Results of the Factor Analysis of the Clinician Staff Questionnaire
| Factors and Items | Attribute Assessed |
|---|---|
| Adaptive reserve (items loading >.40 across all samples; Cronbach α =.97) | |
| 1. We regularly take time to consider ways to improve how we do things | Mindfulness |
| 2. People in our practice actively seek new ways to improve how we do things | Mindfulness |
| 3. People at all levels of this office openly talk about what is and isn’t working | Mindfulness |
| 4. People are aware of how their actions affect others in this practice | Heedful interactions |
| 5. Most people in this practice are willing to change how they do things in response to feedback from others | Respectful interaction |
| 6. This practice encourages everyone (front office staff, clinical staff, nurses, and clinicians) to share ideas | Cognitive diversity |
| 7. I can rely on the other people in this practice to do their jobs well | Trust |
| 8. Difficult problems are solved through face-to-face discussions in this practice | Communication |
| 9. We regularly take time to reflect on how we do things | Reflection |
| 10. After trying something new, we take time to think about how it worked | Reflection |
| 11. The practice leadership makes sure that we have the time and space necessary to discuss changes to improve care | Leadership |
| 12. Leadership in this practice creates an environment where things can be accomplished | Leadership |
| 13. Practice leadership promotes an environment that is an enjoyable place to work | Leadership |
| 14. Leadership strongly supports practice change efforts | Leadership |
| 15. This practice learns from its mistakes | Learning culture |
| 16. It is hard to get things to change in our practice (reverse score) | Learning culture |
| 17. Mistakes have led to positive changes here | Learning culture |
| 18. People in this practice have the information that they need to do their jobs well | Sensemaking |
| 19. When we experience a problem in the practice, we make a serious effort to figure out what’s really going on | Sensemaking |
| 20. I have many opportunities to grow in my work | Teamwork (emergent property) |
| 21. People in this practice operate as a real team | Teamwork (emergent property) |
| 22. Most of the people who work in our practice seem to enjoy their work | Work environment (emergent property) |
| 23. This practice is a place of joy and hope | Work environment (emergent property) |
| Community knowledge (items loading >.60 across all samples; Cronbach α =.82) | – |
| 1. This practice works effectively together as a team with community organizations | – |
| 2. This practice utilizes community resources to meet the health care needs of patients | – |
| 3. This practice is aware of community resources that are accessible to patients | – |
| 4. People in this practice are connected with community organizations that serve patients | – |
| Health information technology integration (items loading >.60 across all samples; Cronbach α =.73) | – |
| 1. The electronic medical record is well integrated into the practice’s daily work flow | – |
| 2. The use of the electronic medical record during patient visits interferes with the doctor-patient relationship | – |
| 3. I have what I need to do my work well | – |
| 4. The practice can easily identify patients with a particular disease or medication | – |
| Cultural sensitivity (items loading >.60 across all samples; Cronbach α =.68) | – |
| 1. I am aware of my racial/ethnic/cultural stereotypes | – |
| 2. I believe cultural issues are important in my interaction with health professional colleagues | – |
| 3. I believe cultural issues are important in my interactions with patients | – |
| Patient safety culture (items loading >.60 across all samples; Cronbach α =.81) | – |
| 1. Staff feel like their mistakes are held against them | – |
| 2. It is just by chance that more serious mistakes don’t happen in our practice | – |
| 3. Staff worry that mistakes they make are kept in their personal file | – |
| 4. Staff are afraid to ask questions when something does not seem right | – |
| 5. We tend to let setbacks and problems stop our change efforts | – |