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Development of an interprofessional collaboration competency scale for children with medical complexity
Keiko Shimmura1, Etsuko Tadaka2
1Asukayama Visiting Nursing Station, Japan Visiting Nursing Foundation, Tokyo, Japan.
Insights
A new scale was developed to measure interprofessional collaboration competencies for children with medical complexity. This tool, the ICC-CMC, shows good validity and reliability for improving team performance and patient outcomes.
Area of Science:
- Healthcare professional development
- Pediatric healthcare
- Interprofessional collaboration
Background:
- Children with medical complexity (CMC) require extensive healthcare resources and coordinated care.
- Effective interprofessional collaboration is crucial for managing the complex needs of CMC.
- Existing tools may not adequately assess the specific competencies required for this population.
Purpose of the Study:
- To develop and validate an interprofessional collaboration competency scale for children with medical complexity (ICC-CMC).
- To provide a reliable instrument for assessing and enhancing collaborative skills among healthcare professionals caring for CMC.
Main Methods:
- A cross-sectional study involving 2347 interprofessionals from diverse fields in Japan.
- Questionnaire development based on literature review and expert interviews.
- Statistical analyses including Cronbach's alpha for internal consistency and confirmatory factor analysis for construct validity.
Main Results:
- A 12-item, three-factor scale (sharing needs assessment, resource development, creative networking skills) was identified.
- The ICC-CMC demonstrated excellent internal consistency (Cronbach's alpha = 0.93) and good construct validity.
- Criterion-related validity was supported by a significant correlation (0.72) with an existing scale.
Conclusions:
- The ICC-CMC is a valid and reliable measure of interprofessional collaboration competencies for CMC care.
- The scale can be utilized to improve individual professional practice and team performance.
- Implementation of the ICC-CMC may lead to enhanced satisfaction and outcomes for CMC and their families.
Objective:
To develop and validate an interprofessional collaboration competency scale for children with medical complexity (ICC-CMC). These children have the most complex healthcare needs, complicated chronic conditions, severe functional limitations and often need a considerable amount of healthcare resources.
Design:
Cross-sectional study.
Setting:
The self-administered ICC-CMC questionnaire was developed based on a literature review and 12 expert interviews.
Participants:
Participants were 2347 interprofessionals from the health, medical, welfare and education fields in seven prefectures in Japan.
Main Outcome Measures:
We used Cronbach's alpha values to assess the internal consistency of the scale. Construct validity was confirmed with confirmatory factor analysis, and an existing scale was administered to assess criterion-related validity.
Results:
In total, 378 professionals provided valid responses. Exploratory and confirmatory factor analyses identified 12 items on three factors: 'sharing needs assessment skills', 'resource development skills' and 'creative networking skills'. The final model showed good fit on four indices (eg, goodness of fit index: 0.925). The Cronbach's alpha for the entire scale was 0.93 and was above 0.80 for each factor. The correlation coefficient between the existing scale and the ICC-CMC was 0.72 (p<0.001).
Conclusions:
The ICC-CMC demonstrated acceptable internal consistency and validity. The scale has potential use in advancing professionals' individual practice and team performance in interprofessional collaboration. In addition, the ICC-CMC has the potential of improving satisfaction and outcomes for children with medical complexity and their families.
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