Canadian Interprofessional Health Collaborative Report
Canadian Interprofessional Health Collaborative Report
Canadian Interprofessional Health Collaborative Report
Measuring Interprofessional
Education and Collaborative
Practice Outcomes
August 2012
TABLE OF CONTENTS
Acknowledgements .............................................................................................................2
Introduction ...........................................................................................................................3
Methods .................................................................................................................................3
Results.....................................................................................................................................7
Table 1: Quantitative Tools ...................................................................................................9
References...........................................................................................................................56
Inventory of Quantitative Tools Measuring Interprofessional Education and Collaborative Practice Outcomes
ACKNOWLEDGEMENTS
This report was compiled and written by the Canadian Interprofessional Health Collaborative (CIHC)
Research & Evaluation Committees Quantitative Tools Working Group (members listed alphabetically):
Nancy Arthur, University of Calgary
Siegrid Deutschlander, Alberta Health Services
Rebecca Law, Memorial University
Jana Lait, Alberta Health Services
Patti McCarthy, Memorial University
Luljeta (Luli) Pallaveshi, University of Western Ontario and Lawson Research Health Institute
Robin Roots, University of British Columbia
Esther Suter, Alberta Health Services
Lynda Weaver, Bruyre Continuing Care, Ottawa
The Quantitative Tools Working Group acknowledges Daniel Hooker (University of British Columbia) for
contributing his time and expertise to the literature search, Sarah Flynn (University of Calgary) for her
research assistance, and Judy Burgess (University of Victoria) for her contributions.
Inventory of Quantitative Tools Measuring Interprofessional Education and Collaborative Practice Outcomes
INTRODUCTION
Interprofessional education and collaborative practice have emerged as learning and clinical practice
initiatives to promote optimal patient care. Interprofessional education refers to occasions when
members [or students] of two or more professions learn with, from and about one another to improve
collaboration and the quality of care (Centre for the Advancement of Interprofessional Education
2002). Collaborative practice is an interprofessional process of communication and decision making that
enables the separate and shared knowledge and skills of health care providers to synergistically
influence the patient care provided (Way et al 2000). Evaluation is a critical component of such
initiatives; however, finding the right tools to measure outcomes can be challenging.
This report provides an inventory of quantitative tools measuring outcomes of interprofessional
education or collaborative practice, and describes the development of this inventory. This project was
completed by a working group of the Research and Evaluation Subcommittee of the Canadian
Interprofessional Health Collaborative (CIHC). In 2005, the CIHC was formed to promote collaboration in
health and education across Canada. The mandate of the CIHC Research and Evaluation Subcommittee
is to strengthen and mobilize research and evaluation capacity in interprofessional education and
collaborative practice in Canada.
This comprehensive inventory of quantitative tools measuring outcomes of interprofessional education
and collaborative practice is designed to assist researchers and evaluators in determining which of the
many published tools to use in various contexts. This inventory is more recent and/or comprehensive
than other quantitative tool inventories on the same topic (Canadian Interprofessional Health
Collaborative 2009, Carpenter & Dickinson 2008, Heinemann & Zeiss 2002).
METHODS
Inventory focus
The tools in this inventory measure at least one outcome that relates specifically to interprofessional
education or collaborative practice. These outcomes are modeled on the work of Carpenter and
Dickinson (2008) who catalogued 18 tools of interprofessional education sorted according to Barrs
(2005) six-level framework of educational outcomes (which was based on the Kirkpatrick [1967] four-
level typology). To maintain a consistent approach, we used the Barr (2005) framework to organize the
tools in this review, with modifications. We excluded learners reactions because we were not
interested in participants satisfaction with particular learning events, and we replaced benefits to
patients with patient satisfaction to be more precise in identifying what the tools captured. We
added provider satisfaction to capture providers perspectives towards their experiences of working
together. For both patient and providers, satisfaction had to be directly related to interprofessional
education or collaborative aspects of care delivery, rather than satisfaction in general. The six outcomes
are shown in Box 1.
Inventory of Quantitative Tools Measuring Interprofessional Education and Collaborative Practice Outcomes
For a comprehensive list of all the measurement tools used in the IECPCP projects, see CIHC (2009). Report available at
cihc.ca/files/CIHC_EvalMethods_Final.pdf.
Inventory of Quantitative Tools Measuring Interprofessional Education and Collaborative Practice Outcomes
Inventory of Quantitative Tools Measuring Interprofessional Education and Collaborative Practice Outcomes
Reviewing Abstracts
A rigorous process was followed for reviewing abstracts. Prior to the review, 30 abstracts were
distributed to Quantitative Tools Working Group members for preliminary rating. Discussion following
this process provided an opportunity to identify similarities and differences among group members
ratings, and assisted in developing a consistent abstract review process.
Abstracts were selected as relevant if they were empirical articles and described a quantitative tool
measuring outcomes of interprofessional education or collaborative practice. Abstracts were excluded if
the tool measured general patient or practitioner satisfaction unrelated to collaborative practice, or if
the tool was specific to program evaluation (such as measuring learner reactions to interprofessional
learning).
The working group reviewers were divided into pairs and each review pair was given a batch of abstracts
retrieved from the search (each pair received between 300 and 350 abstracts). Each person in the pair
rated the abstracts independently as one of the following:
x Yes - the abstract describes a tool that fits one of the six outcomes outlined in Box 1;
x Possible - the abstract describes a tool that may fit one of the six outcomes in Box 1 and requires
further information from the article to confirm;
x No - the abstract does not describe a tool that fits any of the six outcomes in Box 1.
Each member of the pair then reviewed each others ratings. Disagreements between review pairs were
resolved through discussion. If consensus could not be reached, abstracts were distributed to the larger
group for discussion and final decision about the rating. Methodological quality assessment was not
conducted.
Selection Process and Extracting Tools
All articles whose abstract was rated as yes or possible in the steps described above were retrieved.
These articles were reviewed, and for the articles determined to be relevant, reviewers extracted
information about the tools. Once the initial review pair extracted the data, another pair reviewed the
extractions. During this second review, extractions were removed if both pairs agreed the tools did not
meet the inclusion criteria.
