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Validity and Reliability of the Turkish Version of Team Effectiveness Questionnaires: Patient and Provider Perceptions

Year 2025, Volume: 15 Issue: 1, 137 - 146, 28.03.2025
https://doi.org/10.33808/clinexphealthsci.1483360

Abstract

Objective: To adapt the Patient/Family-Perfections of Team Effectiveness (Patient-PTE) Questionnaire and Provider-Perceptions of Team Effectiveness Questionnaire (Provider-PTE) into Turkish and to test their validity and reliability.
Methods: The sample of this methodological study included patients receiving inpatient treatment and care at a training and research hospital and their families (n1=230), and nurses and physicians (n2=260). After the questionnaires’ language and content validity were confirmed, their construct validity was examined by test-retest and internal consistency.
Results: The original structure of the questionnaires was preserved in their Turkish versions. In construct validity, significant differences were determined according to the characteristics of the participants in both questionnaires. A statistically significant difference was detected when the mean scores of low and high functioning teams were compared for the sensitivity of the questionnaires.
Conclusion: Turkish versions of the questionnaires were considered valid and reliable. The Patient-PTE can be used to assess team processes and perceived outcomes of care from the patients’ and their families’ perspectives. The Provider-PTE can be used to assess interdisciplinary team processes and perceived care outcomes.

Ethical Statement

Permission was received via e-mail from the author who developed the surveys to adapt the surveys to Turkish. Ethics committee approval for the research was received from Istanbul University-Cerrahpaşa Social Sciences and Humanities Research Ethics Committee (Date: 13.10.2020, number: 134). The study was conducted in accordance with the Declaration of Helsinki. Written permission was obtained from the hospital where the research would be conducted. After the healthcare professionals and patients/families included in the sample of the study were informed about the purpose of the research, the participants who wanted to participate voluntarily were signed an Informed Consent Form.

Project Number

Yoktur.

Thanks

We would like to thank the nurses, physicians and patients who participated in our study.

