| Background: The use of validated questionnaires to assess the perception of teamwork can be an early step in
improving team training activities. Team-STEPPS® Teamwork Perception Questionnaire (T-TPQ) has been adapted
and validated for hospital setting use in several countries. Due to linguistic and cultural differences, there is need to
test the psychometrics of the adapted versions. However, no research have not yet assessed the psychometric
properties of the Persian T-TPQ. Therefore, this study aims to assess the internal consistency reliability and construct
validity of an Iranian version of the Team-STEPPS® Teamwork Perception Questionnaire (IR-T-TPQ).
Methods: To conduct this study, we undertook a cross-sectional survey approach between May 2020 and January
2021. In total, 404 nurses were recruited by convenience sampling technique from 10 teaching hospitals in Tabriz,
Iran. Internal consistency reliability was analyzed using Cronbach’s alpha coefficient. Confirmatory factor analysis was
performed to test the construct validity of the instrument.
Results: Cronbach’s alpha coefficients for each subscale were acceptable, ranging from 0.84 to 0.92, as well as for
the total IR-T-TPQ (α = 0.96). The confirmatory factor analysis demonstrated a five-factor model, all of whose fit
indices were acceptable, except for the goodness-of-fit index and normed fit index (χ2 (df) 1332 (550), p < 0.001,
Normed chi-square (χ2/df) = 2.423, RMSEA = 0.059, TLI = 0.897, CFI = 0.904, AGFI = 0.814).
Conclusions: The psychometric properties of the IR-T-TPQ resulted in acceptable levels of internal consistency
reliability and construct validity, respectively, in Iranian hospital nurses. Further study is needed to compare the
teamwork level of nurses in various settings or to evaluate the effectiveness of the teamwork intervention using this
validated and reliable tool. |