Abstract：
Health professionals often need to work together to provide team-based care. With increasing healthcare complexities and manpower shortages, more health professionals are working in multiple, fluid teams instead of one stable team, to provide care to patients. However, there is currently no validated instrument to measure the quality of interprofessional collaboration in fluid teams. One approach is to assess team members\' perceived level of teamness (qualities that make clinical teams effective). This study aimed to examine the validity evidence of using the Assessment for Collaborative Environment (ACE-15) in fluid teams and investigate if teamness varies among health professions and clinical settings. Content and response process validity were gathered through consulting experts and cognitive interviews, resulting in revisions to 11 of 15 items in ACE-15. Through exploratory factor analysis of 194 responses on the revised ACE-15, a 13-item instrument, ACE-13F, with strong validity evidence for use in fluid teams was developed. A two-factor fixed effect ANOVA model revealed that the clinical setting that health professionals work in has a significant impact on the level of teamness (F[3,170] = 6.15, p < .001, η2 = 0.09). ACE-13F can be used as a rapid instrument to measure interprofessional collaboration in fluid healthcare teams.
摘要：
卫生专业人员通常需要共同努力以提供基于团队的护理。随着医疗保健复杂性和人力短缺的增加，更多的卫生专业人员在多个领域工作，流畅的团队而不是一个稳定的团队，为患者提供护理。然而,目前没有经过验证的仪器来衡量流畅团队中专业间合作的质量。一种方法是评估团队成员的团队意识水平（使临床团队有效的素质）。这项研究旨在检查在流体团队中使用协作环境评估（ACE-15）的有效性证据，并调查团队在健康专业和临床环境中是否存在差异。内容和响应过程的有效性是通过咨询专家和认知访谈收集的，导致对ACE-15中15个项目中的11个进行了修订。通过对修订后的ACE-15这一13项仪器的194项响应进行探索性因素分析，ACE-13F,开发了在流体团队中使用的具有强大有效性的证据。双因素固定效应方差分析模型显示，卫生专业人员工作的临床环境对团队水平有显著影响（F[3,170]=6.15，p<.001，η2=0.09）。ACE-13F可用作测量流体医疗团队中的跨专业协作的快速仪器。