References

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  • Walton V, Hogden A, Long JC, Johnson J, Greenfield D. Exploring interdisciplinary teamwork to support effective ward rounds. International Journal of Health Care Quality Assurance 2020,33(4/5):373-387. https://doi.org/10.1108/IJHCQA-10-2019-0178
  • Aghamohammadi D, Dadkhah B, Aghamohammadi M. Nurse–physician collaboration and the professional autonomy of intensive care units nurses. Indian journal of critical care medicine 2019,23(4):178-181. https://doi.org/10.5005/jp-journals-10071-23149
  • Kilpatrick K, Paquette L, Jabbour M, Tchouaket E, Fernandez N, Al Hakim G, Landry V, Gauthier N, Beaulieu MD, Dubois CA. Systematic review of the characteristics of brief team interventions to clarify roles and improve functioningin healthcare teams. Plos One 2020,15(6):e0234416. https://doi.org/10.1371/journal.pone.0234416
  • Kilpatrick K, Tchouaket É, Paquette L, Guillemette C, Jabbour M, Desmeules F, Landry V, Fernandez N. Measuring patient and family perceptions of team processes and outcomes in healthcare teams: Questionnaire development and psychometric evaluation. BMC Health Services Research 2019a,19(9): 1-16. https://doi.org/10.1186/s12913-018-3808-0
  • Berber N, Slavić A, Aleksić M. Relationship between perceived teamwork effectiveness and team performance in banking sector of Serbia. Sustainability 2020,12(20):8753. https://doi.org/10.3390/su12208753
  • Saygılı M, Özer Ö. The examination of teamwork attitudes in healthcare professionals . Süleyman Demirel Üniversitesi Vizyoner Dergisi 2020, 11(27):444-454. (Turkish)
  • Kilpatrick K, Tchouaket E, Fernandez N, Jabbour M, Dubois CA, Paquette L, Landry V, Gauthier N, Beaulieu MD. Patient and family views of team functioning in primary healthcare teams with nurse practitioners: A survey of patient-reported experience and outcomes. BMC Fam Pract 2021,22(76): 1-14. https://doi.org/10.1186/s12875-021-01406-y
  • Anderson JE, Lavelle M, Reedy G. Understanding adaptive teamwork in health care: Progress and future directions. Journal of Health Services Research & Policy 2021,26(3):208-214. https://doi.org/10.1177/1355819620978436
  • Petit dit Dariel O, Cristofalo, P. A meta-ethnographic review of interprofessional teamwork in hospitals: What it is and why it doesn’t happen more often. Journal of Health Services Research & Policy 2018,23(4):272-279. https://doi.org/10.1177/135581961878
  • Van Dijk-de Vries AN, Duimel-Peeters IG, Muris JW, Wesseling GJ, Beusmans GH, Vrijhoef HJ. Effectiveness of teamwork in an integrated care setting for patients with COPD: Development and testing of a self-evaluation instrument for interprofessional teams. International Journal of Integrated Care 2016,16(1):1-10. https://doi.org/10.5334/ijic.2454
  • Kash BA, Cheon O, Halzack NM, Miller TR. Measuring team effectiveness in the health care setting: An inventory of survey tools. Health Services Insights 2018,11:1-18. https://doi.org/10.1177/1178632918796230
  • Campbell R, Ju, A, King MT, Rutherford, C. Perceived benefits and limitations of using patient-reported outcome measures in clinical practice with individual patients: a systematic review of qualitative studies. Quality of Life Research 2021, 1-24.
  • Özsoy S, Bayık A, Uysal A, Ergül Ş, Özer M. Sağlık çalışanlarının sağlık hizmetlerinde ekip kavramına ilişkin görüşlerini incelenmesi. Sağlık ve Toplum Dergisi 2003,13(4):24-31.(Turkish)
  • Öğüt A, Çetin D. Sağlık kurumlarında ekip çalışması. Selçuk Üniversitesi Sosyal ve Teknik Araştırmalar Dergisi 2011,1(1):87-96. (Turkish)
  • Çıraklı Ü, Çelik Y, Beylik U. Etkili ekip çalışmasının sağlıktaki önemi ve faydaları: bir literatür çalışması. Sağlık Akademisyenleri Dergisi 2015,2(3):140-146. https://doi.org/10.5455/sad.2015131452108477 (Turkish)
  • Yardımcı F, Başbakkal Z, Beytut D, Muslu G, Ersun A. Ekip çalışması tutumları ölçeğinin geçerlilik ve güvenilirlik çalışması. Anadolu Psikiyatri Dergisi 2012,13(2):131-137. (Turkish)
  • Kilpatrick K, Paquette L, Bird M, Jabbour M, Carter N, Tchouaket É. Team functioning and beliefs about team effectiveness in interprofessional teams: Questionnaire development and validation. Journal of Multidisciplinary Healthcare 2019b,12:827-839. https://doi.org/10.2147/JMDH.S218540
  • Costello AB, Osborne J. Best practices in exploratory factor analysis: Four recommendations for getting the most from your analysis. Practical assessment, research, and evaluation 2019,10(1):7. https://doi.org/10.7275/jyj1-4868
  • Wild D, Grove A, Martin M, Eremenco S, McElroy S, Verjee-Lorenz A, Ericson P. Principles of good practice for the translation and cultural adaptation process for Patient-Reported Outcomes (PRO) measures: Report of the ISPOR Task Force for Translation and Cultural Adaptation. Value in Health 2005,8:94-104. https://doi.org/10.1111/j.1524-4733.2005.04054.x
  • Bolat E, Özmen D. Hemşirelikte Nezaketsizlik Ölçeği’nin Türkçe geçerlik ve güvenirlik çalışması. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi 2019,22(4):250-260. https://doi.org/10.17049/ataunihem.454253 (Turkish)
  • Tabachnick BG, Fidell LS. Using Multivariate Statistics (6nd ed.). Pearson; 2013.
  • Byrne BM. Structural equation modeling with AMOS. Basic concepts, applications, and programming (2nd ed.).New York: Routledge; 2010.
  • Erdoğan S, Nahcivan N, Esin MN. Hemşirelikte Araştırma Süreç, Uygulama ve Kritik. (2nd ed.). Nobel Tıp Kitapevleri, İstanbul 2015. (Turkish)
  • Greene J, Ramos C. A mixed methods examination of health care provider behaviors that build patients’ trust. Patient Education and Counseling 2021,104(5):1222-1228. https://doi.org/10.1016/j.pec.2020.09.003
  • Sutherland BL, Pecanac K, LaBorde TM, Bartels CM, Brennan MB. Good working relationships: How healthcare system proximity influences trust between healthcare workers. J Interprof Care 2022,36(3):331-339. https://doi.org/10.1080/13561820.2021.1920897
  • Sifaki-Pistolla D, Melidoniotis E, Dey N, Chatzea VE. How trust affects performance of interprofessional health-care teams. Journal of Interprofessional Care 2020,34(2):218-224. https://doi.org/10.1080/13561820.2019.1631763
  • Hamilton AL, Layden EA, Storrar N, Skinner J, Harden J, Wood M. Definition, measurement, precursors, and outcomes of trust within health care teams: A scoping review. Academic Medicine 2024,99(1):106-117. https://doi.org/10.1097/ACM.0000000000005320
  • Chiara P, Luca C, Annalisa P, Chiara R. Emotional exhaustion among healthcare professionals: the effects of role ambiguity, work engagement and professional commitment. Acta Bio Med 2019,90 (6):60-67. https://doi.org/10.23750/abm.v90i6-S.8481
Year 2025, Volume: 15 Issue: 1, 137 - 146, 28.03.2025
https://doi.org/10.33808/clinexphealthsci.1483360

