Title

Measuring Teamwork And Conflict Among Emergency Medical Technician Personnel

Keywords

conflict; emergency medical technicians; safety; survey; teamwork

Abstract

Objective. We sought to develop a reliable and valid tool for measuring teamwork among emergency medical technician (EMT) partnerships. Methods. We adapted existing scales and developed new items to measure components of teamwork. After recruiting a convenience sample of 39 agencies, we tested a 122-item draft survey tool (EMT-TEAMWORK). We performed a series of exploratory factor analyses (EFAs) and confirmatory factor analysis (CFA) to test reliability and construct validity, describing variation in domain and global scores using descriptive statistics. Results. We received 687 completed surveys. The EFAs identified a nine-factor solution. We labeled these factors 1) Team Orientation, 2) Team Structure & Leadership, 3) Partner Communication, Team Support, & Monitoring, 4) Partner Trust and Shared Mental Models, 5) Partner Adaptability & Back-Up Behavior, 6) Process Conflict, 7) Strong Task Conflict, 8) Mild Task Conflict, and 9) Interpersonal Conflict. We tested a short-form (30-item SF) and long-form (45-item LF) version. The CFAs determined that both the SF and the LF possess positive psychometric properties of reliability and construct validity. The EMT-TEAMWORK-SF has positive internal consistency properties, with a mean Cronbach's alpha coefficient ≥0.70 across all nine factors (mean = 0.84; minimum = 0.78, maximum = 0.94). The mean Cronbach's alpha coefficient for the EMT-TEAMWORK-LF was 0.87 (minimum = 0.79, maximum = 0.94). There was wide variation in weighted scores across all nine factors and the global score for the SF and LF. Mean scores were lowest for the Team Orientation factor (48.1, standard deviation [[SD]] 21.5, SF; 49.3, SD 19.8, LF) and highest (more positive) for the Interpersonal Conflict factor (87.7, SD 18.1, for both SF and LF). Conclusions: We developed a reliable and valid survey to evaluate teamwork between EMT partners.

Publication Date

1-1-2012

Publication Title

Prehospital Emergency Care

Volume

16

Issue

1

Number of Pages

98-108

Document Type

Article

Personal Identifier

scopus

DOI Link

https://doi.org/10.3109/10903127.2011.616260

Socpus ID

82555172986 (Scopus)

Source API URL

https://api.elsevier.com/content/abstract/scopus_id/82555172986

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