Measuring Interdisciplinary Collaboration in Assessing Nursing Work Environment

2.50
Hdl Handle:
http://hdl.handle.net/10755/154368
Type:
Presentation
Title:
Measuring Interdisciplinary Collaboration in Assessing Nursing Work Environment
Abstract:
Measuring Interdisciplinary Collaboration in Assessing Nursing Work Environment
Conference Sponsor:Sigma Theta Tau International
Conference Year:2006
Author:Sapnas, Kathryn G., PhD, MSN, BSN, RN
P.I. Institution Name:Miami VA Health Care System
Title:Associate Chief Nurse Education and Research
Co-Authors:Kathryn Ward-Presson, MSN, BSN, RN; Claire Monzeglio, MSN, BSN, RN
Interdisciplinary healthcare relationships have profound impact on patient safety and outcomes, nurse, patient and family satisfaction as well as nursing recruitment and retention. Surgical units of a large urban acute care VA hospital had anecdotal reports that Nursing and Surgical staff, and patient/ family satisfaction needed improvement. Little evidence supported the dissatisfaction. A multidisciplinary process improvement team developed surrounding the Magnet force of Interdisciplinary Collaboration. Measurement of collaboration and satisfaction was indicated as part of the workplace assessment. The nurse developed Collaboration and Satisfaction about Care Decisions? (CSACD) instrument (Baggs, 1992) has demonstrated robust reliability of 0.92 and construct validity in neonatal and adult intensive care environments. The CSACD includes 9 items measured on a 7 point Likert type scale. CSACD? psychometric assessment in non-critical care areas was undertaken to test the stability of the instrument in a population not previous tested. The CSACD was administered on line via the Miami VA intranet with confidentiality assured. Fifty five (78.6%) non-critical care employees responded to the on the on-line survey. Thirty three respondents (60%) worked in the Operating Room or Ambulatory Surgery. The majority of the respondents were RNs (38;69.1%). The sample included 7 (12.7%) MD/APN providers. All 55 respondents answered all questions. Scores ranged from 9-63, mean = 36.87, SD=14.71, median =36. Item means ranged from 3.85 to 4.62. Item standard deviations ranged from 1.77 to 1.95. The reliability for the scale constructed from 9 items was Cronbach alpha =.96. Principal components factor analysis was conducted on the 9 items. A single strong and systematic factor emerged accounting for 75.7% of the variance. All items loaded strongly on the single factor with loadings ranging from .932- .752.  The scree plot verified a strong single factor.  The CSACD is a robust tool with strong psychometric properties in diverse hospital settings.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleMeasuring Interdisciplinary Collaboration in Assessing Nursing Work Environmenten_GB
dc.identifier.urihttp://hdl.handle.net/10755/154368-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Measuring Interdisciplinary Collaboration in Assessing Nursing Work Environment</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2006</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Sapnas, Kathryn G., PhD, MSN, BSN, RN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Miami VA Health Care System</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Associate Chief Nurse Education and Research</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">Kathryn.Sapnas@va.gov</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Kathryn Ward-Presson, MSN, BSN, RN; Claire Monzeglio, MSN, BSN, RN</td></tr><tr><td colspan="2" class="item-abstract">Interdisciplinary healthcare relationships have profound impact on patient safety and outcomes, nurse, patient and family satisfaction as well as nursing recruitment and retention. Surgical units of a large urban acute care VA hospital had anecdotal reports that Nursing and Surgical staff, and patient/ family satisfaction needed improvement. Little evidence supported the dissatisfaction. A multidisciplinary process improvement team developed surrounding the Magnet force of Interdisciplinary Collaboration. Measurement of collaboration and satisfaction was indicated as part of the workplace assessment. The nurse developed Collaboration and Satisfaction about Care Decisions? (CSACD) instrument (Baggs, 1992) has demonstrated robust reliability of 0.92 and&nbsp;construct validity in neonatal and adult intensive care environments. The CSACD includes 9 items measured on a 7 point Likert type scale. CSACD? psychometric assessment in non-critical care areas was undertaken to test the stability of the instrument in a population not previous tested. The CSACD was administered on line via the Miami VA intranet with confidentiality assured. Fifty five (78.6%) non-critical care employees responded to the on the on-line survey.&nbsp;Thirty three respondents (60%) worked in the Operating Room or Ambulatory Surgery.&nbsp;The majority of the respondents were RNs (38;69.1%). The sample included 7 (12.7%) MD/APN providers. All 55 respondents answered all questions. Scores ranged from 9-63, mean = 36.87, SD=14.71, median =36. Item means ranged from 3.85 to 4.62. Item standard deviations ranged from 1.77 to 1.95. The reliability for the scale constructed from 9 items was Cronbach alpha =.96. Principal components factor analysis was conducted on the 9 items. A single strong and systematic factor emerged accounting for 75.7% of the variance. All items loaded strongly on the single factor with loadings ranging from .932- .752. &nbsp;The scree plot verified a strong single factor.&nbsp; The CSACD is a robust tool with strong psychometric properties in diverse hospital settings.</td></tr></table>en_GB
dc.date.available2011-10-26T12:56:41Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T12:56:41Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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