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      Cross-cultural adaptation and validation of the teamwork climate scale Translated title: Adaptação transcultural e validação da escala de clima do trabalho em equipe

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          ABSTRACT

          OBJECTIVE

          To adapt and validate the Team Climate Inventory scale, of teamwork climate measurement, for the Portuguese language, in the context of primary health care in Brazil.

          METHODS

          Methodological study with quantitative approach of cross-cultural adaptation (translation, back-translation, synthesis, expert committee, and pretest) and validation with 497 employees from 72 teams of the Family Health Strategy in the city of Campinas, SP, Southeastern Brazil. We verified reliability by the Cronbach’s alpha, construct validity by the confirmatory factor analysis with SmartPLS software, and correlation by the job satisfaction scale.

          RESULTS

          We problematized the overlap of items 9, 11, and 12 of the “participation in the team” factor and the “team goals” factor regarding its definition. The validation showed no overlapping of items and the reliability ranged from 0.92 to 0.93. The confirmatory factor analysis indicated suitability of the proposed model with distribution of the 38 items in the four factors. The correlation between teamwork climate and job satisfaction was significant.

          CONCLUSIONS

          The version of the scale in Brazilian Portuguese was validated and can be used in the context of primary health care in the Country, constituting an adequate tool for the assessment and diagnosis of teamwork.

          RESUMO

          OBJETIVO

          Adaptar e validar a escala Team Climate Invetory, de medida do clima de trabalho em equipe, para o idioma português, no contexto da atenção primária à saúde no Brasil.

          MÉTODOS

          Estudo metodológico com abordagem quantitativa de adaptação transcultural (tradução, retrotradução, síntese, comitê de especialistas e pré-teste) e validação com 497 trabalhadores de 72 equipes da Estratégia Saúde da Família no município de Campinas, São Paulo. Verificou-se confiabilidade pelo alfa de Cronbach, validade de construto pela análise fatorial confirmatória pelo software SmartPLS e correlação com escala de satisfação no trabalho.

          RESULTADOS

          Foi problematizado a sobreposição dos itens 9, 11 e 12 do fator participação na equipe e o fator objetivos da equipe no tocante à sua definição. A validação mostrou que não houve sobreposição dos itens e a confiabilidade variou entre 0,92 a 0,93. A análise fatorial confirmatória indicou adequação do modelo proposto com distribuição dos 38 itens nos quatro fatores. A correlação entre clima de trabalho em equipe e satisfação no trabalho foi significativa.

          CONCLUSÕES

          A versão da escala em português falado no Brasil foi validada e pode ser utilizada no contexto da atenção primária à saúde no País, constituindo ferramenta adequada para a avaliação e diagnóstico do trabalho em equipe.

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          Most cited references32

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          Equipe multiprofissional de saúde: conceito e tipologia

          Apresenta-se um conceito e uma tipologia de trabalho em equipe, bem como os critérios de reconhecimento dos tipos de equipe. O conceito e a tipologia foram elaborados com base na literatura sobre o tema e em uma pesquisa empírica sobre trabalho multiprofissional em saúde, fundamentada teoricamente nos estudos do processo de trabalho em saúde e na teoria do agir comunicativo. Segundo essa formulação teórica, o trabalho em equipe consiste numa modalidade de trabalho coletivo que se configura na relação recíproca entre as intervenções técnicas e a interação dos agentes. A tipologia proposta refere-se a duas modalidades de equipe: equipe integração e equipe agrupamento, e os critérios de reconhecimento dos tipos de equipe dizem respeito a comunicação entre os agentes do trabalho; diferenças técnicas e desigual valoração social dos trabalhos especializados; formulação de um projeto assistencial comum; especificidade de cada área profissional; e flexibilidade da divisão do trabalho e autonomia técnica.
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            Política nacional de atenção básica

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              A model and typology of collaboration between professionals in healthcare organizations

              Background The new forms of organization of healthcare services entail the development of new clinical practices that are grounded in collaboration. Despite recent advances in research on the subject of collaboration, there is still a need for a better understanding of collaborative processes and for conceptual tools to help healthcare professionals develop collaboration amongst themselves in complex systems. This study draws on D'Amour's structuration model of collaboration to analyze healthcare facilities offering perinatal services in four health regions in the province of Quebec. The objectives are to: 1) validate the indicators of the structuration model of collaboration; 2) evaluate interprofessional and interorganizational collaboration in four health regions; and 3) propose a typology of collaboration Methods A multiple-case research strategy was used. The cases were the healthcare facilities that offer perinatal services in four health regions in the province of Quebec (Canada). The data were collected through 33 semi-structured interviews with healthcare managers and professionals working in the four regions. Written material was also analyzed. The data were subjected to a "mixed" inductive-deductive analysis conducted in two main stages: an internal analysis of each case followed by a cross-sectional analysis of all the cases. Results The collaboration indicators were shown to be valid, although some changes were made to three of them. Analysis of the data showed great variation in the level of collaboration between the cases and on each dimension. The results suggest a three-level typology of collaboration based on the ten indicators: active collaboration, developing collaboration and potential collaboration. Conclusion The model and the typology make it possible to analyze collaboration and identify areas for improvement. Researchers can use the indicators to determine the intensity of collaboration and link it to clinical outcomes. Professionals and administrators can use the model to perform a diagnostic of collaboration and implement interventions to intensify it.
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                Author and article information

                Journal
                Rev Saude Publica
                Rev Saude Publica
                rsp
                Revista de Saúde Pública
                Faculdade de Saúde Pública da Universidade de São Paulo
                0034-8910
                1518-8787
                16 August 2016
                2016
                : 50
                : 52
                Affiliations
                [I ] Prefeitura Municipal de Campinas. Secretária de Saúde. Campinas, SP, Brasil
                [II ]Departamento de Orientação Profissional. Escola de Enfermagem. Universidade de São Paulo. São Paulo, SP, Brasil
                [III ]Departamento de Enfermagem. Universidade Estadual Centro Oeste. Guarapuava, PR, Brasil
                [IV ]Departamento Educação. Faculdade de Educação. Universidade Estadual de Campinas. Campinas, SP, Brasil
                [V ] Programa de Pós-Graduação em Gerenciamento em Enfermagem. Escola de Enfermagem. Universidade de São Paulo. São Paulo, SP, Brasil
                [VI ]Centre for Performance Led HR. Management School. Lancaster University. Lancaster, United Kingdom
                [VII ]Brunel Business School. Brunel University. London, United Kingdom
                Author notes
                Correspondence: Mariana Charantola Silva Travessa Jorge Norton, 90 apto. 32 Bosque 13026-063 Campinas, SP, Brasil E-mail: macharantola@ 123456gmail.com

                Authors’ Contribution: Design and planning of the study: MCS, MP, CTS, HFA. Data collection: MCS, CTS. Data analysis and interpretation: MCS, MP, CTS, HFA, DS. Preparation, writing, and critical review of the manuscript: MCS, MP, CTS, HFA, DS, MAW, NRA. All authors approved the final version of the manuscript.

                Conflict of Interest: The authors declare no conflict of interest.

                Article
                00237
                10.1590/S1518-8787.2016050006484
                4988801
                27556966
                9d0c9253-a398-415f-8693-94861481a0d0

                This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 19 June 2015
                : 11 October 2015
                Page count
                Figures: 4, Tables: 6, Equations: 0, References: 20, Pages: 1
                Categories
                Original Articles

                scales,translations,patient care team, organization & administration,personnel management,interpersonal relations,validation studies,reproducibility of results

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