Any article that contained a tool measuring outcomes pertinent to interprofessional education or
collaborative practice was included even if the tool was not psychometrically validated. If a tool had
been psychometrically validated, only articles that contained further psychometric information were
included in the table. The inventory is intended as a list of tools rather than a comprehensive list of
every article that used the tools.
Inventory of Quantitative Tools Measuring Interprofessional Education and Collaborative Practice Outcomes
RESULTS
Figure 1 provides the number of items reviewed in our systematic abstract review and article selection
processes. The database searches returned 2162 abstracts. The initial search in October 2009 yielded
1622 abstracts for review, with 310 from CINAHL, 245 from Embase, 28 from ERIC, 646 from MEDLINE,
167 from PYSCHinfo, and 315 from Web of Science. Eighty-nine duplicate results were removed. The
second MEDLINE search in May 2010 returned 511 abstracts from all databases combined. Once
duplicates from the first search were removed, 300 new abstracts were added as possible articles for
review. The two hand searches yielded 240 relevant articles (65 articles from the references of
previously retrieved articles and 175 from the four hand searched journals). Of the full set of
abstracts, 416 articles and reports were retrieved for review. Of these, 136 met the criteria for inclusion
and 280 were excluded.
Figure 1: Literature Search and Article Selection Process
1st search: 1622
262
abstracts reviewed
articles reviewed
Final total:
Database
128 tools
search
from
2nd search: 300
32
136 articles
abstracts reviewed
articles reviewed
Additional articles: 65
65
abstracts
reviewed
Hand
articles reviewed
search
Excluded
articles:
4 journals (2000-10):
45
175 abstracts
280
reviewed
articles reviewed
IECPCP
reports
12
reports reviewed
A total of 128 quantitative tools were identified as relevant to interprofessional education or
collaborative practice. The breakdown of tools by outcome level is shown in Box 3. Since some tools
were classified under more than one outcome level, the total number of tools in Box 3 is more than the
128 unique tools.
Inventory of Quantitative Tools Measuring Interprofessional Education and Collaborative Practice Outcomes
Box 3: Distribution of Tools Across Outcome Levels
1. Attitudes
2. Knowledge, skills, abilities
3. Behaviour
4. Organizational level
5. Patient satisfaction
6. Provider satisfaction
64 tools
20 tools
34 tools
6 tools
8 tools
14 tools
Table 1 lists the quantitative tools in this inventory. The table lists information derived from the articles:
name of the tool, what the tool measures, setting, sample, psychometric properties of the tool (if
provided), authors contact information, the population for which the tool is appropriate (prelicensure,
postlicensure, or patients), and other salient information. We did not appraise the tools for quality,
psychometric rigor, ease of use, or applicability across contexts, as these factors were difficult to
ascertain from the articles. Instead, we used an inclusive approach to provide a more complete picture
of tools available. Tools were sorted under the six categories of outcomes (outlined in Box 1). This table
provides researchers and evaluators with an easily accessible summary of quantitative tools that have
been used in interprofessional education or collaborative practice.
Inventory of Quantitative Tools Measuring Interprofessional Education and Collaborative Practice Outcomes
Tool Description
Psychometrics
Comments
University in UK.
Tool included.
Students from 4
different programs.
Benefits=.70, Pitfalls=.89,
Curriculum=.86, Social=.71
Contact [email protected]
Prelicensure.
University in UK.
71 (for 2 cohorts) post-
graduate students from
6 professions.
Internal consistency:
Professional and team identification
-.91
Z
Reference
Agarwal et
al 2008
Tool Description
See Lindqvist et al 2005
Psychometrics
See Lindqvist et al 2005.
Comments
Tool not included.
Contact:
[email protected]
Prelicensure.
University in US.
Reliability r=.76
University in Canada.
1179 students from 4
health disciplines.
Tool included.
Contact: [email protected]
Prelicensure.
Tool referenced to Heinemann,
Schmitt & Farrell (2002) who
developed a 20-item measure
with 6-point scales.
Curran et al
2007a
Modified
University in Canada.
194 faculty from 4
health disciplines.
Tool included.
Contact: [email protected]
Post licensure.
Tool referenced to Heinemann,
Schmitt & Farrell (2002) who
developed a 20-item measure
with 6-point scales. The modified
ATHT is one of 3 scales
administered to faculty.
10
Reference
Curran et al
2010a
Tool Description
2 subscales: quality of care, costs of team care
(time constraints).
14 items with 5-point Likert scales.
Fulmer et al 3 subscales: attitudes toward team value,
2005
attitudes toward team efficiency, attitudes
toward physician shared role.
Modified
21 items with 6-point Likert scales.
Psychometrics
/
(from Heinemann 1999)
Comments
Tool not included.
E-mail: [email protected]
Prelicensure.
Tool referenced to Heinemann et
al 1999.
Universities and
As reported in Hyer et al 2000
teaching hospitals in US.
537 postgraduate
students.
Heinemann
et al 1999
11
Reference
Hyer et al
2000
Tool Description
3 subscales: quality of care, costs of team care,
physician centrality.
21 items with 6-point Likert scales.
Psychometrics
K
Comments
Tool included.
Contact: [email protected]
Attitudes toward team efficiency
Attitudes toward physician shared
Prelicensure.
Hospital in US.
Brown &
Chamberlin
1996
200 health
professionals from 4
disciplines.
Postlicensure.
Tool referenced to Heinemann et
al 1988, Heinemann et al 1991.
Leipzig et al
2002
Forchuk,
3 subscales: team value, team efficiency, and
Vingilis et al physicians shared role on team.
2008
21 items scale with 6-point Likert scales.
University in US.
Contact:
[email protected]
Prelicensure.
591 postgraduate
students from 20
disciplines.
University and practice
settings in Canada.
Not reported.
Tool included
Contact: [email protected]
Prelicensure and postlicensure.
Tool included.
Contact: [email protected]
Postlicensure.
Tool referenced to Gardner et al
2002. The current authors made
12
Reference
Tool Description
Psychometrics
Comments
small wording changes.
Not reported.
Tool included.
Gardner et
al 2002
Original
Contact:
[email protected].
Postlicensure (including faculty).
Rural communities in
Canada.
Not reported.
