Psychometric Properties of the Team STEPPS Teamwork Perceptions Questionnaire Among Iranian Nurses: A Cross-Sectional Study

Mohsen  Hojat; Sajad  Khodabandelu; Zahra  Shadfard; Zahra  Pishgar; Masome  Rahimi

doi:10.18502/acta.v63i1.18593

Mohsen Hojat Department of Nursing, School of Nursing, Jahrom University of Medical Sciences, Jahrom, Iran
Sajad Khodabandelu Department of Biostatistics and Epidemiology, Student of Research Committee, School of Health, Mazandaran University of Medical Sciences, Sari, Iran
Zahra Shadfard Department of Operating Room, School of Paramedicine, Jahrom University of Medical Sciences, Jahrom, Iran
Zahra Pishgar Department of Anesthesiology, School of Paramedicine, Jahrom University of Medical Sciences, Jahrom, Iran
Masome Rahimi Department of Motahari Hospital, Jahrom University of Medical Sciences, Jahrom, Iran

DOI: https://doi.org/10.18502/acta.v63i1.18593

Keywords: Psychometric; Patient care team; Patient safety; Nurse; Cross-sectional

Abstract

Teamwork is the important principle of safety in healthcare. Evaluating the teamwork manners is vital to promote the functioning of a medical teams. So this research aimed to evaluate the psychometric properties of the Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS®). Teamwork Perception Questionnaire (T-TPQ) among Iranian nurses. This scale may help assess teamwork in hospital settings, ultimately facilitating the improvement of care quality. This cross-sectional research was conducted in two phases from April 2019 to March 2020. The first phase involved the translation and cultural adaptation of the English version of the TeamSTEPPS questionnaire. The second phase focused on validating the Persian language version of the TeamSTEPPS questionnaire, which included assessments for face validity, content validity, construct validity, and reliability. For validation purposes, 360 native Persian nurses working in educational hospitals at Jahrom University of Medical Sciences participated in the study. The content validity index was found to be 0.92, indicating high validity of the Persian language version of the TeamSTEPPS questionnaire. The content validity ratio was deemed acceptable at 0.77. The results of the confirmatory factor analysis demonstrated that the construct validity of the Persian IR-TPQ was also acceptable (RMSEA=0.061; CFI=0.960; NFI=0.927; TLI=0.957). The factor loadings of all items fell within the range of 0.47-0.90, indicating an acceptable level of validity. The first and second questions related to the Team Structure dimension were as follows: "The skills of nurses overlap sufficiently so that work can be shared when necessary (0.472)" and "Nurses are held accountable for their actions (0.531)". The Cronbach’s α coefficient of the Persian T-TPQ was calculated to be 0.942. Based on our findings, the psychometric characteristics of the Persian version of the T-TPQ are suitable, suggesting its potential for use in future research.