Open AccessEffectiveness of Teamwork in an Integrated Care Setting for Patients with COPD: Development and Testing of a Self-Evaluation Instrument for Interprofessional Teams
Author(s) -
Anneke van Dijk-de Vries,
Inge G P Duimel-Peeters,
Jean Muris,
Geertjan Wesseling,
George Beusmans,
Hubertus J. M. Vrijhoef
Publication year - 2016
Publication title -
international journal of integrated care
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.083
H-Index - 32
ISSN - 1568-4156
DOI - 10.5334/ijic.2454
Subject(s) - teamwork , cronbach's alpha , health care , integrated care , medicine , nursing , conceptual framework , psychology , knowledge management , process management , computer science , engineering , psychometrics , clinical psychology , political science , law , economics , economic growth , philosophy , epistemology
Teamwork between healthcare providers is conditional for the delivery of integrated care. This study aimed to assess the usefulness of the conceptual framework Integrated Team Effectiveness Model for developing and testing of the Integrated Team Effectiveness Instrument. Theory and methods: Focus groups with healthcare providers in an integrated care setting for people with chronic obstructive pulmonary disease (COPD) were conducted to examine the recognisability of the conceptual framework and to explore critical success factors for collaborative COPD practice out of this framework. The resulting items were transposed into a pilot instrument. This was reviewed by expert opinion and completed 153 times by healthcare providers. The underlying structure and internal consistency of the instrument were verified by factor analysis and Cronbach’s alpha. Results: The conceptual framework turned out to be comprehensible for discussing teamwork effectiveness. The pilot instrument measures 25 relevant aspects of teamwork in integrated COPD care. Factor analysis suggested three reliable components: teamwork effectiveness, team processes and team psychosocial traits (Cronbach’s alpha between 0.76 and 0.81). Conclusions and discussion: The conceptual framework Integrated Team Effectiveness Model is relevant in developing a practical full-spectrum instrument to facilitate discussing teamwork effectiveness. The Integrated Team Effectiveness Instrument provides a well-founded basis to self-evaluate teamwork effectiveness in integrated COPD care by healthcare providers. Recommendations are provided for the improvement of the instrument.