Subscales:
Orientation toward team problem-solving: 10
items rated on 6-point Likert scale
Problem solving confidence: 10 items rated on
6-point Likert scale
Team preparedness: 10 items rated on 6-point
Likert scale
Attitude towards interdisciplinary team: 14
items rated on 6-point Likert scale
Self-efficacy: 10 items with 5-point Likert
scales.
University in US.
410 alumni from 8 allied Orientation toward team problem-
health disciplines.
solving=.80, Problem solving
confidence=.71, Team
preparedness=.68, Attitude towards
interdisciplinary team=.89, Self-
efficacy=.92
13
Reference
Nisbet et al
2008
Tool Description
Knowledge of others roles.
8 items with 5-point Likert scales.
Psychometrics
Not reported.
Comments
Tool not included.
Contact:
[email protected]
Prelicensure.
Inpatient rehabilitation
setting in Canada.
Not reported.
Postlicensure.
Use of the CPEAT as pre-post
assessment tool was time-
consuming in administration and
analysis, and valid conclusions
were contingent on higher
sample rates than achieved in
this setting.
Collaboration & Satisfaction about Care Decisions (CSCD) (also applies to Outcome Level 2)
Forchuk et
al 2008
Not reported.
Tool included.
Contact: [email protected]
Postlicensure.
Questionnaire referenced to
Baggs 1994.
14
Reference
Morey et al
2002
Tool Description
Setting & sample
Psychometrics
Comments
Staff attitudes towards teamwork concepts
/ Tool not included.
Hospital emergency
(e.g., assigning roles and responsibilities in
department in US.
Contact: John C. Morey, PhD,
clinical situations) and perception of support
Experimental
Senior Research Psychologist,
from senior managers and peers for
group=684 staff.
Crew Performance Group,
incorporating teamwork principles into clinical
Dynamics Research Corporation,
Control group=374 staff.
tasks.
60 Frontage Road, Andover, MA
01810, USA.
15 items with 7-point response scales.
Postlicensure.
Healthcare settings in
Canada.
Not reported.
60 professionals from 4
disciplines.
Postlicensure.
Tool referenced to Foxs Change
Readiness Inventory. No other
information provided.
University in UK.
43 students from 9
disciplines
Tool included.
E-mail [email protected]
Prelicensure.
/-.86.
Test--.83.
(from Moos 1994a - Group
Environment Scale manual).
College in US.
191 students.
15
Reference
Hind et al
2003
Tool Description
Positive and negative stereotypical traits:
autostereotype and heterostereotype.
Unknown number of items with 7-point Likert
scales.
Psychometrics
Validity: Low correlation between
stereotyping and professional identity
scales (r=0.21, p=.000). Positive
correlation between autostereotype,
heterostereotype and strength of
personal identity (r=68, p=.000).
Comments
Tool not included.
Contact:
[email protected]
Prelicensure.
Tool referenced to Carpenter
1995.
Hospitals in US.
439 healthcare
providers.
Tool included.
Contact: [email protected]
Tool included.
Contact:
[email protected]
Postlicensure.
42-item scale shows slightly
better internal consistency than
49-item scale.
Postlicensure.
16
Reference
Parker-
Oliver et al
2007
Modified
Tool Description
4 subscales: Interdependence and flexibility,
newly created professional activities, collective
ownership of goals, reflection on process.
42 items with 5-point Likert scales.
Psychometrics
Internal consistency: Cronbachs
Whole scale=.93.
Comments
Tool included.
Contact: [email protected]
Interdependence=.87, Flexibility=.87,
Newly created activities=.77, Collective
ownership of goals=.80, Reflection on
process=.79.
Postlicensure.
Authors modified wording to suit
other professions (original for
social workers only).
Index of Interprofessional Team Collaboration for Expanded School Mental Health (IITC-ESMH) (also applies to Outcome Level 4)
Mellin et al
2010
Schools in US.
436 members of IP
health care teams.
/
ZW
W&E
W
Z/(using
CFA).
Tool included.
Contact: [email protected]
Pre licensure.
Hospital in US.
44 nursing staff.
Postlicensure.
Only one subscale (interaction
between nurse and physician)
relevant to collaboration.
Nursing homes in
Netherlands.
124 caregivers.
17
Reference
Cameron et
al 2009
Tool Description
Setting & sample
Psychometrics
Not reported.
1 area: interdisciplinary education perceptions. University in Canada.
18 items with 5-point Likert scales.
847students pre-survey;
649 post-survey from 9
disciplines.
Furze et al
2008
University in US.
64 students from 4
professions
Goellen et
al 2006
University in Belgium.
177 students from 3
professions
Hawk et al
2002
Hayward et
al 2005
McFadyen
et al 2007
Not reported.
Prelicensure.
Surveys are available from
author.
Tool not included.
Contact: [email protected]
Prelicensure.
Tool referenced to Luecht et al
1990 and Hawk et al 2002.
Not reported.
Comments
Tool not included.
Contact:
[email protected]
Geriatric educational
institutions in US.
Not reported.
Contact: [email protected]
Prelicensure.
Tool referenced to Luecht et al
1990.
Not reported.
University in UK.
65 member of a
Tool included.
Tool included.
Contact: [email protected]
Prelicensure.
Tool referenced to Hayward et al
1996.
Tool included.
Contact: [email protected]
18
Reference
Modified
Tool Description
12 items with 6-point Likert scales.
Psychometrics
Comments
Perceived need for cooperation =.38- Prelicensure.
W
=.85-.83
d^-.88
Test-retest reliability of 3 sub-scales:
ICC values=.58, .60 and 57
respectively.
Neill et al
2007
University in US.
Not reported.
Contact: [email protected]
Prelicensure.
Tool referenced to Luecht et al
1990.
University in US.
111 students from 3
disciplines.
Not reported.
Original
University in US.
Luecht et al
1990
Tool included.
Tool included.
competency and autonomy=.82, needs Contact: Richard M. Luecht,
American College Testing, STAR
143 students from allied for cooperation=.56, perception of
Department, Iowa City, IOWA
actual cooperation=.54,
health disciplines.
52243.
understanding values of others=.51
Non-acute hospital in
Canada.
Forchuk et
al 2008
Modified
10 members of IP
palliative care team.
Not reported.
Tool included.
Contact: [email protected]
Tool referenced to Temkin-
Greener et al 2004.
Contact: [email protected]
Postlicensure.
