Organizational assessment in intensive care units (ICUs): construct development, reliability, and validity of the ICU nurse-physician questionnaire

Med Care. 1991 Aug;29(8):709-26. doi: 10.1097/00005650-199108000-00004.


Health Services Research has a growing need for reliable and valid measures of managerial practices and organizational processes. A national study of 42 intensive care units involving over 1,700 respondents provides evidence for the reliability and validity of a comprehensive set of measures related to leadership, organizational culture, communication, coordination, problem solving-conflict management and team cohesiveness. The data also support the appropriateness of aggregating individual respondent data to the unit level. Implications for further research are discussed.

Publication types

  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Analysis of Variance
  • Communication
  • Decision Making, Organizational
  • Health Services Research / methods*
  • Humans
  • Intensive Care Units / organization & administration*
  • Leadership
  • Medical Staff, Hospital
  • Nursing Staff, Hospital
  • Organizational Culture
  • Patient Care Team / organization & administration*
  • Problem Solving
  • Reproducibility of Results
  • Surveys and Questionnaires
  • United States