China [15], the USA [32], and the original English version [8]. In contrast, in the Swedish study by Hall-Lord et al, Cronbach's alpha values were low in Mutual Support and Communication [13].…”

“…The RMSEA was 0.059, and χ2/df was below 3. According to the recommendations for CFA, these goodness-of-fit indexes of CFA indicated an acceptable fit with the original construct [29], and the result was in agreement with the previous validation Chinese study of the T-TPQ (RMSEA = 0.059) [15]. Some previous studies that also reported acceptable RMSEA values include the Norwegian study by Ballangrud et A = 0.062) [14], and the USA study by Keebler et al…”

“…We analyzed the data using SPSS 23.0 (IBM Corp., Armonk, NY, USA) and IBM AMOS version 21.0 (IBM Corp.). Internal consistency (measured by Cronbach's alpha) was assessed for the total questionnaire and each teamwork subscale and interpreted as acceptable when Cronbach's alpha coefficient value was higher than 0.7 [15,25]. Item analysis was calculated using the corrected item-total correlation and Cronbach's alpha if an item was deleted.…”

“…Pearson's correlation coefficient (r) was used to analyze the correlations between each subscale of the T-TPQ. Construct validity was analyzed using the confirmatory factor analysis (CFA), which is very important for scales that have been culturally adapted [11,13,15]. The strength of the model was assessed using the chi-square goodness-of-fit (χ2), normed chi-square (χ2/df), root mean square error of approximation (RMSE A), Tucker-Lewis index (TLI), comparative fit index (CFI), goodness-of-fit index (GFI), normed fit index (NFI), adjusted goodness-of-fit index (AGFI), and the standardized root mean square residual (SRMR).…”

“…The validated T-TPQ can be applied to understand the impacts of team training, as it is administrated before and after the training [8]. To date, the T-TPQ tool has been translated and validated among Korean nurses [9], Norwegian [10,11], Greek [12], Swedish [13] and Japanese healthcare professionals [14], and Chinese residents [15], showing acceptable reliability and validity. All versions of the T-TPQ contp <ains the same content, with minor modifications to reflect the clinical practices.…”