Measuring the work environment among healthcare professionals: Validation of the Dutch version of the Culture of Care Barometer

• DOI: 10.1371/journal.pone.0298391
• Publication Date: 2024-02-29T18:24:48Z
• Authors: Susanne Maassen; Catharina van Oos...; Anne Marie Weggelaar; Anne Marie Rafferty; Marieke Zegers; Hester Vermeulen
• Keywords: Content Validity

Objectives A positive work environment (WE) is paramount for healthcare employees to provide good quality care. To stimulate a environment, employees’ perceptions of the need be assessed. This study aimed assess reliability and validity Dutch version Culture Care Barometer (CoCB-NL) survey in hospitals. Methods longitudinal validation explored content validity, structural internal consistency, hypothesis testing construct responsiveness. The was conducted at seven departments two university were included based on their managers’ motivation better understand perception WE. All participating invited complete (n = 1,730). Results response rate 63.2%. CoCB-NL considered relevant accessible by respondents. Two factor models found. First, confirmative analysis original four-factor structure showed an acceptable fit (X 2 2006.49; df 399; p <0.001; comparative index [CFI] 0.82; Tucker-Lewis [TLI] 0.80; root mean square error approximation [RMSEA] 0.09). Second, explanatory revealed five-factor model including ‘organizational support’, ‘leadership’, ‘collegiality teamwork’, ‘relationship with manager’, ‘employee influence development’. confirmed 1552.93; 395; < 0.00; CFI 0.87; TLI 0.86; RMSEA 0.07). Twelve out eighteen hypotheses confirmed. Responsiveness assumed between measurements. Conclusions valid reliable instrument identifying areas needing improvement Furthermore, appears responsive therefore useful evaluations environments.