19
Reference
Tool Description
Psychometrics
Comments
Prelicensure.
Temkin-
Greener et
al 2004
Tool included.
Contact:
[email protected]
r.edu.
Postlicensure.
Adapted from instrument for
intensive care units.
University in Canada.
133 students from 3
disciplines.
Not reported.
University in Canada.
363 undergraduate
students, 262 graduate
students, 17 Faculty
members from several
health program
disciplines.
Not reported.
Tool included.
Contact: [email protected]
Prelicensure and postlicensure.
20
Reference
Forchuk et
al 2008
Tool Description
Learning about professionals from other
disciplines.
15 items with true/false response.
Psychometrics
Not reported.
Comments
Tool included.
Contact: [email protected]
Prelicensure and postlicensure.
Tool referenced to Golin &
Ducanis 1981.
/
Tool included.
3 subscales =.79-.89.
Whole scale=.90.
Contact: [email protected]
Prelicensure.
/
Nursing students=.85, Medical
students=.84, Combined=.85.
Item-total score correlations for
combined group r =.40-.65, and
median correlation r =.61.
Tool included.
Contact:
mohammadreza.hojat@jefferson
.edu
Prelicensure.
University in US.
294 undergrads from 2
professions.
Hansson et
al 2010
Hospital in US.
497 staff from 2
disciplines.
Universities in Sweden.
261 students.
Not reported.
Prelicensure.
21
Reference
Tool Description
20 items with 4-point Likert scales.
Ward et al
2008
Modified
Psychometrics
University in USA.
Comments
Contact:
[email protected]
Prelicensure.
Tool referenced to Hojat &
Herman 1985.
91 participants from 5
professions.
Tool included.
Contact: [email protected]
Postlicensure.
Hospital in US.
202 hospital staff from
various disciplines.
/
All subscales across vignettes=.67.81
Within vignettes=.42.98
Face validity done and reported.
Construct validity (convergent &
discriminant):
General collaboration=.80
22
Reference
Tool Description
Nursing role perception questionnaire (NRPQ)
MacKay
2004
University in UK.
Psychometrics
198 students from 6
professions
Comments
/
(using PC analysis):
Tool included.
Entire scale=.74
Prelicensure.
Contact: [email protected]
University in Canada.
29 students and
preceptors from 5
faculties.
Not reported.
Tool included.
Contact: [email protected]
Prelicensure.
Wallin et al
2007
Hospital operating
rooms in US.
Compilation of previous
studies. No data on
sample sizes.
University in Sweden.
Not reported.
Tool included.
15 medical students.
Contact: [email protected]
Prelicensure.
23
Reference
Smits et al
2003
Tool Description
3 scales: effort, teamwork, effectiveness.
20 items with 7-point Likert scales.
Comments
Tool not included.
Contact:
[email protected]
University in Canada.
Postlicensure.
IECPCP
Curran et al
2010a
Not reported.
Contact: [email protected]
Postlicensure.
Tool referenced to Clark 1994.
Internal consistency reliability
Schools, psychiatric
clinics, and child
protection centers in
Norway.
157 professionals from
7 disciplines.
/
Total scale=.91
Individual level=.77
Group level=.88
Contact:
[email protected]
Postlicensure.
University in UK.
933 students from
various health
disciplines.
/
Professional identity=.76.
Organizational level=.75.
24
Reference
Tool Description
Psychometrics
scale (r=.68, p=.000) .
Comments
Not reported.
Tool included.
Contact: [email protected]
Provider judgement of family participation in care meetings (also applies to Outcome Level 6)
Dijkstra
2007
Nursing homes in
Netherlands.
15 nursing home staff.
Postlicensure.
Community mental
Face and content validity reported.
Tool not included
health setting in UK.
Validity:
Contact: [email protected]
165 mental health staff. No statistically significant relationship Postlicensure.
between presence of team operational
policy (r = 70 p <.05), presence of joint
policy(r= 70.p<.05) and professionals
perceptions of IP working in teams.
Correlation between presence of joint
documentation policy (r= 70, p <.05)
and professionals perceptions of IP
working in teams.
Correlation between joint risk policy
(r= 70, p <.05), joint supervision policy
(r= 70., d p <.05) and professionals
perceptions of IP working in teams.
University in UK.
120 students from 8
health disciplines.
&
Total scales=.90
Teamwork & collaboration range=.44-
.79
Negative& positive professional
identity ranged= -.41 -.78
Roles & responsibilities ranged=.49-
.63.
Tool included.
Contact: Glennys Parsell,
Department of Health Care
Education, The
University of Liverpool, 3rd Floor
University Clinical Department,
Duncan Building, Liverpool L69
3GA, UK. Tel: 0151 706 4293. Fax:
0151 706 5876. Email:
[email protected]
25
Reference
Tool Description
Psychometrics
Comments
Prelicensure.
Tool referenced to Parsell & Bligh
1999.
dd 2:
Teamwork & collaboration=.79/.88
Negative professional identity
=.60/.76, Positive professional
identity=-.76/.81, Roles &
responsibilities=.40/.43, Total
scale=.84/.89.
Tool included.
Contact: [email protected]
Prelicensure.
/
=.91.
Factor analysis done.
Tool included.
Contact: [email protected]
McFadyen
et al 2005
Modified
Curran et al
2008
Modified
University in Canada.
308 students from 8
health disciplines.
University in Canada.
1 combined scale about the benefits of IP
learning: positive thinking and respect for other 1179 students from 4
healthcare professionals, role understanding,
health disciplines.
improved communication among providers and
with patients, importance of team skills.
15 items with 5-point Likert scales.
El-Zubeir et
al 2006
Modified
McFadyen
et al 2006
Modified
Prelicensure.
Tool referenced to Parsell & Bligh
(1999). The modified RIPLS is one
of 2 scales administered to
students.
Tool included.
Contact:
[email protected]
University in United
Arab Emirates.
178 students from 2
professions
/
Teamwork and collaboration=.86,
Professional identity=.80, Patient-
centredness=.80.
University in UK.
Tool included.
Prelicensure.
Tool referenced to Parsell & Bligh
(1999).
65 students from 1
discipline.
Prelicensure.
Tool referenced to Parsell & Bligh
1999.
