Confirmation of the Validity of theRelational Coordination Surveyas a Measure of the WorkEnvironment in a National Sample ofInfection Preventionists

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Health care-associated infections (HAIs) are leading causes of morbidity and mortality. Prevention of HAIs requires multifaceted approaches that consider the work environment in which interventions are implemented.


This study assessed the construct validity of the Relational Coordination Survey (RCS) as a measure of the work environment in infection prevention departments.


Data were obtained from 614 infection preventionists (IPs). Factor analysis and structural equation modeling tested the hypothesized model.


Cronbach's alpha for the 28-item RCS was .91. Factor analyses confirmed a four-factor solution that explained 58.17% of the variance. The fit indices for the model indicated an adequate fit, χ2(346) = 699.38, p < .00; comparative fit index = .94; root mean square error of approximation = .06.


The RCS may be a useful tool for measuring aspects of the work environment for IPs.

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