title: Relationship of organizational culture, teamwork and job satisfaction in interprofessional teams.
abstract: BACKGROUND
  Team effectiveness is often explained on the basis of input-process-output (IPO) models. According to these models a relationship between organizational culture (input = I), interprofessional teamwork (process = P) and job satisfaction (output = O) is postulated. The aim of this study was to examine the relationship between these three aspects using structural analysis.
  
  
  METHODS
  A multi-center cross-sectional study with a survey of 272 employees was conducted in fifteen rehabilitation clinics with different indication fields in Germany. Structural equation modeling (SEM) was carried out using AMOS software version 20.0 (maximum-likelihood method).
  
  
  RESULTS
  Of 661 questionnaires sent out to members of the health care teams in the medical rehabilitation clinics, 275 were returned (41.6%). Three questionnaires were excluded (missing data greater than 30%), yielding a total of 272 employees that could be analyzed. The confirmatory models were supported by the data. The results showed that 35% of job satisfaction is predicted by a structural equation model that includes both organizational culture and teamwork. The comparison of this predictive IPO model (organizational culture (I), interprofessional teamwork (P), job satisfaction (O)) and the predictive IO model (organizational culture (I), job satisfaction (O)) showed that the effect of organizational culture is completely mediated by interprofessional teamwork. The global fit indices are a little better for the IO model (TLI: .967, CFI: .972, RMSEA .052) than for the IPO model (TLI: .934, CFI: .943, RMSEA: .61), but the prediction of job satisfaction is better in the IPO model (R(2) = 35%) than in the IO model (R(2) = 24%).
  
  
  CONCLUSIONS
  Our study results underpin the importance of interprofessional teamwork in health care organizations. To enhance interprofessional teamwork, team interventions can be recommended and should be supported. Further studies investigating the organizational culture and its impact on interprofessional teamwork and team effectiveness in health care are important.
authors.affiliation: Medical Psychology and Medical Sociology, University of Freiburg, Hebelstr. 29, 79104, Freiburg, Germany. mirjam.koerner@mps.uni-freiburg.de.
authors.forename: Mirjam
authors.initials: M
authors.lastname: Körner
authors.affiliation: Department of Research Methods, Institute of Psychology, University of Education Freiburg, Kunzenweg 21, 79117, Freiburg, Germany. markus.wirtz@ph-freiburg.de.
authors.forename: Markus A
authors.initials: MA
authors.lastname: Wirtz
authors.affiliation: Department of Rehabilitation Psychology and Psychotherapy, Institute of Psychology, University of Freiburg, Engelbergerstr. 41, 79085, Freiburg, Germany. juergen.bengel@psychologie.uni-freiburg.de.
authors.forename: Jürgen
authors.initials: J
authors.lastname: Bengel
authors.affiliation: Department of Occupational and Consumer Psychology, Institute of Psychology, University of Freiburg, Engelbergerstr. 41, 79085, Freiburg, Germany. goeritz@psychologie.uni-freiburg.de.
authors.forename: Anja S
authors.initials: AS
authors.lastname: Göritz
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D003299:Cooperative Behavior; D003430:Cross-Sectional Studies; D005260:Female; D005858:Germany; D006801:Humans; D007588:Job Satisfaction; D016013:Likelihood Functions; D008297:Male; D008875:Middle Aged; D015279:Organizational Culture; D010348:Patient Care Team / Q000458:organization & administration; D011795:Surveys and Questionnaires; D055815:Young Adult