| Learning Objective #1: describe an evidence based process improvement strategy developed surrounding the force of Magnetism of Interdisciplinary Collaboration. | |||
| Learning Objective #2: discuss a valid and reliable measure of collaboration and satisfaction with care decisions. |
Interdisciplinary healthcare relationships have profound impact on patient safety and outcomes, nurse, patient and family satisfaction as well as nursing recruitment and retention. Surgical units of a large urban acute care VA hospital had anecdotal reports that Nursing and Surgical staff, and patient/ family satisfaction needed improvement. Little evidence supported the dissatisfaction. A multidisciplinary process improvement team developed surrounding the Magnet force of Interdisciplinary Collaboration. Measurement of collaboration and satisfaction was indicated as part of the workplace assessment.
The nurse developed Collaboration and Satisfaction about Care Decisions© (CSACD) instrument (Baggs, 1992) has demonstrated robust reliability of 0.92 and and construct validity in neonatal and adult intensive care environments. The CSACD includes 9 items measured on a 7 point Likert type scale. CSACD© psychometric assessment in non-critical care areas was undertaken to test the stability of the instrument in a population not previous tested.
The CSACD was administered on line via the Miami VA intranet with confidentiality assured. Fifty five (78.6%) non-critical care employees responded to the on the on-line survey. Thirty three respondents (60%) worked in the Operating Room or Ambulatory Surgery. The majority of the respondents were RNs (38;69.1%). The sample included 7 (12.7%) MD/APN providers. All 55 respondents answered all questions. Scores ranged from 9-63, mean = 36.87, SD=14.71, median =36. Item means ranged from 3.85 to 4.62. Item standard deviations ranged from 1.77 to 1.95. The reliability for the scale constructed from 9 items was Cronbach alpha =.96. Principal components factor analysis was conducted on the 9 items. A single strong and systematic factor emerged accounting for 75.7% of the variance. All items loaded strongly on the single factor with loadings ranging from .932- .752. The scree plot verified a strong single factor. The CSACD is a robust tool with strong psychometric properties in diverse hospital settings.
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