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. 2014 May 21;9(5):e97069. doi: 10.1371/journal.pone.0097069

Table 3. Item and scale characteristics, internal consistency, reliability and item-total correlations, by profession.

Item nr Scale and items Factor loadings on primary scale Internal consistency reliability: Cronbach’s α Corrected item-total correlations
Physicians Nurses Physicians Nurses Physicians Nurses
Improving Quality of Care (N = 2055/2769) 1 0.825 0.813
Q1 Physicians and nurses should be willing to work on quality improvement initiatives. 0.766 0.717 0.665 0.630
Q2 Physicians and nurses should initiate actions to improve daily practice. 0.798 0.751 0.701 0.664
Q3 Physicians and nurses should engage in ongoing self-evaluation. 0.748 0.749 0.694 0.682
Q4 Physicians and nurses should participate in peer evaluations of the quality of care provided by colleagues. 0.604 0.629 0.541 0.555
Maintaining Professional Competence (N = 2056/2787) 1 0.668 0.664
PC1 Physicians and nurses should maintain competency in their area of practice. 0.738 0.681 0.560 0.530
PC2 Physicians and nurses should seek additional education to update knowledge and skills. 0.765 0.710 0.617 0.577
PC3 Physicians and nurses should undergo recertification/revalidation examinations periodically throughout their career. 0.349 0.411 0.294 0.337
Fulfilling Professional Responsibilities (N = 2051/2780) 1 0.765 0.806
PR1 Physicians and nurses should disclose all significant medical errors to affected patients and/or guardians. 0.597 0.662 0.518 0.583
PR2 Physicians and nurses should report all significant medical errors they observe to hospital, clinic, or other relevant authorities. 0.758 0.783 0.650 0.702
PR3 Physicians and nurses should report all instances of significantly impaired or incompetent colleagues to hospital, clinic, or other relevant authorities. 0.735 0.724 0.635 0.647
PR4 Physicians and nurses should confront practitioners with questionable or inappropriate practice. 0.526 0.623 0.460 0.559
Interprofessional Collaboration - Shared education and collaboration (N = 2039/2752) 1 0.780 0.771
IC1 Physicians should be educated to establish collaborative relationships with nurses. 0.738 0.765 0.609 0.628
IC2 Interprofessional relationships between physicians and nurses should be included in their educational programs. 0.745 0.764 0.615 0.634
IC3 Nurses should also have responsibility for monitoring the effects of medical treatment. 0.600 0.495 0.543 0.441
IC4 Nurses should clarify a physician’s order when they feel that it might have the potential for detrimental effects on the patient. 0.539 0.576 0.487 0.528
IC5 A nurse should be viewed as a collaborator and colleague with a physician rather than his/her assistant. 0.574 0.551 0.521 0.487
Interprofessional Collaboration - Physician Authority (N = 2045/2763) 1 0.543 0.721
PA1 Doctors should be the dominant authority in all healthcare matters. 0.506 0.664 0.373 0.563
PA2 The primary function of the nurse is to carry out physician’s orders. 0.506 0.664 0.373 0.563
Professional Behaviours
Professional Quality Improvement Actions (N = 2026/2743) 2 0.505 0.492
QA1 In the last 3 years, have you participated in a formal error reduction initiative in your hospital? 0.506 0.477 0.353 0.327
QA2 In the last 3 years, have you reviewed medical/nursing records for quality improvement reasons? 0.523 0.508 0.375 0.364
QA3 In the last 3 years, have you undergone competency assessment by a professional society or other authority (i.e., insurance company)? 0.344 0.353 0.239 0.242
1

Sample size (for physicians/nurses), excludes respondents who are missing responses for >2 out of 5 professional attitudes subscales.

2

Sample size for physicians/nurses.