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1. Patterson PD, Weaver MD, Weaver SJ, Rosen MA, Todorova G, Weingart LR, Krackhardt D, Lave JR, Arnold RM, Yealy DM, Salas E: Measuring teamwork and conflict among emergency medical technician personnel. Prehosp Emerg Care; 2012 Jan-Mar;16(1):98-108

  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Measuring teamwork and conflict among emergency medical technician personnel.
  • OBJECTIVE: We sought to develop a reliable and valid tool for measuring teamwork among emergency medical technician (EMT) partnerships.
  • METHODS: We adapted existing scales and developed new items to measure components of teamwork.
  • After recruiting a convenience sample of 39 agencies, we tested a 122-item draft survey tool (EMT-TEAMWORK).
  • We performed a series of exploratory factor analyses (EFAs) and confirmatory factor analysis (CFA) to test reliability and construct validity, describing variation in domain and global scores using descriptive statistics.
  • RESULTS: We received 687 completed surveys.
  • The EFAs identified a nine-factor solution.
  • We labeled these factors 1) Team Orientation, 2) Team Structure & Leadership, 3) Partner Communication, Team Support, & Monitoring, 4) Partner Trust and Shared Mental Models, 5) Partner Adaptability & Back-Up Behavior, 6) Process Conflict, 7) Strong Task Conflict, 8) Mild Task Conflict, and 9) Interpersonal Conflict.
  • We tested a short-form (30-item SF) and long-form (45-item LF) version.
  • The CFAs determined that both the SF and the LF possess positive psychometric properties of reliability and construct validity.
  • The EMT-TEAMWORK-SF has positive internal consistency properties, with a mean Cronbach's alpha coefficient ≥0.70 across all nine factors (mean = 0.84; minimum = 0.78, maximum = 0.94).
  • The mean Cronbach's alpha coefficient for the EMT-TEAMWORK-LF was 0.87 (minimum = 0.79, maximum = 0.94).
  • There was wide variation in weighted scores across all nine factors and the global score for the SF and LF.
  • Mean scores were lowest for the Team Orientation factor (48.1, standard deviation [SD] 21.5, SF; 49.3, SD 19.8, LF) and highest (more positive) for the Interpersonal Conflict factor (87.7, SD 18.1, for both SF and LF).
  • CONCLUSIONS: We developed a reliable and valid survey to evaluate teamwork between EMT partners.
  • [MeSH-major] Attitude of Health Personnel. Conflict (Psychology). Emergency Medical Technicians / psychology. Patient Care Team / organization & administration
  • [MeSH-minor] Adult. Cross-Sectional Studies. Female. Health Care Surveys. Humans. Male. Psychometrics. Reproducibility of Results. Statistics as Topic

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  • (PMID = 22128909.001).
  • [ISSN] 1545-0066
  • [Journal-full-title] Prehospital emergency care : official journal of the National Association of EMS Physicians and the National Association of State EMS Directors
  • [ISO-abbreviation] Prehosp Emerg Care
  • [Language] eng
  • [Grant] United States / NCRR NIH HHS / RR / KL2 RR024154; United States / NCRR NIH HHS / RR / KL2 RR024154; United States / NCRR NIH HHS / RR / KL2 RR024154-07; United States / NCATS NIH HHS / TR / KL2 TR000146
  • [Publication-type] Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't; Validation Studies
  • [Publication-country] England
  • [Other-IDs] NLM/ NIHMS323834; NLM/ PMC3233978
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