Measuring organisational governance capacity in healthcare organisations: a scale development and validation study

衡量医疗机构的组织治理能力:量表开发与验证研究

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Abstract

BACKGROUND: Research on governance has shown that many important outcomes have important relationships and essentially provide a framework that enables an organisation to achieve its goals, operate efficiently and behave ethically. Although this area of research is interesting, no scale has been developed in organisational settings or, made applicable to organisations. Therefore, this study aimed to develop and validate a scale of organisational governance capacity in healthcare organisations. METHODS: This is a scale development and validation study. A revised DeVellis and Hinkin scale development process was applied. While 12 experts in the field of governance, health and crisis assessed the content validity, 1013 employees evaluated the scale. The scale development process consisted of exploratory factor analysis, confirmatory factor analysis, test-retest analysis, and discrimination analysis. The internal consistency of the scale was analysed using Cronbach's α value. RESULTS: The final scale is a 5-point Likert-type scale consisting of 37 items based on four sub-factors. Exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) were applied to ensure construct validity. The total variance explained by the scale was calculated as 82.22%, and CFA results showed that the four-factor structure consisting of 37 items exhibited good fit values. The internal consistency of the scale was evaluated with Cronbach's alpha value and this value was found to be .991. In addition, in the test-retest analysis, it was found that the correlation values between the responses received before and after were positive and very high (r = .998). These results reveal that the scale has a strong structure in terms of validity and reliability. CONCLUSION: The "Organisational Governance Capacity Scale", which assesses the governance capacity of organisations, is the first scale developed in the Turkish context. The development study has demonstrated excellent psychometric properties.

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