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The Surgical Hazardous Attitudes Reflection Profile (SHARP) Instrument - A Prototype Study.

Kirsten F A A Dabekaussen1, Renée A Scheepers2, Erik Heineman1

  • 1University of Groningen, University Medical Center Groningen, Groningen, the Netherlands.

Journal of Surgical Education
|September 25, 2019
PubMed
Summary
This summary is machine-generated.

This study developed the Surgical Hazardous Attitudes Reflection Profile (SHARP) to identify risky attitudes in surgeons. The SHARP tool reliably measures attitudes towards authority and self-performance, aiding in surgical safety improvements.

Keywords:
Interpersonal and Communication SkillsPractice-Based Learning and ImprovementProfessionalismattitudeshuman factorsmixed methodsquality improvementquestionnairesurgeons

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Area of Science:

  • Medical Education
  • Surgical Safety
  • Psychometrics

Background:

  • Surgeons' non-technical skills are vital for patient care quality and safety.
  • Hazardous attitudes can lead to risky behaviors, medical errors, and adverse events.
  • A validated instrument to assess surgeons' hazardous attitudes is currently lacking.

Purpose of the Study:

  • To develop a prototype of a reliable and valid instrument for measuring hazardous attitudes in surgeons.
  • To provide surgeons with insight into their attitudinal profiles for risk reduction.
  • To enhance patient safety through the assessment of surgical non-technical skills.

Main Methods:

  • A mixed-methods approach was employed, including focus groups, modified Delphi analysis, and a survey.
  • The Surgical Hazardous Attitudes Reflection Profile (SHARP) prototype was developed.
  • Psychometric properties were analyzed using exploratory factor analysis and reliability testing.

Main Results:

  • The SHARP prototype identified 6 potential hazardous attitude subscales: authority, self-performance, performance feedback, fitness to perform, uncertainty, and planned procedures.
  • Reliability coefficients (Cronbach's alpha) ranged from 0.48 to 0.78 for the subscales.
  • Attitudes towards authority (α=0.78) and self-performance (α=0.69) demonstrated the highest reliability.

Conclusions:

  • A prototype instrument (SHARP) for identifying 6 hazardous attitudes in surgeons was successfully developed.
  • The SHARP tool can now validly and reliably measure attitudes towards authority and self-performance.
  • Further research is needed to optimize the SHARP and explore its relationship with clinical outcomes.