The Swedish version of the TeamSTEPPS® teamwork attitudes questionnaire (T-TAQ): A validation study

Abstract

Background Effective teamwork is essential for delivering safe health care. It is important to increase patient safety in healthcare by conducting interprofessional team training with both healthcare professionals and undergraduate students. Validated questionnaires that evaluate team training activities contribute to valuable knowledge regarding changes in attitudes toward teamwork. The aim of the study was to test the reliability and structural validity of the Swedish version of the TeamSTEPPS® Teamwork Attitudes Questionnaire (T-TAQ). Methods The study had a cross-sectional design. Four hospitals in three health care regions in Sweden participated in the study. In total, 458 healthcare professionals, response rate 39.4%, completed the questionnaire. The T-TAQ, which consists of 30 items and covers five dimensions (Team Structure, Leadership, Situation Monitoring, Mutual Support and Communication), was translated to Swedish. A paper version of the T-TAQ was distributed to healthcare professionals (physicians, registered nurses, midwives, nursing assistants and allied health professionals) from the hospitals. Reliability and validity were tested using Cronbach’s alpha and confirmatory factor analysis. Results Cronbach’s alpha was 0.70 for the total T-TAQ and ranged from 0.41 to 0.87 for the individual dimensions. The goodness-of-fit indexes in the confirmatory factor analysis (Model 2) revealed a normed chi-square of 2.96, a root mean square error of approximation of 0.068, a Tucker-Lewis index of 0.785 and a comparative fit index of 0.808. Conclusions The Swedish version of the T-TAQ has some potential to measure healthcare professionals’ general attitudes toward the core components of teamwork in hospital settings. Further validation studies of the Swedish version of the T-TAQ are required, with samples representing both healthcare professionals and students from various healthcare disciplines and educational levels.

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

“…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]. Therefore, we can measure the perceived teamwork of nurses at their typical workplace with good internal consistency reliability.…”

“…The factor load of all items was acceptable. Our study exhibited better factor load than that in the study of the T-TPQ performed in Sweden [13] and China [15]. Overall, these results show that the model of the IR-T-TPQ is appropriate for future research in Iran.…”

“…(RMSEA = 0.068) [32]. Furthermore, the Swedish study by Hall-Lord et al [13] reported the RMSEA as 0.076. The original version of the T-TPQ has a rigorous structure, and the present Iranian version of the T-TPQ maintained its validity.…”

“…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.…”