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The Improvement Readiness scale of the SCORE survey: a metric to assess capacity for quality improvement in healthcare.
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Abstract:
BACKGROUND:Quality improvement efforts are inextricably linked to the readiness of healthcare workers to take them on. The current study aims to clarify the nature and measurement of Improvement Readiness (IR) by 1) examining the psychometric properties of a novel IR scale, 2) assessing relationships between IR and other safety culture domains 3) exploring whether IR differs by healthcare worker demographic factors, and 4) examining linguistic differences in word type use between high and low scoring IR work settings from their free text responses. METHODS:Of 13,040 eligible healthcare workers across a large academic health system, 10,627 (response rate 81%) completed the 5-item IR scale, demographics, safety culture scales, and two open-ended questions. Psychometric analyses, correlations and ANOVAs tested the properties of IR. Linguistic Inquiry Word Count software assessed comments from open-ended questions. RESULTS:The IR scale exhibited strong psychometric properties and a one factor model fit the data well (Cronbach's alpha = .93; RMSEA = .07; CFI = 99; TLI = .99). IR scores differed significantly by role, shift, shift length, and years in specialty. IR correlated significantly and in expected directions with safety culture scales. Linguistic analyses revealed that people in low versus high IR work settings used significantly more words in their responses, and specifically more past tense verbs (e.g., "ignored"), negative emotion words (e.g., "upset"), and first person singular ("I"). Workers from high IR work settings used significantly more positive emotions words (e.g., "grateful") and social words (e.g., "team"). CONCLUSION:The IR scale exhibits strong psychometric properties, is associated with better safety and teamwork climate, lower burnout, and predicts linguistic differences in high versus low IR groups.
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Keyword:
Adult; Analysis of Variance; Attitude of Health Personnel; Cross-Sectional Studies; Delivery of Health Care; Female; Humans; Male; Psychometrics; Quality Improvement; Safety Management; Surveys and Questionnaires
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URL: https://doi.org/10.1186/s12913-018-3743-0 https://hdl.handle.net/10161/19452
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Development of a short form of the compulsive internet use scale in Switzerland.
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In: International journal of methods in psychiatric research, vol. 28, no. 1, pp. e1765 (2019)
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Validation Study of the Abbreviated Version of the Lubben Social Network Scale Spanish Translation among Mexican and Mexican-American Older Adults.
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In: Journal of cross-cultural gerontology, vol 33, iss 1 (2018)
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Validation Study of the Abbreviated Version of the Lubben Social Network Scale Spanish Translation among Mexican and Mexican-American Older Adults.
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In: Vilar-Compte, M; Vargas-Bustamante, A; & Lubben, J. (2018). Validation Study of the Abbreviated Version of the Lubben Social Network Scale Spanish Translation among Mexican and Mexican-American Older Adults. Journal of cross-cultural gerontology, 33(1), 83 - 99. doi:10.1007/s10823-017-9341-5. UCLA: Retrieved from: http://www.escholarship.org/uc/item/1s81m8zw (2018)
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Differential item functioning by language on the PROMIS® physical functioning items for children and adolescents.
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In: Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation, vol 27, iss 1 (2018)
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Development and validation of a spectro-temporal processing test for cochlear-implant listeners. ...
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Development and validation of a spectro-temporal processing test for cochlear-implant listeners.
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Differential item functioning of the patient-reported outcomes information system (PROMIS®) pain interference item bank by language (Spanish versus English).
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In: Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation, vol 26, iss 6 (2017)
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A Psychometric Tool for a Virtual Reality Rehabilitation Approach for Dyslexia
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Psychometric properties of the Behavioural Outcomes of Anxiety questionnaire in stroke patients with aphasia.
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Translation, validity and reliability of the British Sign Language (BSL) version of the EQ-5D-5L. ...
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Psychometric properties of translation of the Child Perception Questionnaire (CPQ11-14) in Telugu speaking Indian children
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Translation, validity and reliability of the British Sign Language (BSL) version of the EQ-5D-5L.
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Prevalence of face recognition deficits in middle childhood.
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Early response-to-intervention measures and criteria as predictors of reading disability in the beginning of third grade.
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In: Journal of learning disabilities, vol 48, iss 2 (2015)
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Emotional and behavioural problems in children with language impairments and children with autism spectrum disorders.
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In: Int J Lang Commun Disord , 50 (1) pp. 84-93. (2015) (2015)
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Health promoting behaviors in adolescence: validation of the Portuguese version of the Adolescent Lifestyle Profile
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The psychometric properties of the generalized anxiety disorder-7 scale in Hispanic Americans with English or Spanish language preference.
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In: Cultural diversity & ethnic minority psychology, vol 20, iss 3 (2014)
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Evaluation of the Patient-Reported Outcomes Information System (PROMIS(®)) Spanish-language physical functioning items.
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In: Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation, vol 22, iss 7 (2013)
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Sight and sound out of synch: fragmentation and renormalisation of audiovisual integration and subjective timing.
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In: Symplectic Elements at Oxford ; Europe PubMed Central ; PubMed (http://www.ncbi.nlm.nih.gov/pubmed/) ; Web of Science (Lite) (http://apps.webofknowledge.com/summary.do) ; Scopus (http://www.scopus.com/home.url) ; CrossRef (2013)
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