Contact: [email protected]
26
Reference
Hind et al
2003
Tool Description
3 subscales: teamwork & collaboration,
negative & positive professional identity, roles
& responsibilities.
19 items with 5-point Likert scales.
Psychometrics
/
Validity: overall scores for two groups
significantly different (42.9 vs. 38.7, df
= 174, p <.001)
Low positive correlation between
RIPLS and autostereotypes (r=0.125,
p=0.01).
Low positive correlation between
RIPLS and heterostereotypes (r=0.172,
p=0.001)
Prelicensure.
Tool referenced to Parsell & Bligh
1999.
Psychometrics referenced to
Brown et al, 1986; Carpenter,
1995; Barnes et al, 2000.
University in UK.
University in UK.
/
Total scale=.90
Teamwork & collaboration=.88
Professional identity=.63
Contact: [email protected]
Prelicensure.
Tool referenced to Parsell & Bligh
1999.
Comments
Tool not included.
Contact:
[email protected]
Priest et al
2008
Modified
Universities in UK.
36 students from 2
disciplines.
Primary care
organization in UK.
Reid et al
2006
Modified
Contact: [email protected]
Prelicensure.
Tool included.
Contact: [email protected]
Prelicensure.
Tool included.
Contact:
[email protected]
Postlicensure.
Tool referenced to Parsell & Bligh
27
Reference
Tool Description
Mattick &
Bligh 2005
University, hospitals and Not reported
other organizations in
UK.
Curran et al
2007a
Modified
Psychometrics
45 researchers from
several disciplines.
University in Canada.
1 combined scale about the benefits of IP
learning: positive thinking and respect for other 194 faculty from 4
healthcare professionals, role understanding,
health disciplines.
improved communication among providers and
with patients, importance of team skills.
/
Comments
1999.
Tool included.
Contact:
[email protected]
Prelicensure.
Tool referenced to Parsell & Bligh
1999.
Tool included.
Contact: [email protected].
Postlicensure.
Tool referenced to Attitudes
towards Interprofessional
Learning developed by Parsell &
Bligh (1999). The modified RIPLS
is one of 3 scales administered to
faculty.
University in Canada.
133 students from 3
disciplines.
Not reported.
Not reported.
Tool included.
Contact: [email protected],
[email protected]
Prelicensure.
28
Reference
McFetridge-
Durdle &
Mann 2008
Tool Description
Confidence in integrative preceptors ability to
carry out their role
15 items on a 10-point Likert scales.
Psychometrics
Not reported.
Comments
Tool included.
Contact: [email protected],
[email protected]
Postlicensure.
University in Canada.
Not reported.
12 integrative
preceptors (clinicians)
from 5 faculties.
Tool included.
Contact: [email protected],
[email protected]
Postlicensure.
Hospital in US.
44 nursing staff
(including assistants,
technicians).
/
2002
Hospital in US.
Tool included.
67 staff from 5
disciplines.
/
Satisfaction with program=.88
Satisfaction with team/extent of
collaboration=.80
Contact:
[email protected]
Postlicensure.
IP education.
University in Norway.
Not reported.
Tool included.
Contact:
[email protected]
Prelicensure.
29
Reference
Krause &
Popovich
1996
Original
Tool Description
2 scales: group interactions and personal
preparedness for course among students.
10 items with 5-point Likert scales.
Psychometrics
Not reported.
Comments
Tool included.
Contact: Krause and Popovich,
Purdue University, W. Lafayette,
IN.
This tool is used for self/peer
assessments by students in a
course.
Brown et al
2008
University in US.
Not reported.
Tool included.
73 students from 5
health disciplines.
Modified
Contact:
[email protected]
Pre-licensure learners.
Universities in Australia
and US.
281 students from 1
discipline.
Tool included.
Contact:
[email protected]
Prelicensure.
Cashman et
al 2004
d
(Bales & Cohen, 1979)
30
Reference
Tool Description
Psychometrics
Comments
1979.
Used in 12 languages in 40+
countries.
/
Postlicensure.
Tool referenced to Farrell et al
1996.
//
Decision Making=.77/=.90,
Team Support=.94/.91, Developing
Quality Services=74/.88, Learning=
102 practitioners from 3 .52/=.83.
communication
K
professions.
Tool included.
Contact:
[email protected]
Postlicensure.
University in Canada.
Tool included.
Augmentative and
Alternative
Communication clinical
practices.
Not reported.
12 integrative
preceptors, 17 discipline
preceptors and 62
students from 5
faculties.
Contact: [email protected],
[email protected]
Prelicensure and postlicensure.
Team dynamics.
10 items with 3-point Likert scales.
Not reported.
Tool included.
Contact: [email protected]
Postlicensure.
31
Reference
Thomas et
al 2003
Tool Description
Critical care physicians and nurses attitudes
about teamwork.
7 items with 5-point Likert scales.
Psychometrics
/
Face validity reported.
Comments
Tool not included.
Contact:
[email protected]
Postlicensure.
Tool derived from ICUMAQ
(Thomas et al 2003).
University in UK.
627 students from 8
disciplines.
Not reported.
Not included.
Contact:
[email protected]
Prelicensure.
Pollard et al
2004
University in UK.
Students from 10
professional programs:
Cohort 1=643
Cohort 2=209
University in UK.
723 students from 7
disciplines.
Test-retest r=0.83.
/
=.71, Concurrent validity: r=.72,
p<0.001.
Contact:
[email protected]
Prelicensure.
IEPS referenced to Leucht et al
1990.
32
Reference
Pollard et al
2008
Tool Description
4 subscales for 3 questionnaires:
communication and teamwork, IP learning, IP
interaction, perceptions of relationships with
colleagues.
27 items with 5-point Likert scales.
Psychometrics
Positive correlation between
Interprofessional Relationships and
Communication and Teamwork Scales
(r=.53, p <.001).
Comments
Tool not included.
Contact:
[email protected]
Street et al
2007
Community setting in
UK.
160 students 2
professions.
Prelicensure.
Tool referenced to Pollard et al
2004, 2005.
Contact:
[email protected]
Prelicensure.
Modified version. Tool
referenced to Pollard et al 2004,
2005.
Universities in Canada.
25 graduate students
from 5 disciplines.
Not reported.
Tool included.