Abstract

Project Number

Yoktur.

References

  • Agha L, Ericson KM, Geissler KH, Rebitzer JB. Team relationships and performance: Evidence from healthcare referral networks. Management Science 2021;68(5):3735-3754. https://doi.org/10.1287/mnsc.2021.4091
  • Walton V, Hogden A, Long JC, Johnson J, Greenfield D. Exploring interdisciplinary teamwork to support effective ward rounds. International Journal of Health Care Quality Assurance 2020,33(4/5):373-387. https://doi.org/10.1108/IJHCQA-10-2019-0178
  • Aghamohammadi D, Dadkhah B, Aghamohammadi M. Nurse–physician collaboration and the professional autonomy of intensive care units nurses. Indian journal of critical care medicine 2019,23(4):178-181. https://doi.org/10.5005/jp-journals-10071-23149
  • Kilpatrick K, Paquette L, Jabbour M, Tchouaket E, Fernandez N, Al Hakim G, Landry V, Gauthier N, Beaulieu MD, Dubois CA. Systematic review of the characteristics of brief team interventions to clarify roles and improve functioningin healthcare teams. Plos One 2020,15(6):e0234416. https://doi.org/10.1371/journal.pone.0234416
  • Kilpatrick K, Tchouaket É, Paquette L, Guillemette C, Jabbour M, Desmeules F, Landry V, Fernandez N. Measuring patient and family perceptions of team processes and outcomes in healthcare teams: Questionnaire development and psychometric evaluation. BMC Health Services Research 2019a,19(9): 1-16. https://doi.org/10.1186/s12913-018-3808-0
  • Berber N, Slavić A, Aleksić M. Relationship between perceived teamwork effectiveness and team performance in banking sector of Serbia. Sustainability 2020,12(20):8753. https://doi.org/10.3390/su12208753
  • Saygılı M, Özer Ö. The examination of teamwork attitudes in healthcare professionals . Süleyman Demirel Üniversitesi Vizyoner Dergisi 2020, 11(27):444-454. (Turkish)
  • Kilpatrick K, Tchouaket E, Fernandez N, Jabbour M, Dubois CA, Paquette L, Landry V, Gauthier N, Beaulieu MD. Patient and family views of team functioning in primary healthcare teams with nurse practitioners: A survey of patient-reported experience and outcomes. BMC Fam Pract 2021,22(76): 1-14. https://doi.org/10.1186/s12875-021-01406-y
  • Anderson JE, Lavelle M, Reedy G. Understanding adaptive teamwork in health care: Progress and future directions. Journal of Health Services Research & Policy 2021,26(3):208-214. https://doi.org/10.1177/1355819620978436
  • Petit dit Dariel O, Cristofalo, P. A meta-ethnographic review of interprofessional teamwork in hospitals: What it is and why it doesn’t happen more often. Journal of Health Services Research & Policy 2018,23(4):272-279. https://doi.org/10.1177/135581961878
  • Van Dijk-de Vries AN, Duimel-Peeters IG, Muris JW, Wesseling GJ, Beusmans GH, Vrijhoef HJ. Effectiveness of teamwork in an integrated care setting for patients with COPD: Development and testing of a self-evaluation instrument for interprofessional teams. International Journal of Integrated Care 2016,16(1):1-10. https://doi.org/10.5334/ijic.2454
  • Kash BA, Cheon O, Halzack NM, Miller TR. Measuring team effectiveness in the health care setting: An inventory of survey tools. Health Services Insights 2018,11:1-18. https://doi.org/10.1177/1178632918796230
  • Campbell R, Ju, A, King MT, Rutherford, C. Perceived benefits and limitations of using patient-reported outcome measures in clinical practice with individual patients: a systematic review of qualitative studies. Quality of Life Research 2021, 1-24.
