Measuring progress in clinical governance: assessing the reliability and validity of the Clinical Governance Climate Questionnaire.

摘要: Despite a lack of conceptual clarity, the importance cultural change to clinical governance is widely accepted. While generic measures organizational performance, culture and climate are available, their relationship unclear. Consequently, there currently no valid reliable measure climate. This study aimed address deficiency by reducing pool indicators developed via previous qualitative research, describing latent factor structure assessing internal consistency external validity model. The resultant instrument, Clinical Governance Climate Questionnaire (CGCQ), attained high (discriminant construct) in population healthcare Trust staff. It consists 60 items distributed across six sub-scales governance: planned integrated quality improvement; proactive risk management; absence unjust blame pun...