Organizational assessment in intensive care units (ICUs): construct development, reliability, and validity of the ICU nurse-physician questionnaire.
Health Services Research has a growing need for reliable and valid measures of managerial practices and organizational processes. A national study of 42 intensive care units involving over 1,700 respondents provides evidence for the reliability and validity of a comprehensive set of measures related to leadership, organizational culture, communication, coordination, problem solving-conflict management and team cohesiveness. The data also support the appropriateness of aggregating individual respondent data to the unit level. Implications for further research are discussed.
Shortell
S M
SM
Department of Hospital and Health Services Management, J.L. Kellogg Graduate School of Management, Northwestern University, Evanston, IL 60208-2007.
Rousseau
D M
DM
Gillies
R R
RR
Devers
K J
KJ
Simons
T L
TL
D000704:Analysis of Variance; D003142:Communication; D003659:Decision Making, Organizational; D006302:Health Services Research / Q000379:methods*; D006801:Humans; D007362:Intensive Care Units / Q000458:organization & administration*; D007857:Leadership; D008505:Medical Staff, Hospital; D009741:Nursing Staff, Hospital; D015279:Organizational Culture; D010348:Patient Care Team / Q000458:organization & administration*; D011340:Problem Solving; D015203:Reproducibility of Results; D011795:Surveys and Questionnaires; D014481:United States