Contact: not provided
Prelicensure.
University in US.
615 medical students.
/
Knowledge questions=.90
Value questions=.33
Leadership questions=.83
Tool included.
Contact: Ms Harward at
[email protected]
Prelicensure.
33
Reference
Anderson
et al 2006
Tool Description
Patient case to measure interdependence of
professions, central role of the patient,
effectiveness of team, barriers to team
working, and liaison between community and
hospital teams.
Psychometrics
Not reported.
Comments
Partial tool included.
Contact: Dr E. Anderson, Senior
Lecturer in Shared Learning,
Leicester/Warwick Medical
Schools, Department of
Medical and Social Care
Education, Maurice Shock
Medical Sciences Building, PO
Box 138, University Boulevard,
Leicester LE1
9HN, UK. Tel: 44 (0)116 252 2946
Prelicensure.
University in US.
None reported.
Questionnaire included.
Contact:
[email protected]
Postlicensure.
Specific to allied professions with
focus on SLP.
Tool referenced to Felsher & Ross
1994.
Hospital in US.
53 staff.
Not reported.
Tool included.
Contact: [email protected]
Postlicensure.
Hospitals in Norway.
No information on scoring.
Unknown number of
trauma team members.
Not reported.
34
Reference
Tool Description
Questionnaire on professional skills (Unnamed)
Tornkvist &
Hegefjard,
2008
University in Sweden.
Psychometrics
Comments
88 student in study
group and 263 in
control group.
Not reported.
Operating rooms in
hospitals in US.
Unknown number of
practitioners from 3
professions.
35
Reference
Chinman et
al 2003
Tool Description
15 subscales - 5 related to collaboration: client
preferences, holistic approach, family
education, family involvement, team value
55 items with 5-point Likert scales.
Psychometrics
Internal consistency Cronbachs
15 subscales=.52-.93
Comments
Tool included.
Contact: [email protected]
Total score=.90.
Postlicensure.
Test-retest reliability=.42-.78
Concurrent validity r=.51, .47
Higher education=higher score for 11
subscales (p<.05).
University in US.
Not reported.
Interdisciplinary Health Care Team Questionnaire (see Outcome Levels 1 and 3 for description of tool)
Interdisciplinary Team Performance Scale (ITPS) (see Outcome Level 1 for description of tool)
Interprofessional Education in Geriatric Care Knowledge Questionnaire
Grymonpre
et al 2010
Not reported.
32 intervention
participants and 11
control participants
from 5 disciplines.
36
Reference
Sargeant et
al 2010
Tool Description
2 subscales: IP facilitation (7 competencies),
collaborative patient-centred practice (9
competencies).
15 items with 4-point scales.
Psychometrics
Cronbachs
Validity:
Comments
Tool included.
Contact: [email protected].
Postlicensure
Modified version of tool
referenced to RN-PDC (Halifax,
NS).
Tool included.
Northern Hospital Emergency Nurse Practitioner Staff Survey (Considine & Martin 2005)
Considine & Staffs understanding of the nurse practitioner
Martin
(NP) role in the emergency department (ED).
2005
5 subscales: ED NP role, requirements to
become an ED NP, Advanced emergency
nursing practice, extensions to emergency
nursing practice, collaborative practice.
2 EDs in Australia.
56 medical and nursing
staff.
Contact:
[email protected]
Appropriate for practice.
Although this is about staff's
understanding of NPs in the ED,
this could be adapted for other
profession.
Curran et al
2005
Modified
Team skills.
Hospital in US.
25 students from 4
disciplines.
Team skills.
University in Canada.
Not reported.
Contact: [email protected]
Prelicensure.
37
Reference
Tool Description
Fulmer et al Team skills.
2005
17 items with 5-point Likert scales.
Psychometrics
Reported in Hyer et al 2000.
Grymonpre
et al 2010
University in Canada.
Comments
Tool not included.
Contact: [email protected]
Prelicensure.
Tool referenced to Fulmer & Hyer
1998a and 1998b, Hyer et al 2002
Tool not included.
Contact:
[email protected]
32 intervention and 11
control students from 5
disciplines.
Prelicensure.
Tool referenced to Sigler, 1998
and Hepburn, 2002.
Self-efficacy (confidence/attitudinal) in
teamwork competency.
15 items with 6-point Likert scales.
Hospital in US.
45 staff from 3
disciplines.
Not reported.
Hospital in UK.
Knowledge gain against 8 learning outcomes.
178 students from
Course design, relevance, and content;
questions address learning interprofessionally. several disciplines.
16 items with 5-point Likert scales. Open-ended
questions.
Not reported.
Tool included.
Contact: [email protected]
Prelicensure.
Questionnaire about effective teamwork preparation (unnamed) (also applies to Outcome Level 6)
McNair et
al 2005
Competencies in teamwork.
31 items pre/post questionnaires and 21
additional on post-questionnaire with 5-point
Likert scales.
12 open-ended questions.
University in Australia.
149 students from 4
professions.
Not reported.
Tool included.
Contact:
[email protected]
Prelicensure.
Questionnaire about leadership and motivation in interprofessional collaboration (unnamed) (also applies to Outcome Level 4)
Odegard
2007
College in Norway.
Not reported.
38
Reference
Tool Description
organizations/services, with professionals from
their own.
Organization, and leadership and motivation.
Psychometrics
Comments
[email protected]
Postlicensure.
Hospitals in Scotland.
Tool included.
50 anaesthetists.
Contact: [email protected]
Postlicensure.
Attitudes towards teamwork questionnaire (see Outcome Level 1 for description of tool)
Behavioral Marker Audit Form for neonatal resuscitation: measuring team behaviours
Thomas et
al 2006
Hospitals in US.
132 video records.
Inter-rater reliability: Team behaviours
fair (kappa coefficient k =.41.60) or
good (k = .61.80) for all teamwork
behaviours except slight (k =.21.40)
for workload management, vigilance,
and leadership
39
Reference
Quoidbach
&
Hansenne
2009
Modified
Tool Description
Group cohesiveness .
7 items with 5-point Likert scales.
Psychometrics
/
/- .91.
Comments
Tool not included.
Contact: [email protected]
Practice teams in
Canada.
111 practice teams in
Canada.
