Culture, Organization, and Management in Intensive Care Questionnaire (COMC-ICQ)

Contribute to other staff members' personal and professional well-being

Pay attention to the quality of human relations within the unit

Endeavor to be well considered

Apply norms and procedures without question

Not to question instructions

Turn a blind eye to problems

Remain cool and collected in all circumstances

Indirectly question orders

Exert their authority to the full

Do whatever it takes to appear 'the best'

Be perfectionists

Ensure they have the means required to fulfill their tasks

Remain personally well-balanced while at work

I find it easy to discuss openly with the unit's physicians

I have sometimes been poorly informed by the unit's physicians

Communication among the unit's physicians is very open

I often have to check the accuracy of the information I receive from the unit's physicians

I find it very enjoyable to talk with the unit's physicians

When physicians talk with each other in this unit they understand each other well

The information exchanged by the unit's physicians is sometimes inaccurate

It's easy to ask for advice from the unit's physicians

I feel that some of the unit's physicians don't fully understand the information they receive

I find it easy to discuss openly with the unit's nursing staff

I have sometimes been poorly informed by the unit's nursing staff

Communication between the unit's physicians and nursing staff is very open

I frequently have to check the accuracy of the information I receive from the unit's nursing staff

I find it very enjoyable to talk with the unit's nursing staff

When physicians talk in this unit with the nursing staff, they understand each other well

The information exchanged between the unit's physicians and nursing staff is sometimes inaccurate

It's easy to ask for advice from the unit's nursing staff

I feel that some of the unit's nursing staff don't fully understand the information they receive

I obtain the information I need on a given patient's condition in a timely manner

I rapidly obtain the relevant information when a patient's condition changes

There are needless delays in relaying information regarding patient care

Nurses call physicians in a timely manner during patient care procedures

The unit's nursing staff possess the necessary skills

The unit's nursing staff do not fully inform the patient or family/friends of how the patient is progressing

The unit's nursing staff take into account the expectations of the patients and family/friends

The unit's nursing staff are sometimes impolite to patients or family/friends

My unit has a constructive working relation with the hospital's other units

My unit does not receive sufficient cooperation from the hospital's other units

Some of the hospital's other units seem to have a very poor opinion of my unit

Poor working relationships with some of the hospital's other units hinder the work of my unit

Written rules and procedures (as a measure contributing to coordination)

Written schedules and timetables (as a measure contributing to coordination)

Managerial attempts to coordinate the unit's activities

Face-to-face meetings between managerial staff (as a measure contributing to coordination)

Special ad hoc task forces (as a measure contributing to coordination)

Written protocols for diagnostic and therapeutic management of certain clinical situations

Daily visits (as a measure contributing to coordination)

Usually, the unit's staff react rapidly to unexpected situations

The unit's staff generally show a lack of initiative when confronted with unusual tasks

The unit's staff are somewhat reticent to adopt new organizational ideas

The unit's staff have a fairly good attitude to new organizational ideas

There is not enough time to weigh up proposed changes to the unit's organization

Dysfunctions in the unit are not sufficiently discussed

The unit's staff learn rapidly when confronted with new problems

The unit's staff do not like handling new tasks

The unit's staff are open to change