From: Evaluating a questionnaire to measure improvement initiatives in Swedish healthcare
Construct SIMS | Cronbach’s coefficient alpha * (+/− needed items to reach 0.7 reliability) | Factor loadings calculated at each sub dimension * | Factor loadings calculated at dimension level | Floor/Ceiling effect (%) | |
---|---|---|---|---|---|
Item | Improvement Effectiveness Outcome (3 items) | 0.67 (+1) | |||
22 | Progress satisfaction | 0.86 | 1 / 21 | ||
23 | Progress meeting expectations | 0.77 | 2 / 4 | ||
24 | Improvement attains organizational goals | 0.72 | 2 / 27 | ||
Item | Internal Improvement processes (24 items) | 0.72 (−1) | |||
Improvement Uncertainty (2 items) | 0.28 ^^ | ||||
2 | Difficulty to know improvement steps | 0.77 | 0.26 | 0 / 1 | |
7 | Frequency difficulty problems arise | 0.77 | 0.39 | 1 / 46 | |
35 | Resource Scarcity (5 items) | 0.76 (−1) | |||
a | Competition for finances | 0.73 | 0.20 | 4 / 46 | |
b | Competition for materials | 0.75 | 0.19 | 1 / 52 | |
c | Competition for management attention | 0.68 | 0.34 | 5 / 34 | |
d | Competition for personnel | 0.81 | 0.48 | 10 / 24 | |
e | Competition for time | 0.62 | 0.19 | 22 / 4 | |
Standardization of Procedures (1 item) | * | ||||
3 | Details of rules and procedures | * | 0.49 | 1 / 3 | |
6 | Decision Influence (4 items ) | 0.71 (0) | |||
a | Deciding on improvement goals (n=91) | 0.83 | 0.65 | 0 / 38 | |
b | Deciding on work to be done (n=90) | 0.88 | 0.59 | 0 / 39 | |
c | Deciding on funding (n=64) | 0.57 | 0.11 | 42 / 4 | |
d | Deciding on personnel recruitment (n=71) | 0.73 | 0.22 | 23 / 14 | |
Expectations of Rewards and Sanctions ** | 0.34 ^^ | ||||
Individual level (2 items) | 0.60 ( +1) | ||||
15b | Chance of individual reward | 0.85 | 0.41 | 0 / 46 | |
16b | Chance of individual reprimand | 0.85 | 0.35 | 0 / 51 | |
Group level (2 items) | 0.34 ^^ | ||||
15a | Chance of group reward | 0.78 | 0.57 | 10 / 12 | |
16a | Chance of group reprimand | 0.78 | 0.02 | 29 / 2 | |
Improvement Group Leadership (5 items) ^ | 0.66 (+1) (0.76 (−1)) ^ | ||||
10 | Initiative encouraged | 0.80 | 0.60 | 1 / 40 | |
11 | Members clear about responsibilities | 0.52 | 0.53 | 0 / 41 | |
12 | Emphasis on task | 0.88 | 0.66 | 1 / 42 | |
13 | Leader puts trust in members | 0.81 | 0.61 | 0 / 55 | |
21 | Clear feedback | 0.22 | 0.48 | 2 / 19 | |
Freedom to Express Doubts (1 item) | * | ||||
14 | Freedom to “rock the boat” | * | 0.14 | 2 / 65 | |
Learning Encouragement (2 items) | 0.23 ^ ^ | ||||
33 | Failure not a career blight | 0.75 | 0.22 | 0 / 34 | |
34 | Learning a high organizational priority | 0.75 | 0.37 | 2 / 5 |