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Development and validation of a self-efficacy scale for clinical decision-making in general paediatrics
Mylène Dandavino1, Meredith Young2, Richard Gosselin3
1Division of General Pediatrics, Montreal Children's Hospital, McGill University, Montreal, Quebec;
Background:
Success in a task is not only related to skill, but it is also related to 'self-efficacy', or belief in one's capability to perform that task. No tool currently exists to measure self-efficacy in clinical decision-making in general paediatrics.
Objective:
To develop and provide validity evidence for the General Pediatrics-specific Self-Efficacy (GPedsSE) scale.
Methods:
The five-item GPedsSE scale, developed using an expert panel, was matched to the New General Self-Efficacy (NGSE) scale's structure for validity analysis purposes. Thirty-six postgraduate year 1 to postgraduate year 5 paediatric residents of the Montreal Children's Hospital (Montreal, Quebec) completed the GPedsSE and NGSE scales, with items interspersed.
Results:
The mean (± SD) GPedsSE score was 18.6±2.6 of 25. Total GPedsSE and NGSE scores were moderately correlated (r=0.54, P<0.005). On planned comparison, the GPedsSE score increased with training year (F[1.3]=6.62; P<0.001), while the NGSE score did not (F<0.37). Exploratory factor analysis showed two components, each aligning with a scale.
Conclusion:
The GPedsSE scale contextualizes an existing tool to general paediatrics, a novel concurrent validity approach.
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