Development and testing of a resuscitation-specific measure of organizational culture for resuscitation teams
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View abstract on PubMed
Summary
This summary is machine-generated.A new Resuscitation-specific Organizational Culture Instrument (ROCI) was developed and validated. This tool measures team culture to enhance resuscitation performance and patient outcomes.
Area Of Science
- Healthcare quality improvement
- Organizational psychology
- Medical education
Background
- Organizational culture significantly influences team behaviors and practices.
- Limited understanding exists regarding the organizational culture of resuscitation teams.
- Developing a specific instrument is crucial for assessing and improving resuscitation team performance.
Purpose Of The Study
- To develop a reliable and valid Resuscitation-specific Organizational Culture Instrument (ROCI).
- To assess the organizational culture of resuscitation teams.
- To provide a foundation for culture change initiatives aimed at improving resuscitation quality.
Main Methods
- Adapted existing culture measures and identified resuscitation-specific components based on Neonatal Resuscitation Program principles.
- Developed the ROCI with five subscales: role clarity, shared-mental models, closed-loop communication, team adaptability, and psychological safety.
- Administered the survey to neonatal resuscitation team members across a hospital network and conducted psychometric assessments including reliability and validity testing.
Main Results
- 18 of 22 items were retained, with excellent overall reliability (Cronbach's α = 0.994) and good subscale reliability (α = 0.789-0.867).
- Confirmatory factor analysis confirmed the five-construct ROCI structure.
- The ROCI and its subscales were associated with individual-level implementation outcomes and hospital-level perceived success.
Conclusions
- The ROCI is a reliable and valid measure for assessing the organizational culture of resuscitation teams.
- ROCI assessments can inform targeted culture change initiatives.
- This instrument has the potential to improve resuscitation quality and outcomes across diverse settings.
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