  • Özsoy S, Bayık A, Uysal A, Ergül Ş, Özer M. Sağlık çalışanlarının sağlık hizmetlerinde ekip kavramına ilişkin görüşlerini incelenmesi. Sağlık ve Toplum Dergisi 2003,13(4):24-31.(Turkish)
  • Öğüt A, Çetin D. Sağlık kurumlarında ekip çalışması. Selçuk Üniversitesi Sosyal ve Teknik Araştırmalar Dergisi 2011,1(1):87-96. (Turkish)
  • Çıraklı Ü, Çelik Y, Beylik U. Etkili ekip çalışmasının sağlıktaki önemi ve faydaları: bir literatür çalışması. Sağlık Akademisyenleri Dergisi 2015,2(3):140-146. https://doi.org/10.5455/sad.2015131452108477 (Turkish)
  • Yardımcı F, Başbakkal Z, Beytut D, Muslu G, Ersun A. Ekip çalışması tutumları ölçeğinin geçerlilik ve güvenilirlik çalışması. Anadolu Psikiyatri Dergisi 2012,13(2):131-137. (Turkish)
  • Kilpatrick K, Paquette L, Bird M, Jabbour M, Carter N, Tchouaket É. Team functioning and beliefs about team effectiveness in interprofessional teams: Questionnaire development and validation. Journal of Multidisciplinary Healthcare 2019b,12:827-839. https://doi.org/10.2147/JMDH.S218540
  • Costello AB, Osborne J. Best practices in exploratory factor analysis: Four recommendations for getting the most from your analysis. Practical assessment, research, and evaluation 2019,10(1):7. https://doi.org/10.7275/jyj1-4868
  • Wild D, Grove A, Martin M, Eremenco S, McElroy S, Verjee-Lorenz A, Ericson P. Principles of good practice for the translation and cultural adaptation process for Patient-Reported Outcomes (PRO) measures: Report of the ISPOR Task Force for Translation and Cultural Adaptation. Value in Health 2005,8:94-104. https://doi.org/10.1111/j.1524-4733.2005.04054.x
  • Bolat E, Özmen D. Hemşirelikte Nezaketsizlik Ölçeği’nin Türkçe geçerlik ve güvenirlik çalışması. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi 2019,22(4):250-260. https://doi.org/10.17049/ataunihem.454253 (Turkish)
  • Tabachnick BG, Fidell LS. Using Multivariate Statistics (6nd ed.). Pearson; 2013.
  • Byrne BM. Structural equation modeling with AMOS. Basic concepts, applications, and programming (2nd ed.).New York: Routledge; 2010.
  • Erdoğan S, Nahcivan N, Esin MN. Hemşirelikte Araştırma Süreç, Uygulama ve Kritik. (2nd ed.). Nobel Tıp Kitapevleri, İstanbul 2015. (Turkish)
  • Greene J, Ramos C. A mixed methods examination of health care provider behaviors that build patients’ trust. Patient Education and Counseling 2021,104(5):1222-1228. https://doi.org/10.1016/j.pec.2020.09.003
  • Sutherland BL, Pecanac K, LaBorde TM, Bartels CM, Brennan MB. Good working relationships: How healthcare system proximity influences trust between healthcare workers. J Interprof Care 2022,36(3):331-339. https://doi.org/10.1080/13561820.2021.1920897
  • Sifaki-Pistolla D, Melidoniotis E, Dey N, Chatzea VE. How trust affects performance of interprofessional health-care teams. Journal of Interprofessional Care 2020,34(2):218-224. https://doi.org/10.1080/13561820.2019.1631763
  • Hamilton AL, Layden EA, Storrar N, Skinner J, Harden J, Wood M. Definition, measurement, precursors, and outcomes of trust within health care teams: A scoping review. Academic Medicine 2024,99(1):106-117. https://doi.org/10.1097/ACM.0000000000005320
  • Chiara P, Luca C, Annalisa P, Chiara R. Emotional exhaustion among healthcare professionals: the effects of role ambiguity, work engagement and professional commitment. Acta Bio Med 2019,90 (6):60-67. https://doi.org/10.23750/abm.v90i6-S.8481
There are 29 citations in total.

