. 2017 Apr 6;9:25–31. doi: 10.2147/JHL.S126381

Table 3.

Comparisons of culture index top and bottom quartile performers and national ranking performance on physician engagement survey domains

HealthStream Physician Engagement Survey	Top quartile, n = 1,278^a	Bottom quartile n = 2,791^a	Difference in national ranking	Cronbach’s alpha reliability	Significance testing
Administrative team	68	22	46	0.910	t = 16.90, p < 0.01^b
Overall nursing staff	74	13	61	0.911	t = 19.23, p < 0.01^b
Hospital efficiency	76	23	53	0.805	t = 16.89, p < 0.01^b
Medical records and clinical Information	49	31	18	0.765	t = 5.77, p < 0.01^b
Admission and discharge processes	72	25	47	0.852	t = 11.33, p < 0.01^b
Hospital environment	73	14	59	0.591	t = 21.67, p < 0.01^b
Hospital quality	74	16	58	0.852	t = 18.82, p < 0.01^b
Overall satisfaction	74	16	58	–	t = 21.16, p < 0.01^b
Overall satisfaction with nurses	76	15	61	–	t = 18.81, p < 0.01^b
Recommendation	74	17	57	–	t = 19.29, p < 0.01^b

Notes:

n = number of physicians and providers in the HealthStream Physician Engagement Survey database responding from hospitals in the top and bottom quartiles of the culture index.

Differences are statistically significant at the level noted.