Validation of an organizational communication climate assessment toolkit.

Wynia MK, Johnson M, McCoy TP, Griffin LP, Osborn CY
Am J Med Qual. 2010 25 (6): 436-43

PMID: 20445131 · DOI:10.1177/1062860610368428

Effective communication is critical to providing quality health care and can be affected by a number of modifiable organizational factors. The authors performed a prospective multisite validation study of an organizational communication climate assessment tool in 13 geographically and ethnically diverse health care organizations. Communication climate was measured across 9 discrete domains. Patient and staff surveys with matched items in each domain were developed using a national consensus process, which then underwent psychometric field testing and assessment of domain coherence. The authors found meaningful within-site and between-site performance score variability in all domains. In multivariable models, most communication domains were significant predictors of patient-reported quality of care and trust. The authors conclude that these assessment tools provide a valid empirical assessment of organizational communication climate in 9 domains. Assessment results may be useful to track organizational performance, to benchmark, and to inform tailored quality improvement interventions.

MeSH Terms (15)

Communication Cultural Competency Female Health Literacy Humans Inservice Training Male Organizational Culture Process Assessment, Health Care Prospective Studies Quality of Health Care Sex Factors Socioeconomic Factors Surveys and Questionnaires Trust

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