Validation of an intervention strategy for the improvement of organizational climate in a Cuban epidemiological surveillance institution.

Abstract

Introduction: The organizational climate in epidemiological surveillance centers is a determining factor for healthcare quality and health response. At the Provincial Center for Hygiene, Epidemiology, and Microbiology of Ciego de Ávila, a diagnosis was conducted with 80 workers using the Pan American Health Organization Inventory, revealing an unsatisfactory climate (mean 2.57/3), placing the institution in a risk zone, with differences among professional groups. A participatory strategy with 38 activities across three phases was designed, needing validation before generalization.

Objectives: To describe the expert validation of the strategy for improving the organizational climate at the CPHEM, Ciego de Ávila and assess its scientific-methodological relevance, feasibility, and potential.

Methods: Methodological study using an adapted Delphi method. Out of 35 professionals, 27 experts (competence coefficient ≥0.8) evaluated 10 indicators using a scale ranging from Very Adequate to Not Adequate. Two anonymous feedback rounds achieved consensus ≥80%. Analysis: Cronbach's α, Kendall's W, N-P, and qualitative analysis.

Results: All indicators reached ≥88.9% consensus in the first round, no rephrasing needed, rated Very Adequate. Foundation (4.96), objectives (4.85), dimensions (4.89), and values (4.93) stood out; feasibility (4.22) was the lowest. Excellent internal consistency (α=0.922), significant agreement (W=0.441, p<0.001), and high reliability (ICC=0.86) were observed. Qualitative analysis revealed: diagnostic robustness, participatory approach, recommendation for pilot testing and digital dissemination; adequate theoretical foundation was highlighted.

Conclusions: The strategy possesses scientific-methodological relevance, a participatory approach, and feasibility; it serves as a replicable reference for improving organizational climate, job satisfaction, and the transformation of the National Health System.