Measuring clinical management by physicians and nurses in European hospitals : Development and validation of two scales
Plochg, Thomas. (University of Amsterdam. Academic Medical Centre-AMC)
Arah, Onyebuchi A.. (University of California.)
Botje, Daan (Netherlands Institute for Health Services Research (NIVEL))
Thompson, C.A. (University of California.)
Klazinga, Niek (University of Amsterdam. Academic Medical Centre-AMC)
Wagner, Cordula (Netherlands Institute for Health Services Research (NIVEL))
Mannion, Russell. (University of Birmingham)
Lombarts, Kiki. (Center for Evidence-Based Education. Academic Medical Center. University of Amsterdam)
Kringos, Dionne (University of Amsterdam. Academic Medical Centre-AMC)
Lopez, M. A. (Universitat Autònoma de Barcelona. Institut Universitari Avedis Donabedian)
Secanell, M. (Universitat Autònoma de Barcelona. Institut Universitari Avedis Donabedian)
Suñol Sala, Rosa (Universitat Autònoma de Barcelona. Institut Universitari Avedis Donabedian)
Vallejo, P. (Universitat Autònoma de Barcelona. Institut Universitari Avedis Donabedian)
Bartels, Paul (Central Denmark Region. Center for Healthcare Improvements. Aalborg University)
Kristensen, S. (Central Denmark Region. Center for Healthcare Improvements. Aalborg University)
Michel, P. (Comité de la Coordination de l'Evaluation Clinique et de la Qualité en Aquitaine)
Saillour-Glenisson, F. (Comité de la Coordination de l'Evaluation Clinique et de la Qualité en Aquitaine)
Vlcek, F. (Czech Accreditation Committee)
Car, M. (Dr Foster Intelligence-DFI)
Jones, S. (Dr Foster Intelligence-DFI)
Klaus, E. (Dr Foster Intelligence-DFI)
Bottaro, S. (European Hospital and Healthcare Federation-HOPE)
Garel, Pascal (European Hospital and Healthcare Federation-HOPE)
Saluvan, M. (Hacettepe University)
Bruneau, Charles (Haute Autorité de la Santé-HAS)
Depaigne-Loth, A. (Haute Autorité de la Santé-HAS)
Shaw, C. (University of New South Wales)
Hammer, A. (Institute for Medical Sociology. Health Services Research and Rehabilitation Science. University of Cologne.)
Ommen, O. (Institute for Medical Sociology. Health Services Research and Rehabilitation Science. University of Cologne.)
Pfaff, H. (Institute for Medical Sociology. Health Services Research and Rehabilitation Science. University of Cologne.)
Groene, Oliver (London School of Hygiene and Tropical Medicine)
Kutaj-Wąsikowska, Halina (Polish Society for Quality Promotion in Health Care-TPJ)
Kutryba, B. (Polish Society for Quality Promotion in Health Care-TPJ)
Escoval, Ana (Portuguese Association for Hospital Development-APDH)
Lívio, A. (Portuguese Association for Hospital Development-APDH)
Eiras, M (Portuguese Society for Quality in Health Care. SPQS)
Franca, M. (Portuguese Society for Quality in Health Care. SPQS)
Leite, I. (Portuguese Society for Quality in Health Care. SPQS)
Almeman, F. (Turkish Society for Quality Improvement in Healthcare-SKID)
Kus, H. (Turkish Society for Quality Improvement in Healthcare-SKID)
Ozturk, K. (Turkish Society for Quality Improvement in Healthcare-SKID)
Dersarkissian, Maral (University of California.)
Wang, A. (University of California.)
Thompson, A. (University of Edinburgh)

Data:	2014
Resum:	Objective: Clinical management is hypothesized to be critical for hospital management and hospital performance. The aims of this study were to develop and validate professional involvement scales for measuring the level of clinical management by physicians and nurses in European hospitals. Design: Testing of validity and reliability of scales derived from a questionnaire of 21 items was developed on the basis of a previous study and expert opinion and administered in a cross-sectional seven-country research project 'Deepening our Understanding of Quality improvement in Europe' (DUQuE). Setting and Participants: A sample of 3386 leading physicians and nurses working in 188 hospitals located in Czech Republic, France, Germany, Poland, Portugal, Spain and Turkey. Main Outcome Measures: Validity and reliability of professional involvement scales and subscales. Results: Psychometric analysis yielded four subscales for leading physicians: (i) Administration and budgeting, (ii) Managing medical practice, (iii) Strategic management and (iv) Managing nursing practice. Only the first three factors applied well to the nurses. Cronbach's alpha for internal consistency ranged from 0. 74 to 0. 86 for the physicians, and from 0. 61 to 0. 81 for the nurses. Except for the 0. 74 correlation between 'Administration and budgeting' and 'Managing medical practice' among physicians, all inter-scale correlations were <0. 70 (range 0. 43-0. 61). Under testing for construct validity, the subscales were positively correlated with 'formal management roles' of physicians and nurses. Conclusions: The professional involvement scales appear to yield reliable and valid data in European hospital settings, but the scale 'Managing medical practice' for nurses needs further exploration. The measurement instrument can be used for international research on clinical management.
Ajuts:	European Commission 241822
Nota:	The study, "Deepening our Understanding of Quality Improvement in Europe (DUQuE)" has received funding from the European Community's Seventh Framework Programme (FP7/2007-2013) under grant agreement n° 241822. Funding to pay the Open Access publication charges for this article was provided by European Community's Seventh Framework Programme (FP7/2007-2013) under grant agreement n° 241822.
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Llengua:	Anglès
Document:	Article ; recerca ; Versió publicada
Publicat a:	International journal for quality in health care, Vol. 26 (2014) , p. 56-65, ISSN 1464-3677

DOI: 10.1093/intqhc/mzu014
PMID: 24615595

10 p, 244.4 KB

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