Cronbachs
Mission, Meaningful purpose, Goals=
.88, General relationships = .89, Team
leadership = .80, General role
responsibilities and autonomy; = .81,
Communication & information
exchange = .84, Community linkages &
coordination of care = .76, Decision-
making & conflict management .67,
Patient involvement= .87
Tool at:
http://meds.queensu.ca/oipep/a
ssets/CPAT_Statistical_Analysis.p
df
Rehabilitation clinics in
Netherlands.
20 team meetings with
patients (10 initial and
10 follow-up).
Tool included.
Postlicensure.
University in Sweden.
15 medical students.
Tool included.
Contact: [email protected]
Prelicensure.
Tool referenced to Gaba et al
1998.
Postlicensure.
Contact: Anne ORiordan at
[email protected]
Postlicensure.
Contact: [email protected]
Observer checklist.
10 behavioural items + overall team leadership
skills item with 5-point scales.
40
Reference
Amundson
2005
Tool Description
4 subscales of individual interaction norms:
perspective, interpersonal understanding,
confronting members, caring orientation; 4
subscales of group interaction norms: self
evaluation, resources for working with
emotions, fostering an affirmative
environment, proactive problem solving & 3
subscales of cross-group interaction norms:
organizational awareness, intergroup
awareness, external relations.
66 items with 7-point Likert scales.
Psychometrics
Internal consistency Cronbachs
Total score=.96
Individual level=.92
Group level=.92
Cross-group level=.90
Subscales ranged=.69-.89 for 10 of 11
subscales.
Comments
Tool not included.
Contact:
[email protected]
Postlicensure.
Tool referenced to Hamme 2003
http://www.profwolff.org/GEIPar
tners/index_files/Articles/Hamm
e.dissertation%20final.pdf and
Model of Group Emotional
Competence (Druskat and Wolff
2001).
Hospital in US.
/
80 staff from 2
disciplines.
Physician leadership=.88,
Communication openness within
groups=.83, Communication openness
between groups=.88, Communication
timeliness=.64, Problem solving
between groups=.82, Problem solving
within groups=.81
Not reported.
Tool included.
Contact: l.millward-
[email protected]
Postlicensure.
77 social workers.
Healthcare setting in
UK.
99 staff in healthcare
setting, unknown
disciplines.
Postlicensure.
41
Reference
Tool Description
Psychometrics
Flexibility=.62, Collective ownership of
goals =.80, Reflection on process=.82
Comments
Interdisciplinary Health Care Team Questionnaire (see Outcome Level 1 for description of tool)
Intensive Care Unit Management Attitudes Questionnaire (ICUMAQ)
Thomas et
al 2003
/
Face validity reported.
Hospitals in Canada.
/
between subscales:
Communication-Accommodation, r =
.86, Communication-Isolation, r= .78
Accommodation-Isolation, r =.77
Construct validity:
42
Reference
Mills et al
2008
Tool Description
4 subscales: organizational culture,
communication, teamwork, human factors
awareness.
26 Items with 5-point Likert scales.
Psychometrics
/
Organizational culture=.79
Communication=.82, Teamwork=.86,
Human factors awareness=.84
Comments
Tool included.
Contact: Peter Mills: 802-295-
9363 (email unavailable).
Postlicensure.
Medication Use Processes Matrix (MUPM) (see Outcome Level 1 for description of tool)
Multidisciplinary collaboration instrument (MDC) (see Outcome Level 1 for description of tool)
Modified Collaboration and Satisfaction About Care Decisions (CSACD-N)
Dechairo-
6 attributes of collaboration and 1 global
Marino et al measure of amount of collaboration.
2001
7 items with 7-point Likert scales.
Modified
Tool modified to measure process on unit
vs. original which rated individual patients.
University in US.
122 nurses.
Hospital in US.
17 professionals from 1
discipline.
Hospital OR in UK.
Observations from 12
video recordings of
urology surgical
procedures.
3 of 5 behaviours in postoperative
phase rs = .65 and .89). 3 of 15
significant correlations for expert-
novice pairs of raters.
Contact:
[email protected]
Postlicensure.
43
Reference
Undre et al
2007
Tool Description
2 sections: Teamwork-related task checklist
(patient tasks; equipment/provisions tasks;
communication tasks), Teamwork-related
behaviours (communication, cooperation,
coordination, leadership, monitoring).
Psychometrics
Inter-rater reliability: correlations for
cooperation, coordination and
leadership: r=> .50, communication
r=.35.
Hospital in US.
167 students and
professionals from 2
disciplines.
Comments
Tool not included.
Contact:
[email protected].
Postlicensure.
Hoffer
Gittell 2004
Original
University in Spain.
34 professionals from 2
disciplines.
44
Reference
Bosch et al
2008
Short
version
Tool Description
4 factors of team interaction: vision,
participative safety, task orientation and
support for innovation.
14 items with 5-point Likert scales.
Psychometrics
/.91
Correlations:
Comments
Tool not included.
Contact: [email protected]
Postlicensure.
Kivimaki &
Elovainio
1999
Local government in
Finland.
Short
version
Reliability P<.0001
High correlations between shortened
and original versions.
High bivariate correlations suggest
similar predictive validity of shortened
and original TCI (no value given).
Hospital management
teams in UK.
155 employees.
/
each factor =.84-.94
Intercorrelation p<0.01.
Items included.
Contact: Neil Anderson,
Goldsmiths College, University of
London, New Cross, London SE14
6NW UK.
Postlicensure.
Research use of TCI permitted.
Hospital emergency
departments in US.
3015 employees.
Anderson & 4 factors of team interaction: vision,
West 1998 participative safety, task orientation and
support for innovation.
38 items with 5-point and 7-point Likert scales.
Postlicensure.
Experimental
5 items with 7-point rating scales (1=very poor, group=684 staff Control
group= 374 staff
7=superior)
45
Reference
Tool Description
Team Effectiveness Scale
Psychometrics
Amundson
2005
/
Member version =.89
85 professionals from
various professions.
Hospital in Belgium.
Comments
Tool not included.
Author contact:
[email protected]
Postlicensure.
Contact: [email protected]
Postlicensure.
2009
Anderson
et al 2008
Modified
Not reported.
Not reported.
Various primary care
settings in Canada.
51 students from 7
health care professions.
