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