Table 3 Items and sub-factors of the final scale including mean, SD, Cronbach’s alpha values and factor loadings
Sub-factors and items (of subscale A/B) | Cronbach’s Alpha | Mean (SD) | F1 | F2 | F3 | F4 | F5 | F6 | F7 | F8 |
|---|---|---|---|---|---|---|---|---|---|---|
Knowledge and awareness (A) | 0.86 | 2.99 (.91) | ||||||||
1. I know how I should take the unit’s financial situation into consideration in my work. | 3.26 (1.19) | −.802 | ||||||||
2. I know what I can do to make the unit’s financial situation as good as possible. | 3.09 (1.17) | −.809 | ||||||||
3. I know how to deal responsibly with the unit’s financial resources. | 3.26 (1.18) | −.711 | ||||||||
4. I know how to plan my work to ensure that we stay within the unit’s budget. | 2.58 (1.21) | −.786 | ||||||||
5. I find it difficult to see how I can influence the unit’s financial situation (R). | 2.54 (1.30) | −.500 | ||||||||
6. I am aware of the unit’s financial situation when I make decisions in my work with patients. | 3.22 (1.06) | −.326 | ||||||||
Opportunity to influence (A) | 0.89 | 1.97 (.95) | ||||||||
7. I get involved in discussions concerning the unit’s financial situation. | 2.07 (1.12) | −.795 | ||||||||
8. I can influence how the financial resources are used in the unit. | 1.77 (1.07) | −.925 | ||||||||
9. I am able to express my opinions on how we can use the unit’s resources more efficiently. | 2.37 (1.09) | −.728 | ||||||||
10. My opinions matter when budgetary decisions are made. | 1.72 (1.07) | −.838 | ||||||||
Motivation (A) | 0.83 | 3.08 (1.01) | ||||||||
11. It’s motivating to work with issues that concern the unit’s financial situation. | 2.54 (1.19) | .822 | ||||||||
12. It’s fulfilling to try to improve the unit’s financial situation. | 3.51 (1.18) | .803 | ||||||||
13. I am interested in the unit’s financial situation. | 3.22 (1.16) | .693 | ||||||||
Impact on professional autonomy (A) | 0.62 | 3.31 (.92) | ||||||||
14. The unit’s financial status affects my ability to do what is best for patients. | 3.53 (1.19) | .499 | ||||||||
15. The unit’s financial limitations affect my ability to adhere to my own ethical values. | 2.97 (1.26) | .638 | ||||||||
16. I feel free to do what is best for the patient, regardless of the unit’s financial situation (R). | 3.44 (1.21) | .315 | ||||||||
Organizational alignment (A) | 0.87 | 2.29 (.84) | ||||||||
17. I think the unit’s financial resources are reasonable. | 2.27 (.99) | .830 | ||||||||
18. We have the financial resources needed to meet patient needs. | 2.26 (1.07) | .831 | ||||||||
19. I think the unit’s financial situation is sustainable. | 2.19 (.91) | .906 | ||||||||
20. The unit’s financial status is sufficient to allow us to fulfill our mission. | 2.30 (1.01) | .739 | ||||||||
21. The financial requirements placed on the unit negatively impact our patients. (R) | 2.36 (1.16) | .568 | ||||||||
Single item: Impact on clinical behavior (A) | ||||||||||
22. I take the unit’s financial situation into consideration in my clinical work. | 3.32 (1.00) | .342 | .389 | |||||||
Knowledge and awareness (B) | 0.82 | 4.06 (.72) | ||||||||
23. I know what leads to good quality care for our patients. | 4.09 (.88) | 0.637 | ||||||||
24. I know what I should do, in my role, to ensure that we maintain high levels of quality. | 4.35 (.72) | 0.821 | ||||||||
25. I know how I can get involved in quality improvement. | 3.59 (1.14) | 0.454 | ||||||||
26. I know how to plan my work to ensure that what I do is of good quality. | 4.21 (.80) | 0.877 | ||||||||
Opportunity to influence (B) | 0.89 | 3.31 (.91) | ||||||||
27. I can influence how the unit works with quality improvement. | 3.10 (1.17) | −.817 | ||||||||
28. I participate in the unit’s work with quality improvement. | 3.40 (1.18) | −.687 | −.340 | |||||||
29. I can influence where we focus our improvement work. | 3.01 (1.16) | −.933 | ||||||||
30. My opinions matter when we work with quality improvement. | 3.13 (1.09) | −.834 | ||||||||
31. By the time we begin our work on quality improvement, it has already been decided how it should be carried out. (R) | 3.28 (1.08) | −.622 | ||||||||
32. I find it difficult to see how I can influence quality at the unit. (R) | 3.85 (1.07) | −.377 | ||||||||
Motivation (B) | 0.78 | 4.15 (.69) | ||||||||
33. Quality improvement work is motivating. | 4.11 (.94) | −.762 | ||||||||
34. I think it is part of my role to get involved with quality improvement. | 4.27 (.73) | −.763 | ||||||||
35. It’s fulfilling to try to improve quality at the unit. | 4.32 (.92) | −.310 | ||||||||
36. I am interested in how we compare to other units with regard to quality. | 3.89 (.96) | −.338 | ||||||||
Single item: Impact on clinical behavior (B) | ||||||||||
37. I take quality into consideration in my clinical work. | 4.24 (.85) | .561 |