Inpatient psychiatric
hospital in US.
3 teams with 6 health
46
Reference
Tool Description
tying up of loose ends.
50 items with 4-point Likert scales.
Psychometrics
Comments
Postlicensure.
Tool referenced to Treatment
Team Planning Rating Scale
(Singh 1998a) and Treatment
Team Functioning Checklist
(Singh 1998b).
Internal consistency
Tool included.
Contact: [email protected]
Postlicensure.
2001
Rehabilitation centre in
Netherlands.
44 professionals from 8
disciplines.
Informal leadership=.54
Process Satisfaction=.84
Result satisfaction=.76
Negative Socio-emotional
behaviour=.78
Domain structure confirmed through
Spearman's rank correlations, item-
total and item-rest correlations.
Hospitals in Sweden.
/
E-mail:
[email protected]
Postlicensure.
Instrument constructed by an
operationalization of central
themes found in descriptions of
multi-, inter-, and trans-
professional models of team
functioning.
47
Reference
Tool Description
Psychometrics
Comments
Predictive validity: predicted perceived
efficiency (R 2 = 0.415; F (3, 153) =
36.25; p <.001).
Homecare services in
UK.
Not reported.
52 professional teams
with staff from health
and social care.
Tool included.
Contact:
michele.abendstern@mancheste
r.ac.uk
Postlicensure.
Questionnaire based on
literature review of nature,
extent, and quality of practice.
Healthcare setting in
UK.
99 staff from unknown
disciplines.
Tool included.
Postlicensure.
Tool referenced to Millward and
Ramsey 1998.
Authors note tool is powerful
because it does not rely solely on
self-report. It is an objective
index of effectiveness that can be
used to evaluate effect of team
development training.
Contact: l.millward-
[email protected]
48
Reference
Tool Description
Competing Values Framework
Bosch et al
2008
Diabetes clinics in
Netherlands.
Psychometrics
Comments
'
83 practitioners treating Z,
752 patients.
Healthcare Team Vitality Instrument (HTVI) (see Outcome Level 1 for description of tool)
Index of Interprofessional Team Collaboration for Expanded School Mental Health (IITC-ESMH) (see Outcome Level 1 for description of tool)
Survey of Organizational Attributes of Primary Care (SOAPC)
Ohman-
Strickland
et al
Tool included.
Contact: not reported.
Postlicensure.
2006
Questionnaire about leadership and motivation in interprofessional collaboration (unnamed) (see Outcome Level 2 for description of tool)
Questionnaire on teamwork (unnamed)
Korner
2010
Medical rehabilitation
clinics in Germany.
Not reported.
49
Reference
Tool Description
Psychometrics
Comments
2002
Hospital in US.
/
Tool included.
63 children.
Contact:
[email protected]
Patients (children).
/
General satisfaction scale=.92
Worth=.84
Access=.83
Hospital in Australia.
Not reported.
22 patients.
Tool included.
Contact:
[email protected]
Patients.
Hospital emergency
departments in US.
/
50
Reference
Tool Description
12 items with 7-point scale (strongly disagree
to strongly agree).
Comments
Research Psychologist, Crew
Performance Group, Dynamics
Research Corporation, 60
Frontage Road Andover, MA
01810.
Patients.
Patient Survey
Preen et al
2005
Hospitals in Australia.
128 patients.
Tool included.
Contact:
[email protected]
Patients.
Authors note that validity and
reliability of tool for use with
chronically ill patients has been
demonstrated in literature, and it
has been compared favourably to
the SF-36.
Inpatient psychiatric
hospital in US.
18 health professionals
from 6 disciplines
Treatment Team Functioning Checklist (see Outcome Level 3 for description of tool)
Questionnaire on patient perspectives on IP rounds (unnamed)
Rosen et al
2009
Hospital in US.
10 patients.
Not reported.
Tool included.
Contact: [email protected]
Patients.
51
Reference
Smits et al
2003
Tool Description
Degree to which medical, nursing and hospital
administration hinders or helps teams efforts
to achieve optimal patient outcomes.
Unknown number of items with 11-point rating
scales (-5=maximum hindrance; 0=neither
hindered or helped; +5=maximum help).
Comments
Tool not included.
Contact:
[email protected]
Postlicensure.
Hospital in US.
/
Tool included.
58 staff from 2
professions.
6 critical-attribute collaboration
items=.93.
52
Reference
Dieleman et
al 2004
Tool Description
Nurse-physician or allied health professional
collaboration associated with making specific
patient care decisions.
6 items with 7-point Likert scales, 1 item on
amount of collaboration with 7-point Likert
scales.
Psychometrics
/
at Time 1.
Comments
Tool not included.
Contact: [email protected]
Postlicensure.
Tool referenced to Baggs 1994.
Hospitals in Australia.
4 areas: hospital-general practitioner
communication, satisfaction with their patient's 107 physicians.
discharge, involvement in discharge planning,
and efficacy of the discharge plan.
Not reported.
Tool included.
Contact:
[email protected]
Postlicensure.
Survey items were developed
from a series of focus groups.
53
Reference
Choy et al
2007
Tool Description
1 area: clinicians' satisfaction with
multidisciplinary meeting.
10 items with 5-point Likert scales.
Psychometrics
Not reported.
Comments
Tool included.
Contact:
[email protected]
Postlicensure.
Provider judgement of family participation in care meetings (see Outcome Level 1 for description of tool)
Questionnaire on Staff Satisfaction in Medical Rehabilitation
Korner
2010
Rehabilitation centre in
Germany.
378 professionals from
many professions.
Satisfaction Survey
Curran et al
2010a
University in Canada.
137 professionals.
Not reported.
Prelicensure.
Tool referenced to Heinemann et
al 1999.
Curran et al
2010b
Not reported.
54
Reference
Tool Description
10 items with 4-point Likert scales.
Psychometrics
Comments
computed across baseline and
in Midlothian, Virginia.
intervention sessions and 4 follow-up
Postlicensure.
sessions.
Inter-rater reliability=95-100% across
baseline, intervention, and follow-up.
Treatment Team Functioning Checklist (see Outcome Levels 3 and 5 for description of tool)
Questionnaire about effective teamwork preparation (unnamed) (see Outcome Level 2 for description of tool)
55
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