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Type: Theses
Title: The measurement of collaboration within healthcare settings
Author: Walters, Stephen John
Issue Date: 2016
School/Discipline: School of Translational Health Science
Abstract: The purpose of this study was to evaluate the measurement of collaboration within healthcare settings, with the aim of identifying validated instruments that measure collaboration in settings populated by a complex mix of participant types. To achieve this aim, a systematic review of measurement properties of instruments was performed following the Joanna Briggs Institute approach to systematic reviews and using the COSMIN checklist for methodological appraisal of validation studies. A protocol for a systematic review was developed which established the criteria for inclusion of studies and defined the population to include more than two participant types. The focus of the review was the validation of instruments measuring collaboration, therefore validation studies were included. Clinical trials, observational studies and case studies were to be included where the study contributed to the interpretability of the instrument. Because the principal interest was healthcare, studies not about health or social care delivery were excluded. A search algorithm was developed and used search terms such as collaboration, interprofessional relations, psychometrics, measurement, reliability, instrument validation, factor analysis and instrument construction. Multiple databases were searched for published and unpublished studies. As a result of the literature search and a refinement of the results, 21 studies of 12 unique instruments that met the inclusion criteria were included in methodological appraisal. Two appraisers reached consensus regarding the rating for methodological quality of the 21 studies and subsequently all were included in the review. The results were tabulated using a pre-established standard for this type of reporting. Tables for the characteristics of each study accompany the results. A narrative synthesis was performed for the factor structures of the 12 instruments. This resulted in nine summary attributes that comprise collaboration; organizational settings, support structures, purpose and goals; communication; reflection on process; cooperation; coordination; role interdependence and partnership; relationships; newly created professional activities and professional flexibility. From this process of rigorous analysis the author concluded that the measurement of social behavior like collaboration is problematic and traditional approaches to measurement using Classical Test Theory models may be limited. An approach to measurement of collaboration using Item Response Theory models should be considered. Furthermore, issues like measurement invariance and the limited use of triangulation methods in measurement and validation studies needs further research and development. An approach to measurement that incorporates an understanding of complexity and biopsychosocial principles presents a challenge for future research.
Advisor: Robertson-Malt, Suzanne
Stern, Cindy
Dissertation Note: Thesis (M.Clin.Sc.) -- University of Adelaide, School of Translational Health Science, 2016.
Keywords: collaboration
validation
measurement properties
healthcare
Provenance: This electronic version is made publicly available by the University of Adelaide in accordance with its open access policy for student theses. Copyright in this thesis remains with the author. This thesis may incorporate third party material which has been used by the author pursuant to Fair Dealing exceptions. If you are the owner of any included third party copyright material you wish to be removed from this electronic version, please complete the take down form located at: http://www.adelaide.edu.au/legals
DOI: 10.4225/55/5af4fdd8c5393
Appears in Collections:Research Theses

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