Details

Primary Language English
Subjects Nursing Management
Journal Section Articles
Authors

Derya Gündüz Hoşgör 0000-0002-1377-4617

Betül Sönmez 0000-0002-6091-4993

Project Number Yoktur.
Early Pub Date March 23, 2025
Publication Date March 28, 2025
Submission Date May 13, 2024
Acceptance Date February 11, 2025
Published in Issue Year 2025 Volume: 15 Issue: 1

Cite

APA Gündüz Hoşgör, D., & Sönmez, B. (2025). Validity and Reliability of the Turkish Version of Team Effectiveness Questionnaires: Patient and Provider Perceptions. Clinical and Experimental Health Sciences, 15(1), 137-146. https://doi.org/10.33808/clinexphealthsci.1483360
AMA Gündüz Hoşgör D, Sönmez B. Validity and Reliability of the Turkish Version of Team Effectiveness Questionnaires: Patient and Provider Perceptions. Clinical and Experimental Health Sciences. March 2025;15(1):137-146. doi:10.33808/clinexphealthsci.1483360
Chicago Gündüz Hoşgör, Derya, and Betül Sönmez. “Validity and Reliability of the Turkish Version of Team Effectiveness Questionnaires: Patient and Provider Perceptions”. Clinical and Experimental Health Sciences 15, no. 1 (March 2025): 137-46. https://doi.org/10.33808/clinexphealthsci.1483360.
EndNote Gündüz Hoşgör D, Sönmez B (March 1, 2025) Validity and Reliability of the Turkish Version of Team Effectiveness Questionnaires: Patient and Provider Perceptions. Clinical and Experimental Health Sciences 15 1 137–146.
IEEE D. Gündüz Hoşgör and B. Sönmez, “Validity and Reliability of the Turkish Version of Team Effectiveness Questionnaires: Patient and Provider Perceptions”, Clinical and Experimental Health Sciences, vol. 15, no. 1, pp. 137–146, 2025, doi: 10.33808/clinexphealthsci.1483360.
ISNAD Gündüz Hoşgör, Derya - Sönmez, Betül. “Validity and Reliability of the Turkish Version of Team Effectiveness Questionnaires: Patient and Provider Perceptions”. Clinical and Experimental Health Sciences 15/1 (March 2025), 137-146. https://doi.org/10.33808/clinexphealthsci.1483360.
JAMA Gündüz Hoşgör D, Sönmez B. Validity and Reliability of the Turkish Version of Team Effectiveness Questionnaires: Patient and Provider Perceptions. Clinical and Experimental Health Sciences. 2025;15:137–146.
MLA Gündüz Hoşgör, Derya and Betül Sönmez. “Validity and Reliability of the Turkish Version of Team Effectiveness Questionnaires: Patient and Provider Perceptions”. Clinical and Experimental Health Sciences, vol. 15, no. 1, 2025, pp. 137-46, doi:10.33808/clinexphealthsci.1483360.
Vancouver Gündüz Hoşgör D, Sönmez B. Validity and Reliability of the Turkish Version of Team Effectiveness Questionnaires: Patient and Provider Perceptions. Clinical and Experimental Health Sciences. 2025;15(1):137-46.

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