title: Psychometric Evaluation of an Instrument for Measuring Organizational Climate for Quality: Evidence From a National Sample of Infection Preventionists.
abstract: In recent years, there has been increased interest in measuring the climate for infection prevention; however, reliable and valid instruments are lacking. This study tested the psychometric properties of the Leading a Culture of Quality for Infection Prevention (LCQ-IP) instrument measuring the infection prevention climate in a sample of 972 infection preventionists from acute care hospitals. An exploratory principal component analysis showed that the instrument had structural validity and captured 4 factors related to the climate for infection prevention: Psychological Safety, Prioritization of Quality, Supportive Work Environment, and Improvement Orientation. LCQ-IP exhibited excellent internal consistency, with a Cronbach α of .926. Criterion validity was supported with overall LCQ-IP scores, increasing with the number of evidence-based prevention policies in place (P = .047). This psychometrically sound instrument may be helpful to researchers and providers in assessing climate for quality related to infection prevention.
authors.affiliation: Thomas Jefferson University, Jefferson School of Nursing, Philadelphia, PA Monika.Pogorzelska-Maziarz@jefferson.edu.
authors.forename: Monika
authors.initials: M
authors.lastname: Pogorzelska-Maziarz
authors.affiliation: Yale School of Public Health, Yale School of Management, New Haven, CT.
authors.forename: Ingrid M
authors.initials: IM
authors.lastname: Nembhard
authors.affiliation: Columbia University School of Nursing, New York, NY.
authors.forename: Rebecca
authors.initials: R
authors.lastname: Schnall
authors.affiliation: NewYork Presbyterian Hospital, New York, NY.
authors.forename: Shanelle
authors.initials: S
authors.lastname: Nelson
authors.affiliation: Columbia University School of Nursing, New York, NY.
authors.forename: Patricia W
authors.initials: PW
authors.lastname: Stone
mesh_terms: D003428:Cross Infection / Q000517:prevention & control*; D006801:Humans; D015279:Organizational Culture; D011594:Psychometrics; D011787:Quality of Health Care / Q000458:organization & administration; D011795:Surveys and Questionnaires; D014481:United States
keywords: health care–associated infections; organizational climate; psychometric analysis; quality