A systematic review critically appraising quantitative survey measures assessing power dynamics among multidisciplinary teams in acute care settings

Figures & data

Figure 1. PRISMA diagram.

Table 1. List of studies with limited psychometric properties.

Author	Measures used
Aaberg et al. 2021	TeamSTEPPS Teamwork Perceptions Questionnaire
	Collaboration and Satisfaction about Care Decisions in Teams
	Hospital Survey of Patient Safety Culture Questionnaire
Acal Jiménez et al. 2018	Safety Attitudes Questionnaire
Adams & Feudale 2018	Collaboration and Satisfaction about Care Decisions in Teams
Aeyels et al. 2019	Relational Coordination Scale
Austin et al. 2021	Interprofessional Collaborative Competency Attainment Scale*
Awad et al. 2005	Communication survey*
Bamford & Griffin 2008	Teamworking Questionnaire*
Bursiek et al. 2020	Professional Practice Environment Assessment Scale*
	The Mayo High Performance Teamwork Scale*
Catchpole et al. 2010	Safety Attitudes Questionnaire
De Lima Garcia et al. 2019	Hospital Survey of Patient Safety Culture Questionnaire
France et al. 2010	Safety Attitudes Questionnaire- ICU version
Gosling et al. 2003	Team Climate Inventory
Gupta et al. 2015	Safety Attitudes Questionnaire- subscales
Haller et al. 2008	Safety Attitudes Questionnaire- Labour and Delivery version
Halverson et al. 2009	Perception of Teamwork Survey
Hendricks et al. 2018	Safety Organising Scale
	Collaboration and Satisfaction about Care Decisions in Teams
Hill et al. 2015	Safety Attitudes Questionnaire- OR version
Hilt et al. 2020	Safety Attitudes Questionnaire
Kuy & Romero 2017	Safety Attitudes Questionnaire
Lau et al. 2020	Safety Attitudes Questionnaire- OR version
Lisbon et al. 2016	Hospital Survey of Patient Safety Culture Questionnaire
Masten et al. 2019	Self-developed measure*
Murphy et al. 2018	Hospital Survey of Patient Safety Culture Questionnaire
Notaro et al. 2019	Hospital Survey of Patient Safety Culture Questionnaire
O’Donovan & McAuliffe 2020	Psychological Safety measure*
O' Leary et al. 2015	Safety Attitudes Questionnaire- subscale
Opper et al. 2019	Collaborative Behaviour Scale*
Patterson et al. 2013	Safety Attitudes Questionnaire- subscales
Paull et al. 2013	Self-Efficacy of Teamwork Competencies Scale*
Piers et al. 2019	Interprofessional Practice and Education Quality Scales*
	Ethical Climate questionnaire*
Prenestini et al. 2013	Competing values framework questionnaire*
Prentice et al. 2016	Assessment of Interprofessional Team Collaboration Scale
Scotten et al. 2015	TeamSTEPPS Teamwork Attitude Questionnaire
	TeamSTEPPS Teamwork Perceptions Questionnaire
	Interprofessional Team Performance Scale*
Smits et al. 2003	Group Environment scale*
Strasser et al. 2005	Self-developed measure*
Zech et al. 2017	Hospital Survey of Patient Safety Culture Questionnaire

Note: * Measures not reported in detail in paper as limited psychometric properties available (<2).

Table 2. Summary of psychometric properties for included measures.

