Table 5. Completely Standardized Factor Loadings and Model–Data Fit (N = 2361).
Concept | Item 1 | Factor Loadings | ||
---|---|---|---|---|
Model 1 | Model 2 | Model 3 | ||
Leadership | Looks for feedback | 0.751 | 0.751 | |
Focuses on successes | 0.713 | 0.712 | ||
Calmly handles stress | 0.782 | 0.782 | ||
Listens, acknowledges, responds | 0.863 | 0.863 | ||
Actively mentors and coaches | 0.819 | 0.819 | ||
Resolves conflicts | 0.822 | 0.822 | ||
Culture | Receive recognition | 0.584 | 0.584 | |
Supportive work group | 0.630 | 0.630 | ||
Organization balances | 0.670 | 0.670 | ||
Professional development | 0.670 | 0.671 | ||
Clear on what patients want | 0.606 | 0.606 | ||
Control over work | 0.590 | 0.591 | ||
Evaluation | Routinely receive information | 0.743 | 0.741 | |
Discusses data informally | 0.783 | 0.783 | ||
Formal process | 0.808 | 0.808 | ||
Formulates action plans | 0.901 | 0.902 | ||
Monitors our performance | 0.899 | 0.899 | ||
Compares our performance | 0.748 | 0.747 | ||
Social Capital | Share information with others | 0.635 | 0.631 | |
Group participation is valued | 0.717 | 0.720 | ||
Information is shared | 0.598 | 0.589 | ||
Aim is to help others | 0.561 | 0.571 | ||
Observations are taken seriously | 0.678 | 0.677 | ||
Comfortable talking in authority | 0.616 | 0.616 | ||
Slack—Staff | Get the necessary work done | 0.805 | 0.805 | |
Deliver best possible care | 0.942 | 0.942 | ||
Slack—Space | Adequate space | 0.514 | 0.508 | |
Private space | 1.022 | 1.033 | ||
Use of private space | 0.821 | 0.813 | ||
Slack—Time | Do something extra for patients | 0.661 | 0.666 | |
Talk about plan of care | 0.680 | 0.672 | ||
Look something up | 0.707 | 0.705 | ||
Talk about new clinical knowledge | 0.763 | 0.768 | ||
Informal Interactions | Colleagues in my identical field | 0.575 | 0.566 | |
Physicians | 0.731 | 0.728 | ||
Other healthcare providers | 0.770 | 0.768 | ||
Research nurse or coordinator | 0.530 | 0.538 | ||
Clinical educator/instructor | 0.715 | 0.720 | ||
QI representative | 0.571 | 0.579 | ||
Champion | 0.546 | 0.551 | ||
‘Hallway talk’ | 0.435 | 0.423 | ||
Informal bedside teaching | 0.528 | 0.524 | ||
Formal Interactions | Team meetings | 0.646 | 0.639 | |
Patient rounds | 0.736 | 0.741 | ||
Family conferences | 0.673 | 0.679 | ||
Continuing education | 0.198 | 0.186 | ||
Structural/ Electronic Resources | Library | 0.350 | 0.344 | |
Textbooks | 0.422 | 0.420 | ||
Journals | 0.559 | 0.549 | ||
Notice boards | 0.600 | 0.609 | ||
Policies and procedures | 0.783 | 0.797 | ||
Clinical practice guidelines | 0.760 | 0.772 | ||
In-services | 0.429 | 0.421 | ||
Computer hooked to internet | 0.489 | 0.472 | ||
Computerized decision support | 0.368 | 0.356 | ||
Reminders | 0.421 | 0.406 | ||
Websites | 0.447 | 0.432 | ||
Model-Data Fit: | ||||
χ 2 (p-value) | 13,469 (< .001) | 2,783 (< .001) | 7,598 (< .001) | |
df = 1494 | df = 474 | df = 249 | ||
RMSEA 2 | 0.0671 | 0.0466 | 0.130 | |
SRMR 3 | 0.0563 | 0.0417 | 0.0884 | |
CFI 4 | 0.935 | 0.977 | 0.855 |
1 The horizontal lines separate factors within each model (i.e., there are10 factors in Model 1, seven in model 2 and three in Model 3)
2RMSEA = root mean square error of approximation
3SRMR = standardized root mean squared residual
4CFI = Comparative Fit Index