Measure name	Internal Consistency Median (Range)	Convergent Validity Median (Range)	Discriminant Validity Median (Range)	Known Groups Validity Median (Range)	Predictive Validity Median (Range)	Concurrent Validity Median (Range)	Structural Validity Median (Range)	Responsiveness Median (Range)	Norms Median (Range)	Total Score
Interprofessional Collaboration Scale	3	2	2	-	-	-	2	-	-	9
Assessment for Collaborative Environments	4	4	-	-	-	-	1	-	2	11
Communication and Sharing Information scale	3	-	-	1	-	-	2	-	4	10
Safety Attitudes Questionnaire (SAQ) (full scale) (n = 5)	3 (2,4)	-	-	1	-	-	3	-	4 (−1,4)	11
Hospital Survey on Patient Safety Culture (n = 4)	2	-	-	−1 (−1,1)	-	-	-	-	2 (1,3)	3
Relational Co-ordination (n = 4)	3 (1,4)	-	-	1	-	-	-	-	2 (−1,4)	6
SAQ subscales (including irrelevant subscales) (n = 2)	2 (2,3)	-	-	-	-	-	-	-	1 (1,2)	3
SAQ relevant subscales only (n = 13)	2 (−1,3)	-	-	1 (0,2)	-	-	-	-	2 (−1,4)	5
TeamSTEPPS Teamwork perception questionnaire (n = 2)	2 (1,3)	-	-	-	-	-	1	-	−1 (−1,2)	2
Collaboration and satisfaction about care decision-making (n = 5)	3	-	-	1 (−1,2)	-	-	-	-	−1 (−1, 2)	3
Cox conflict scale	3	-	-	−1	-	-	-	-	1	3
Healthcare Team Vitality Instrument	-	3	-	-	-	-	3	-	3	9
ICU Nurse- Physician Questionnaire (n = 3)	3	-	-	1 (1,2)	-	-	-	-	2 (1,4)	6
Professional Practice Environment Scale (n = 2)	3 (3,4)	-	-	−1	-	-	-	-	2 (1,4)	4
Teamwork Climate Scale	2	-	-	1	-	-	-	-	3	6
Self-developed communication and collaboration scale	3	-	-	-	-	-	-	-	2	5
Team Diagnostic Survey	2	-	-	2	-	-	-	-	2	6
Team psychological Safety (n = 2)	3	-	-	−1	-	-	-	-	1 (−1,3)	3
Work Collaborative Questionnaire	4	-	-	1	-	-	-	-	1	6
Job Diagnostic Survey	2	-	-	2	-	-	-	-	2	6
Reflexivity in Teams Scale	3	-	-	2	-	-	-	-	2	7
Satisfaction toward Coworkers	4	-	-	−1	-	-	-	-	1	4
Self-developed communication scale	3	-	-	−1	-	-	-	-	3	5
Team development measure	3	-	-	-	-	-	-	-	4	7
Self-developed- Teamwork competency questionnaire	2	-	-	-	-	-	-	-	2	4
Assessment of Interprofessional Team Collaboration Scale	−1	-	-	-	-	-	-	-	−1	−2
Collaborative Practice Scale	3	-	-	-	-	-	-	-	2	5
Ethical decision-making climate	-	-	-	2	-	-	-	-	4	6
Self-developed Interprofessional competency scale	4	-	-	-	-	-	-	-	−1	3
Team Assessment Questionnaire	4	-	-	-	-	-	-	-	3	7
Team Climate Inventory (n = 2)	4	-	-	1	-	-	-	-	3 (3,4)	8
Transactive Memory System Scale (n = 2)	2 (2,3)	-	-	-	-	-	-	-	−1 (−1,2)	1
Communication openness	4	-	-	-	-	-	-	-	2	6
Team Effectiveness Audit Tool	3	-	-	-	-	-	-	-	2	5
Job Content Questionnaire	2	-	-	-	-	-	-	-	2	4
TeamSTEPPS Teamwork Attitudes Questionnaire	2	-	-	-	-	-	-	-	−1	1
Operating Room Teamwork Assessment Scale	3	-	-	-	-	-	-	-	−1	2
Jefferson Scale of Attitudes Toward Physician Nurse Collaboration	2	-	-	-	-	-	-	-	2	4
Safety Organising Scale	3	-	-	-	-	-	-	-	2	5
Patient Safety Climate scale	3	-	-	-	-	-	-	-	4	7
Interprofessional socialization and valuing scale	-	-	-	−1	-	-	-	-	−1	−2
Intensity of Interprofessional Collaboration questionnaire	-	-	-	1	-	-	-	-	−1	0
TRUST questionnaire	-	-	-	-	-	-	-	-	2	2
Attitudes Towards Healthcare Team Scale	-	-	-	−1	-	-	-	-	−1	−2
Interpersonal Trust Scale	4	-	-	-	-	-	-	-	−1	3

Table 3. Summary of power dimensions assessed by included measures.

Scale	Team-related factors	Role Allocation	Communication	Trust/Respect	Individual-related factors	Total dimensions reported
Report 4 psychometric properties
Interprofessional Collaboration Scale	√	√	√	√	√	5
Assessment for Collaborative Environments	√	√	√	√		4
Communication and Sharing Information scale			√			1
Report 3 psychometric properties
Hospital Survey on Patient Safety Culture	√		√	√	√	4
Professional Practice Environment Scale	√		√	√	√	4
Relational Co-ordination		√	√	√	√	4
Safety Attitudes Questionnaire (full, subscale and versions)	√		√	√	√	4
TeamSTEPPS Teamwork perception questionnaire	√	√	√		√	4
Collaboration and satisfaction about care decision-making	√		√		√	3
Cox conflict scale			√	√	√	3
Healthcare Team Vitality Instrument	√		√	√		3
ICU Nurse- Physician Questionnaire	√		√		√	3
Teamwork Climate Scale	√		√	√		3
Self-developed communication and collaboration scale	√		√			2
Team Diagnostic Survey		√			√	2
Team psychological Safety			√	√		2
Work Collaborative Questionnaire		√	√			2
Job Diagnostic Survey	√					1
Reflexivity in Teams Scale			√			1
Satisfaction toward Coworkers					√	1
Self-developed communication scale			√			1
Report 2 psychometric properties
Team development measure	√	√	√	√	√	5
Self-developed- Teamwork competency questionnaire	√	√	√		√	4
Assessment of Interprofessional Team Collaboration Scale	√		√	√		3
Collaborative Practice Scale	√	√	√			3
Ethical decision-making climate	√		√	√		3
Self-developed Interprofessional competency scale	√	√	√			3
Team Assessment Questionnaire	√		√	√		3
Team Climate Inventory	√		√	√		3
Transactive Memory System Scale		√	√	√		3
Communication openness			√	√		2
Team Effectiveness Audit Tool		√	√			2
Job Content Questionnaire	√				√	2
TeamSTEPPS Teamwork Attitudes Questionnaire			√		√	2
Operating Room Teamwork Assessment Scale		√	√			2
Jefferson Scale of Attitudes Toward Physician Nurse Collaboration	√	√				2
Safety Organising Scale		√	√			2
Patient Safety Climate scale	√		√			2
Interprofessional socialization and valuing scale			√		√	2
Intensity of Interprofessional Collaboration questionnaire	√		√			2
TRUST questionnaire				√	√	2
Attitudes Towards Healthcare Team Scale	√					1
Interpersonal Trust Scale				√		1
Total studies	25 (58%)	15 (35%)	35 (81%)	19 (44%)	17 (40%)

Figure 2. Side-by-side comparison: team related factors.

Figure 3. Side-by-side comparison: role allocation.

Figure 4. Side-by-side comparison: communication.

Figure 5. Side-by-side comparison: trust and respect.

Figure 6. Side-by-side comparison: individual-related factors.

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